Multiple tobacco product use among US adolescents and young adults.
Multiple tobacco product use among US adolescents and young adults.
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DOI：
10.1136/tobaccocontrol-2014-051638
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发表时间：
2016-03
期刊：
影响因子：
5.2
通讯作者：
Tanski S
中科院分区：
文献类型：
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作者：
Soneji S;Sargent J;Tanski S
评估青少年和青壮年多种烟草制品的使用在多大程度上超出了目前食品和药物管理局（FDA）的监管权限。我们对1596名16 - 26岁的年轻人进行了一项基于网络的调查，以评估11种烟草产品的使用情况。我们确定了927名曾经使用烟草的受访者目前（过去30天）的烟草制品使用情况。可燃烟草产品包括香烟、雪茄（小过滤嘴、小雪茄、高档雪茄）和水烟；不可燃烟草产品包括咀嚼烟草、浸渍烟草、可溶解烟草、电子烟、鼻烟和鼻烟。然后，我们拟合了一个有序逻辑回归模型，以评估人口统计学和行为与当前较高水平的烟草制品使用（单一、双重和多种产品使用）之间的关联。在448名目前的烟草使用者中，54%是单一产品使用者，25%是双重使用者，21%是多重使用者。最大的一次性使用类别是香烟（49%），其次是水烟（23%），小过滤雪茄（17%）和电子烟（5%）。大多数双重和多重产品的使用者抽香烟，以及少量过滤雪茄、水烟和电子烟。目前46%的单一烟草制品使用者、84%的双重烟草制品使用者和85%的多重烟草制品使用者是在FDA监管权限之外消费烟草制品的。在多变量分析中，男性、首次使用非可燃烟草制品、寻求高度刺激的受访者多次使用烟草的调整后风险较高，并且每推迟一年开始吸烟的年龄就会下降。在本研究中，目前近一半的青少年和年轻成人烟草使用者从事双重和多种烟草制品使用；他们中的大多数人使用的产品不属于目前FDA的监管权限。这项研究支持FDA对这些产品的认定，并将其纳入全国媒体宣传活动，以解决青少年烟草使用问题。
To assess the extent to which multiple tobacco product use among adolescents and young adults falls outside current Food and Drug Administration (FDA) regulatory authority. We conducted a web-based survey of 1596 16–26-year-olds to assess use of 11 types of tobacco products. We ascertained current (past 30 days) tobacco product use among 927 respondents who ever used tobacco. Combustible tobacco products included cigarettes, cigars (little filtered, cigarillos, premium) and hookah; non-combustible tobacco products included chew, dip, dissolvables, e-cigarettes, snuff and snus. We then fitted an ordinal logistic regression model to assess demographic and behavioural associations with higher levels of current tobacco product use (single, dual and multiple product use). Among 448 current tobacco users, 54% were single product users, 25% dual users and 21% multiple users. The largest single use category was cigarettes (49%), followed by hookah (23%), little filtered cigars (17%) and e-cigarettes (5%). Most dual and multiple product users smoked cigarettes, along with little filtered cigars, hookah and e-cigarettes. Forty-six per cent of current single, 84% of dual and 85% of multiple tobacco product users consumed a tobacco product outside FDA regulatory authority. In multivariable analysis, the adjusted risk of multiple tobacco use was higher for males, first use of a non-combustible tobacco product, high sensation seeking respondents and declined for each additional year of age that tobacco initiation was delayed. Nearly half of current adolescent and young adult tobacco users in this study engaged in dual and multiple tobacco product use; the majority of them used products that fall outside current FDA regulatory authority. This study supports FDA deeming of these products and their incorporation into the national media campaign to address youth tobacco use.