Perceptions and Problems Associated with Vaping in Youth and Young Adults

项目摘要 在过去的六个月里，在49个州发现了2000多例与蒸气有关的肺损伤，其中 39人死亡。这些伤害给年轻人造成了不成比例的损失：这些病例的中位年龄是 24岁，54%的患者是青年或25岁以下的青壮年。虽然有证据表明 蒸发THC在这次疫情中发挥了重要作用，疫情与电子烟使用量的迅速增加不谋而合 在过去的两年里，他在年轻人中发挥了重要作用。来自年轻人的时间敏感信息，关于感知、模式和 需要与蒸发THC和尼古丁相关的问题来指导州一级的努力。2019年秋季， 佛蒙特州卫生部启动了紧急卫生行动中心，以跟踪和应对 该州与蒸发有关的肺损伤。作为其早期行动之一，该中心从 政策和沟通评估研究(Pace Vermont；www.pacevt.org)，这是一项为期六个月的试点研究， 对1500名青年和年轻人的季度在线调查于2019年10月完成。佛蒙特州的步调 这项研究是佛蒙特州大学和佛蒙特州卫生部之间的合作伙伴关系，以了解 国家层面的政策和沟通活动对中国人的物质使用信念和行为的影响 年轻的佛蒙特州人。这项建议延续了在佩斯佛蒙特州研究中开发的方法，以迅速 告知VT HOC对与蒸发相关的肺损伤爆发的反应。加快审查和提供资金将 允许在佛蒙特州1,500名青年和年轻人中额外收集三波数据，以解决 VT专案小组和研究小组提出的问题，否则是不可能获得的。研究目标 解决三个方面：1)与蒸发尼古丁相关的感知、模式和症状的变化 在蒸发相关肺损伤紧急爆发后，佛蒙特州年轻人和年轻人中的大麻；2) 蒸发尼古丁和大麻的人以及报告与蒸发有关的人的特征 指导干预工作的症状或问题；以及3)电子烟预防信息对 与蒸发相关的危害认知和使用模式。这项建议利用了一支经验丰富的研究团队 具有快速和响应研究的专业知识、成熟的结构和社区参与的方法 应对年轻人使用电子烟的迅速增加和与电子烟有关的伤害的出现。 与佛蒙特州卫生部建立伙伴关系，并与其紧急卫生部门持续协调 运营中心确保在本研究中收集的数据将迅速纳入对这些问题的回应中 佛蒙特州以及可能出现的其他州突然出现的严重毒品问题。

PROJECT ABSTRACT In the past six months, over 2,000 cases of vaping-related lung injury have been identified in 49 states, with 39 deaths. These injuries are taking a disproportionate toll on young people: the median age of these cases is 24 years and 54% of patients are youth or young adults under the age of 25. While evidence indicates that vaping THC plays a major role in this outbreak, the epidemic coincides with rapid increases in e-cigarette use in youth over the past two years. Time-sensitive information from young people on perceptions, patterns, and problems associated with vaping THC and nicotine is needed to guide state-level efforts. In the fall of 2019, the Vermont Department of Health launched the emergency Health Operations Center to track and respond to the state’s vaping-related lung injuries. As one of its early actions, the Center solicited data on vaping from the Policy and Communication Evaluation Study (PACE Vermont; www.pacevt.org), a six-month pilot study with quarterly online surveys in 1,500 youth and young adults completed in October 2019. The PACE Vermont Study is a partnership between the University of Vermont and the Vermont Department of Health to understand the impact of state-level policies and communication campaigns on substance use beliefs and behaviors in young Vermonters. This proposal continues the approach developed in the PACE Vermont Study to rapidly inform the VT HOC’s response to the outbreak of vaping-related lung injury. Expedited review and funding will allow for three additional waves of data collection in 1,500 Vermont youth and young adults to address questions raised by the VT HOC and the study team that would otherwise be impossible to obtain. Study aims address three areas: 1) changes in perceptions, patterns, and symptoms associated with vaping nicotine and marijuana in Vermont youth and young adults following the emergent outbreak of vaping-related lung injury; 2) characteristics of those who vape nicotine and marijuana, as well as those who report vaping-related symptoms or problems to guide intervention efforts; and 3) the impact of e-cigarette prevention messages on vaping-related harm perceptions and patterns of use. This proposal harnesses an experienced research team with expertise in rapid and responsive research, an established structure, and a community-engaged approach to address the rapid increase in vaping among young people and the emergence of vaping-related injuries. Partnership with the Vermont Department of Health and ongoing coordination with its emergency Health Operations Center ensures that data collected in this study will be rapidly incorporated into responses to these sudden and severe emerging drug issues in Vermont and potentially other states.