Use and Perceived Risk of Electronic Cigarettes Among North Carolina Middle and High School Students.
Use and Perceived Risk of Electronic Cigarettes Among North Carolina Middle and High School Students.
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DOI：
10.18043/ncm.78.1.7
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发表时间：
2017-01-01
影响因子：
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通讯作者：
Que, Loretta G
中科院分区：
文献类型：
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作者：
Giovacchini, Coral X;Pacek, Lauren;Que, Loretta G
目得：电子烟在青少年中的使用持续上升，但对他们使用电子烟的风险认知知之甚少。我们的目的是描述终身使用和感知风险的电子烟使用的背景下，其他冒险行为的青少年在北卡罗来纳州。方法：数据来自2015年北卡罗来纳州青年风险行为调查，这是管理到503名中学和444名高中学生在教堂山-卡博罗公立学校区。调查参与者自我报告了他们的性别;种族;学校成绩;曾经使用香烟，电子烟，酒精和其他非法物质;这些产品的伤害风险;以及他们父母和朋友对这些产品的看法。Logistic回归分析用于评估学生报告的特征，风险行为，感知的产品风险和曾经使用电子烟之间的关联。结果：本研究发现，4.6%的中学生和37.2%的高中生报告曾经使用电子烟。随着年级的提高，电子烟的使用增加，对电子烟风险的感知降低。在所有级别上，电子烟的使用率都超过了可燃香烟的使用率; 49.4%的电子烟使用者从未吸过烟。朋友认为使用电子烟是“错误的”的看法与电子烟的使用呈负相关（调整后的优势比= 0.43; 95%可信区间，0.19 - 0.97）。局限性：来自一个学区学生的自我报告结果对更大群体的普遍性有限。北卡罗来纳州青少年的电子烟使用与感知朋友对电子烟的看法呈正相关，而使用与个人对电子烟风险的感知呈负相关。根据我们的调查结果，关于电子烟使用的教育和公共卫生干预可能是最好的针对青少年过渡到高中之前。
PURPOSE: Electronic cigarette (e-cigarette) use continues to rise among adolescents, but little is known regarding their risk perceptions of e-cigarette use. We aimed to describe the lifetime use and perceived risk of e-cigarette use in the context of other risk-taking behaviors among adolescents in North Carolina.METHODS: Data were derived from the 2015 North Carolina Youth Risk Behavior Survey, which was administered to 503 middle school and 444 high school students in the Chapel Hill-Carrboro public school district. Survey participants self-reported their sex; ethnicity; school grade; ever-use of cigarettes, e-cigarettes, alcohol, and other illicit substances; perceived risk of harm of these products; and perceived view of their parents' and friends' perceptions of these products. Logistic regression analyses were used to assess associations between student-reported characteristics, risk behaviors, perceived product risk, and ever-use of e-cigarettes.RESULTS: This study found that 4.6% of middle school students and 37.2% of high school students reported ever-use of e-cigarettes. E-cigarette use increased and perception of e-cigarette risk decreased with advancing grade. Ever-use of e-cigarettes surpassed ever-use of combustible cigarettes at all grades; 49.4% of e-cigarette users had never smoked cigarettes. The perception that friends view e-cigarette use as "wrong" correlated negatively with e-cigarette use (adjusted odds ratio = 0.43; 95% confidence interval, 0.19-0.97).LIMITATIONS: Self-reported results from students in one school district have limited generalizability to larger groups.CONCLUSION: E-cigarette use among adolescents in North Carolina correlates positively with perceived friends' views of e-cigarettes, and use correlates negatively with personal perception of the risk of e-cigarettes. Based on our survey results, education and public health intervention regarding e-cigarette use may be best targeted at youth prior to their transition to high school.