Association Between Electronic Cigarette Use and Openness to Cigarette Smoking Among US Young Adults
Association Between Electronic Cigarette Use and Openness to Cigarette Smoking Among US Young Adults
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DOI：
10.1093/ntr/ntu211
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发表时间：
2015-02-01
影响因子：
4.7
通讯作者：
King, Brian A.
中科院分区：
文献类型：
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作者：
Coleman, Blair N.;Apelberg, Benjamin J.;King, Brian A.
电子尼古丁输送系统（ENDS），包括电子烟（e-cigarettes）的使用正在增加。一个令人担忧的问题是这些产品对青年和年轻人的吸引力以及影响传统香烟的观念和使用的潜力。使用2012-2013年全国成人烟草调查的数据，通过使用电子烟，人口统计学，以及使用其他烟草产品（无烟烟草、雪茄、水烟和香烟）。使用多变量logistic回归来研究年轻人使用电子烟与吸烟开放性之间的关系，吸烟开放性定义为缺乏在不久或明年不吸烟的坚定意图。在从未建立吸烟行为的年轻人中，（未加权n = 4，310），7.9%的人报告曾尝试过电子烟，14.6%的人报告曾尝试过电子烟，也报告目前使用该产品。曾经使用电子烟与吸烟开放相关（调整后的比值比= 2.4; 95%置信区间= 1.7，3.3），男性，年龄在18-24岁，受教育程度较低，曾经使用过水烟或尝试过传统香烟。这项研究不允许我们评估这种关联的方向性，因此需要未来的纵向研究来阐明随着时间的推移的烟草使用行为，并提供关于年轻成年人群中ENDS使用和传统香烟使用之间关系的额外见解。
Introduction: Use of electronic nicotine delivery systems (ENDS), including electronic cigarettes (e-cigarettes), is increasing. One concern is the appeal of these products to youth and young adults and the potential to influence perceptions and use of conventional cigarettes.Methods: Using data from the 2012-2013 National Adult Tobacco Survey, characteristics of adults aged 18-29 years who had never established cigarette smoking behavior were examined by ever use of e-cigarettes, demographics, and ever use of other tobacco products (smokeless tobacco, cigars, hookah, and cigarettes). Multivariate logistic regression was used to examine the relationship between e-cigarette use and openness to cigarette smoking among young adults, defined as the lack of a firm intention not to smoke soon or in the next year.Results: Among young adults who had never established cigarette smoking behavior (unweighted n = 4,310), 7.9% reported having ever tried e-cigarettes, and 14.6% of those who reported having ever tried e-cigarettes also reported current use of the product. Ever e-cigarette use was associated with being open to cigarette smoking (adjusted odds ratio = 2.4; 95% confidence interval = 1.7, 3.3), as was being male, aged 18-24 years, less educated, and having ever used hookah or experimented with conventional cigarettes.Conclusions: Ever use of e-cigarettes and other tobacco products was associated with being open to cigarette smoking. This study does not allow us to assess the directionality of this association, so future longitudinal research is needed to illuminate tobacco use behaviors over time as well as provide additional insight on the relationship between ENDS use and conventional cigarette use among young adult populations.