Effects of e-cigarette use on cigarette smoking among U.S. youth, 2004-2018.

Effects of e-cigarette use on cigarette smoking among U.S. youth, 2004-2018.
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DOI:
10.1016/j.ypmed.2020.106316
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发表时间:
2021-01
影响因子:
5.1
通讯作者:
Glantz SA
Glantz SA
中科院分区:
医学2区
文献类型:
--
作者:
Creamer MR;Dutra LM;Sharapova SR;Gentzke AS;Delucchi KL;Smith RA;Glantz SA

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为了确定在引入电子烟后,美国青少年吸烟的下降趋势是否发生了变化,以及青少年电子烟使用者是否有可能根据吸烟的社会心理和人口统计学预测因素吸烟。对2004年至2018年全国青年烟草调查(NYTS)的横截面数据进行了中断时间序列分析,以评估卷烟和电子烟使用随时间的变化。多变量logistic回归模型使用2004-2009年NYTS关于心理社会风险因素的数据来预测2011-2018年的个人吸烟风险。模型预测和实际吸烟行为进行了比较。2014年,目前吸烟人数的下降速度放缓(每年-0.75 [95% CI:-0.81,-0.68]至-0.26 [95% CI:-0.40,.12]个百分点)。2012年后,吸烟率的下降速度加快(-1.45 [95%CI:1.59,-1.31]至-1.71 [95%CI:-1.75,-1.66])。2011-2013年期间,以往和当前的香烟和/或电子烟总使用量有所下降,2013-2014年期间有所增加,2014-2018年期间,两个变量均无显着变化。心理社会模型估计,69.0%的当前吸烟者和9.3%的当前电子烟使用者(不吸烟)将在2018年吸烟。随着电子烟的引入,目前吸烟量的下降速度放缓,香烟和电子烟联合使用的停滞,以及吸烟量的加速下降。传统的吸烟心理社会风险因素表明,电子烟使用者不符合传统的吸烟者风险特征。
To determine if the declining trend in US youth cigarette smoking changed after e-cigarettes were introduced, and if youth e-cigarette users would have been likely to smoke cigarettes based on psychosocial and demographic predictors of smoking. An interrupted time series analysis was used for cross-sectional data from the 2004 to 2018 National Youth Tobacco Surveys (NYTS) to assess changes in cigarette and e-cigarette use over time. A multivariable logistic regression model used 2004–2009 NYTS data on psychosocial risk factors to predict individual-level cigarette smoking risk from 2011–2018. Model-predicted and actual cigarette smoking behavior were compared. The decline in current cigarette smoking slowed in 2014 (−.75 [95% CI: −.81, −.68] to −.26 [95% CI: −.40, .12] percentage points per year). The decline in ever cigarette smoking accelerated after 2012 (−1.45 [95% CI: 1.59, −1.31] to −1.71 [95% CI: −1.75, −1.66]). Ever and current combined cigarette and/or e-cigarette use declined during 2011–2013 and increased during 2013–2014 with no significant change during 2014–2018 for either variable. The psychosocial model estimated that 69.0% of current cigarette smokers and 9.3% of current e-cigarette users (who did not smoke cigarettes) would smoke cigarettes in 2018. The introduction of e-cigarettes was followed by a slowing decline in current cigarette smoking, a stall in combined cigarette and e-cigarette use, and an accelerated decline in ever cigarette smoking. Traditional psychosocial risk factors for cigarette smoking suggest that e-cigarette users do not fit the traditional risk profile of cigarette smokers.
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