Risk and Protective Factors for E-cigarettes Among Adolescents, Young-Adults, and Adults and Across Two Generations

青少年、年轻人和成年人以及两代人中电子烟的风险和保护因素

• 批准号: 10480886
• 负责人: Marina Epstein
• 金额: $ 34.38万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-01 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10480886
• 关键词: Address; Adolescence; Adolescent; Adolescent and Young Adult; Adult; Age; Attitude; Caregivers; Characteristics; Child; Cigarette; Communities; Control Groups; Data; Data Analyses; Data Collection; Data Set; Dependence; Development; Educational workshop; Electronic cigarette; Ethnic Origin; Family; Foundations; Funding; Gender; Generations; Goals; Happiness; Individual; Interview; Investigation; Knowledge; Literature; Longitudinal Studies; Marketing; Measurement; Measures; Nicotine; Parents; Participant; Perception; Policies; Policy Developments; Positioning Attribute; Prevention; Public Health; Recording of previous events; Regulation; Research; Risk; Risk Factors; Role; Sampling; Smoker; Smoking; Smoking History; Social Development; Testing; Time; Tobacco; Tobacco Dependence; Tobacco Use Cessation; Tobacco use; United States National Institutes of Health; Youth; base; cigarette smoking; cohort; combustible cigarette; cost; electronic cigarette use; electronic cigarette user; evidence based guidelines; high risk population; innovation; insight; intergenerational; longitudinal design; low socioeconomic status; member; model development; non-smoker; novel; policy implication; preventive intervention; prospective; protective factors; racial diversity; social; substance use; tobacco products; transmission process; trend; young adult

This 3-year R01 proposal will examine socio-developmental and demographic risk and protective factors that characterize e-cigarette (e-cig) users, explore the concomitant use of e-cig and conventional cigarettes (cigarettes), and investigate intergenerational transmission of e-cig use and norms. Analyses will 1) identify which risk and protective factors are most predictive of e-cig use among adolescents, young adults, and adults, explore how these factors differ from tobacco risk factors and by gender and ethnicity; 2) examine the interplay of tobacco products and e-cigs, examine whether cigarette use leads to e-cig and vice versa, whether they hinder cessation attempts among smokers, and whether using e-cigs is associated with more positive norms toward tobacco; and 3) explore the degree to which parent e-cig use and norms are associated with child use and positive norms for e-cigs and cigarettes, and pose a risk for child use of other substances. The proposed project is uniquely suited to address these aims. It builds on three existing longitudinal studies: The Seattle Social Development Project (SSDP), The Intergenerational Project (TIP), and the Community Youth Development Study (CYDS). SSDP participants (n = 808) have been followed since age 10 (1985) and have been interviewed 14 times. The most recent data collection at age 39 (2014) included measures of e-cig use. TIP has followed SSDP participants who have become parents, their first-born child, and another caregiver (N = 412 families) since 2002 using an accelerated longitudinal design (child age 1 - 28 years, N = 315 have been interviewed during adolescence between ages 10-20). Parents and children have been interviewed eight times; two additional waves of data, including e-cig items, will be collected in 2017 - 2018 (funded separately). CYDS is a longitudinal panel of youth (n = 4,407; control group n = 2,002) from 24 communities across seven states which began in 2003. Participants have been interviewed 10 times from ages 10 through 23 (2016). Data at ages 21 and 23 contain e-cig modules. The proposed project is informed by the Social Development Model and accumulated knowledge about the risk and protective factors for tobacco use from the literature. The current study brings needed longitudinal investigations that span multiple developmental periods, prospectively measured tobacco use history, and the ability to look at the intergenerational transmission of e-cig use and norms. Data from these three datasets will provide insight into identifiable characteristics of e-cig users, their impact on tobacco use among adolescents (TIP children), young adults (CYDS), and adults (SSDP, TIP parents), as well as the relationship between parent and child e-cig use (TIP). By using existing longitudinal studies, the current proposal is innovative, cost- and time-effective, and is uniquely positioned to rapidly address critical gaps in our understanding of e-cigs. Findings form this study will yield viable targets for prevention and direct implications for policy and regulation.

这项为期 3 年的 R01 提案将审查社会发展和人口风险以及保护措施 电子烟（e-cig）使用者的特征因素，探索电子烟和传统电子烟的同时使用 香烟（香烟），并调查电子烟使用和规范的代际传播。分析将 1) 确定哪些风险和保护因素最能预测青少年、年轻人、 和成年人，探讨这些因素与烟草风险因素有何不同，以及性别和种族的差异； 2）检查 烟草产品和电子烟的相互作用，检查香烟的使用是否会导致电子烟，反之亦然， 它们是否会阻碍吸烟者的戒烟尝试，以及使用电子烟是否会导致更多吸烟者戒烟 对烟草的积极规范； 3) 探索家长电子烟使用与规范的关联程度 儿童使用电子烟和香烟的积极规范，并对儿童使用其他物质构成风险。 拟议的项目特别适合实现这些目标。它建立在现有的三个纵向 研究：西雅图社会发展项目 (SSDP)、代际项目 (TIP) 和 社区青少年发展研究（CYDS）。 SSDP 参与者 (n = 808) 从 10 岁起就受到追踪 （1985）并接受过14次采访。 39 岁时（2014 年）收集的最新数据包括 电子烟使用措施。 TIP 追踪 SSDP 参与者，他们已成为父母，他们的第一个孩子， 和另一名看护者（N = 412 个家庭）自 2002 年以来使用加速纵向设计（1 - 28 岁的儿童） 年，N = 315 人在 10-20 岁的青春期接受过采访）。家长和孩子都有 接受采访八次； 2017 年将收集另外两波数据，包括电子烟​​产品 - 2018 年（单独资助）。 CYDS 是一个由 24 名青年组成的纵向小组（n = 4,407；对照组 n = 2,002） 2003 年开始，对七个州的社区进行了调查。参与者接受了 10 次采访，年龄不等 10 至 23（2016 年）。 21 岁和 23 岁的数据包含电子烟模块。 拟议的项目以社会发展模型和积累的知识为基础 文献中烟草使用的风险和保护因素。当前的研究带来了所需的纵向 跨越多个发展时期的调查、前瞻性测量的烟草使用历史以及 研究电子烟使用和规范的代际传播的能力。来自这三个数据集的数据将 深入了解电子烟用户的可识别特征及其对青少年烟草使用的影响 （TIP 儿童）、年轻人（CYDS）和成人（SSDP、TIP 父母），以及之间的关系 父母和孩子使用电子烟 (TIP)。通过使用现有的纵向研究，当前的提案具有创新性、成本效益 且具有时效性，并且具有独特的优势，可以快速解决我们对电子烟理解中的关键差距。 这项研究的结果将产生可行的预防目标，并对政策和监管产生直接影响。