Possible role of caffeine in nicotine use onset among early adolescents: Evidence from the Young Mountaineer Health Study Cohort.
Possible role of caffeine in nicotine use onset among early adolescents: Evidence from the Young Mountaineer Health Study Cohort.
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DOI：
10.1371/journal.pone.0285682
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发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
James, Jack E.
中科院分区：
文献类型：
--
作者：
Kristjansson, Alfgeir L. E.;Kogan, Steven M.;Mann, Michael J.;Smith, Megan L.;Lilly, Christa L.;James, Jack E.
预防儿童和青少年使用尼古丁是一项重要的公共卫生目标。一个可能的贡献者，已经收到很少的实证研究是咖啡因的使用。这项研究的目的是检查咖啡因对青春期早期尼古丁发作的可能贡献。我们使用了年轻登山者健康研究队列的数据。调查数据收集自2020年秋季和2021年春季西弗吉尼亚州20所中学的1，349名（回复率：80.7%）六年级学生（基线平均年龄11.5岁）。我们的分析仅限于报告在基线时从未使用过任何形式尼古丁的学生。采用Logistic回归分析。大约8%的参与者报告在基线和随访之间至少使用过一次尼古丁，4.7%的参与者报告仅使用电子尼古丁输送系统（ENDS），没有其他形式的尼古丁。在多变量分析中，我们控制了许多已知会影响尼古丁使用的环境、社会和行为变量，如酒精使用、同伴物质使用和对尼古丁的感知。我们制定了我们的主要自变量，咖啡因消费量，作为连续的十分位数。任何尼古丁的使用，以及仅在随访时使用ENDS，被建模为因变量。在两个模型中，咖啡因与尼古丁使用显著相关，OR分别为1.15（1.04-1.27）和1.13（1.00-1.28）。在大约6个月的随访中，6年级非尼古丁使用者的咖啡因摄入量与尼古丁使用相关。
Preventing nicotine use onset among children and youth is an important public health goal. One possible contributor that has received little empirical investigation is caffeine use. The goal of this study was to examine the possible contribution of caffeine to nicotine onset during early adolescence. We used data from the Young Mountaineer Health Study Cohort. Survey data were collected from 1,349 (response rate: 80.7%) 6th grade students (mean age at baseline 11.5 years) in 20 middle schools in West Virginia during the fall of 2020 and spring of 2021. We limited our analyses to students reporting never having used any form of nicotine at baseline. Logistic regression was employed in analyses. Approximately 8% of participants reported having used nicotine at least once between baseline and the follow-up, and 4.7% reported solely using electronic nicotine delivery systems (ENDS) and no other forms of nicotine. In multivariable analyses, we controlled for many environmental, social, and behavioral variables known to influence nicotine use such as alcohol use, peer substance use, and perceived access to nicotine. We formulated our main independent variable, caffeine consumption, as continuous deciles. Any nicotine use, as well as ENDS use only at follow-up, were modeled as dependent variables. Caffeine was significantly associated with nicotine use in both models with ORs of 1.15 (1.04–1.27) and 1.13 (1.00–1.28). Caffeine consumption among 6th grade non-nicotine users was associated with nicotine use at approximately 6-months follow-up.
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