The E-cigarette Social Environment, E-cigarette Use, and Susceptibility to Cigarette Smoking.
The E-cigarette Social Environment, E-cigarette Use, and Susceptibility to Cigarette Smoking.
复制标题
DOI：
10.1016/j.jadohealth.2016.03.019
复制
发表时间：
2016-07
期刊：
影响因子：
--
通讯作者：
McConnell R
中科院分区：
文献类型：
--
作者：
Barrington-Trimis JL;Berhane K;Unger JB;Cruz TB;Urman R;Chou CP;Howland S;Wang K;Pentz MA;Gilreath TD;Huh J;Leventhal AM;Samet JM;McConnell R
关于最近青少年电子烟使用增加的一个担忧是，那些本来可能不会使用香烟的人可能会使用电子烟，并且可能会双重使用或过渡到单独使用香烟。问卷数据于2014年从南加州儿童健康研究（CHS）纳入的12个社区的11 /12年级学生中获得。我们评估了从不吸烟者（N=1694）中电子烟使用、社会心理环境（家人和朋友对电子烟和香烟的使用和批准）和未来吸烟易感性之间的横断面关联，使用先前经过验证的基于报告中缺乏明确不吸烟承诺的措施。在从未吸过烟的青少年中，31.8%的过去电子烟使用者和34.6%的目前（过去30天）电子烟使用者表示易吸香烟，而从未吸过电子烟的青少年中这一比例为21.0%。目前使用电子烟的人易吸烟的几率是从未使用过电子烟的人的两倍（OR=1.97; 95%CI: 1.21, 3.22）。有利于电子烟的社会环境（朋友使用电子烟和对使用电子烟的积极态度）也与更大的吸烟易感性相关，与个人使用电子烟无关。青少年使用电子烟以及支持电子烟的社会环境可能会使青少年面临未来使用香烟的风险。电子烟可能通过尼古丁成瘾或吸烟行为的社会正常化导致随后的卷烟使用。
One concern regarding the recent increase in adolescent e-cigarette use is the possibility that e-cigarettes may be used by those who might not otherwise have used cigarettes, and that dual use, or transition to cigarette use alone, may follow. Questionnaire data were obtained in 2014 from 11th/12th grade students attending schools in 12 communities included in the Southern California Children’s Health Study (CHS). We evaluated the cross-sectional association between e-cigarette use, the psychosocial environment (family and friends’ use and approval of e-cigarettes and cigarettes) and susceptibility to future cigarette use among never cigarette smokers (N=1694), using previously validated measures based on reported absence of a definitive commitment not to smoke. Among adolescents who had never used cigarettes, 31.8% of past e-cigarette users and 34.6% of current (past 30 day) e-cigarette users indicated susceptibility to cigarette use, compared to 21.0% of never e-cigarette users. The odds of indicating susceptibility to cigarette use were two times higher for current e-cigarette users compared to never users (OR=1.97; 95%CI: 1.21, 3.22). A social environment favorable to e-cigarettes (friends’ use of and positive attitudes toward use of e-cigarettes) was also associated with greater likelihood of susceptibility to cigarette use, independent of an individual’s e-cigarette use. E-cigarette use in adolescence, and a pro-e-cigarette social environment, may put adolescents at risk for future use of cigarettes. E-cigarettes may contribute to subsequent cigarette use via nicotine addiction or social normalization of smoking behaviors.