Terchek Joshua J, Larkin Elizabeth M G, Male Margaret L, Frank Scott H
Department of Family Medicine, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106-4945, USA.
Nicotine Tob Res. 2009 Jul;11(7):842-6. doi: 10.1093/ntr/ntp074. Epub 2009 May 27.
This study examined whether the standard measure of cigar use in adolescents could be improved by the addition of a brand-specific example.
In 2002, prevalence of tobacco use was assessed in six midwestern U.S. high schools using the Youth Risk Behavior Survey. The survey was readministered to the same schools in 2004, with the brand name "Black and Milds" added to the item measuring cigar use. Changes in local prevalence rates were compared with national rates.
Local rates of cigar and cigarette use in 2002 were consistent with national rates reported in 2003. In 2004, when the cigar item was modified to include a brand-specific example, the percentage of students reporting cigar use nearly doubled-from 12.9% to 20.7%. This difference was particularly notable among Black teens. During the same period, local rates of cigarette use remained constant, as did national rates of reported cigar and cigarette use.
Results suggest that the current national survey item may not adequately measure cigar use. Accordingly, prevalence of cigar use among adolescents may be greatly underestimated, especially among Black youth.
本研究探讨了通过增加特定品牌示例，是否能改进青少年雪茄使用情况的标准测量方法。
2002年，采用青少年风险行为调查对美国中西部六所高中的烟草使用流行情况进行评估。2004年对同一学校再次进行该调查，在测量雪茄使用情况的项目中加入了“Black and Milds”这一品牌名称。将当地流行率的变化与全国流行率进行比较。
2002年当地雪茄和香烟的使用率与2003年报告的全国使用率一致。2004年，当雪茄使用情况的项目修改为包含特定品牌示例时，报告使用雪茄的学生比例几乎翻了一番，从12.9%增至20.7%。这种差异在黑人青少年中尤为显著。同一时期，当地香烟使用率保持不变，全国报告的雪茄和香烟使用率也保持不变。
结果表明，当前的全国性调查项目可能无法充分测量雪茄的使用情况。因此，青少年中雪茄使用的流行率可能被大大低估，尤其是在黑人青少年中。
