Beyond blunts: reasons for cigarette and cigar use among African American young adult dual users

Beyond blunts: reasons for cigarette and cigar use among African American young adult dual users
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DOI:
10.1080/16066359.2017.1366456
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发表时间:
2018-01-01
影响因子:
2.9
通讯作者:
Feldman, Robert H.
Feldman, Robert H.
中科院分区:
医学3区
文献类型:
--
作者:
Mead, Erin L.;Johnson, Sarah Lindstrom;Feldman, Robert H.

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背景:非裔美国年轻人双重使用香烟和雪茄的风险很高。有限的工作已经探索和特点的原因,在这一人群中使用的启动和目前吸烟的这些products.Method:香烟和雪茄的使用原因进行了系统的探索和分类,使用混合的方法参与的方法,称为概念映射。在马里兰州乔治王子县和华盛顿特区,与30名非裔美国年轻人(18-29岁)进行了一系列面对面的小组讨论。参与者进行头脑风暴,分类,评级,并解释他们开始和过去30天使用香烟和雪茄的原因。使用多维缩放生成的聚类图,和t-检验被用来探索差异的评级的背景characteristics.Results:参与者产生64个原因吸烟和雪茄,并将这些原因分为六组:情绪,冲动,访问,产品特性,生活方式,和外部压力。情绪和冲动是开始和目前吸烟这两种产品的最重要的动机。产品特性对雪茄的开始和吸烟比对香烟更重要,外部压力对雪茄的吸烟比香烟更重要。评级不同的性别,社会经济地位,和吸烟characteristics.Conclusions:香烟和雪茄吸烟有几个重叠的动机,但也发现了关键的差异,最显着的产品特性。FDA对雪茄和香烟的监管应该集中在解决吸引年轻人的关键特征上,以遏制双重用途。
Background: African American young adults are at high risk for dual use of cigarettes and cigars. Limited work has explored and characterized the reasons for use in this population and their relative importance for initiation and current smoking of these products.Method: Reasons for cigarette and cigar use were systematically explored and categorized using a mixed methods participatory approach called concept mapping. A series of in-person group sessions were held with 30 African American young adult (ages 18-29) current smokers of both cigarettes and cigars in Prince George's County, MD and Washington, DC. Participants brainstormed, sorted, rated, and interpreted their reasons for initiation and past 30-day use of cigarettes and cigars. A cluster map was generated using multi-dimensional scaling, and t-tests were used to explore differences in ratings by background characteristics.Results: Participants generated 64 reasons for smoking cigarettes and cigars, and categorized these reasons into six groups: emotions, urges, access, product characteristics, lifestyle, and outside pressure. Emotions and urges were the most important motivations for initiation and current smoking of both products. Product characteristics were significantly more important for cigar initiation and smoking than for cigarettes, and outside pressure was more important for current smoking of cigars than cigarettes. Ratings differed by gender, socioeconomic status, and smoking characteristics.Conclusions: Cigarette and cigar smoking have several overlapping motivations, but key differences were also found, most notably for product characteristics. The FDA's regulation of cigars and cigarettes should focus on addressing key characteristics appealing to young adults to curb dual use.