Measuring e-cigarette addiction among adolescents.

Measuring e-cigarette addiction among adolescents.
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DOI:
10.1136/tobaccocontrol-2018-054900
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发表时间:
2020-05
期刊:
影响因子:
5.2
通讯作者:
Rubinstein ML
Rubinstein ML
中科院分区:
医学2区
文献类型:
--
作者:
Vogel EA;Prochaska JJ;Rubinstein ML

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由于电子烟的使用率高,后果不确定,因此需要针对青少年采取有效的电子烟使用频率和成瘾措施。这项横断面研究检验了青少年电子烟使用的多个指标与尼古丁暴露的相关性,这些相关性是用唾液可替宁水平来量化的。报告过去一个月使用电子烟的青少年(N=173,年龄13-18岁)是从旧金山湾区招募的。参与者自我报告:1)一个月内使用电子烟的天数,2)典型一天内使用电子烟的次数(SPD),以及3)电子烟成瘾严重程度指数(EASI)。参与者还完成了10项宾夕法尼亚州立电子烟依赖指数(ECDI),我们全面检查了该指数,并将其作为Vaping指数(HVI;ECDI项的使用频率和醒来后第一次蒸发的时间的总和)的重2项。每月会议次数(SPM)使用每月天数和SPD计算。可替宁水平、Spd和Spm呈对数转换。在频率测量中,每月的会议与可替宁的相关性最强(r=.59),其次是每月的天数(r=.58)和每天的会议(r=.57),p<.001。在依赖性指标中,EASI与可替宁的相关性最强(r=.51),其次是ECDI和HVI(r‘s=.50),均为PS<.001。青少年对电子烟使用频率和成瘾程度的报告与可替宁作为尼古丁暴露的生物标志物显著相关。我们建议将EASI和每月天数作为简要的一般措施。每月举行的会议和电子数据交换是更广泛的措施,可能会对使用情况有更细微的了解。
With high rates of use and uncertain consequences, valid e-cigarette use frequency and addiction measures for adolescents are needed. This cross-sectional study examined correlations for multiple measures of adolescent e-cigarette use with nicotine exposure quantified with salivary cotinine levels. Adolescents (N=173, age 13–18) who reported past-month e-cigarette use were recruited from the San Francisco Bay Area. Participants self-reported: 1) days of e-cigarette use in a typical month, 2) number of e-cigarette sessions in a typical day (SPD), and the 3) E-Cigarette Addiction Severity Index (EASI). Participants also completed the 10-item Penn State Electronic Cigarette Dependence Index (ECDI), which we examined in full and as a 2-item Heaviness of Vaping Index (HVI; the sum of the ECDI items on use frequency and time to first vaping upon wakening). Sessions per month (SPM) were calculated using days per month and SPD. Cotinine levels, SPD, and SPM were log-transformed. Among frequency measures, sessions per month correlated most strongly with cotinine (r=.59), followed closely by days per month (r=.58) and sessions per day (r=.57), p<.001. Among dependence measures, the EASI correlated most strongly with cotinine (r=.51), closely followed by the ECDI and HVI (r’s=.50), all ps<.001. Adolescents’ reports of frequency of e-cigarette use and degree of addiction correlated significantly with cotinine as a biomarker of nicotine exposure. We recommend the EASI and days per month as brief general measures. Sessions per month and the ECDI are more extensive measures that may yield a more nuanced understanding of use.
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发表时间: 2017-07
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影响因子: 5.2
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DOI: 10.1158/1055-9965.epi-17-0671
发表时间: 2018-03
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影响因子: --
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