Progression of Poly-tobacco Product Use Patterns in Adolescents
Progression of Poly-tobacco Product Use Patterns in Adolescents
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DOI：
10.1016/j.amepre.2016.04.004
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发表时间：
2016-10-01
影响因子：
5.5
通讯作者：
Leventhal, Adam M.
中科院分区：
文献类型：
--
作者：
Huh, Jimi;Leventhal, Adam M.
导言：青少年使用和多种使用传统香烟以外的烟草制品的模式正在出现。描述青少年烟草产品使用的常见模式和模式之间的典型转变的数据可以为烟草控制政策和预防提供信息。这项研究确定了五种流行烟草产品（即，传统香烟，电子[e-]香烟，水烟，钝口烟和雪茄）和九年级学生使用潜在转换分析的时间模式之间的进展方法：数据来自加州10所公立高中九年级学生的纵向队列研究。（N= 3，304; 46.6%男性; 48.3%西班牙裔;平均年龄14.58 [SD=0.40]岁），涉及基线（2013）和6个月随访（2014）。过去6个月的任何使用的五种烟草产品assessed.Results：多用途（两个或更多的产品）构成42%和50%的烟草使用的青少年在基线和后续，分别。确定了三种常见模式，成功地反映了烟草制品用途：非使用者（基线患病率，0.75;随访患病率，0.64）;仅电子烟/水烟使用者（患病率，0.21，0.27）;以及所有五种产品的混合烟草制品使用者（患病率，0.04，0.09）。大多数典型的过渡涉及进展到下一个更多样化的模式（非用户->电子烟/水烟用户[概率=0.13]和电子烟/水烟用户->聚烟草产品用户[概率=0.19]）。从一种用户模式转换为非用户状态的情况很少（概率
Introduction: Diverse patterns of adolescent use and poly-use of tobacco products other than conventional cigarettes are emerging. Data characterizing common patterns of youth tobacco product use and typical transitions among patterns may inform tobacco control policy and prevention. This study identified common patterns of use and poly-use of five popular tobacco products (i.e., conventional cigarettes, electronic [e-] cigarettes, hookah, blunts, and cigars) and progression among patterns across time among ninth-graders using latent transition analysis (analyses conducted in 2015).Methods: Data were from a longitudinal cohort study of ninth-grade students enrolled in ten public high schools in California (N=3,304; 46.6% male; 48.3% Hispanic; mean age, 14.58 [SD=0.40] years), involving a baseline (2013) and 6-month follow-up (2014). Past 6-month any use of the five tobacco products was assessed.Results: Poly-use (two or more products) constituted 42% and 50% of tobacco-using teens at baseline and follow-up, respectively. Three common patterns were identified, which reflected successfully greater degrees of low, intermediate, and high diversity of tobacco product use: non-users (baseline prevalence, 0.75; follow-up prevalence, 0.64); e-cigarette/hookah users only (prevalence, 0.21, 0.27); and poly-tobacco product users of all five products (prevalence, 0.04, 0.09). Most typical transitions involved progressing to the next more diverse pattern (non-user -> e-cigarette/hookah user [probability=0.13] and e-cigarette/hookah user -> poly-tobacco product user [probability=0.19]). Transition from one of the user patterns to non-user status was rare (probability