Division of Health Affairs, College of Medicine, Florida State University, 1115 W. Call Street, Tallahassee, FL 32306, USA.
Nicotine Tob Res. 2012 Aug;14(8):977-85. doi: 10.1093/ntr/ntr323. Epub 2012 Feb 7.
This study uses the most recent data from the nationally representative National Youth Tobacco Survey (NYTS) to examine the use of alternative tobacco products among U.S. cigarette smokers and non-cigarette smokers aged 14-17. Alternative tobacco product use is defined as use of one or more of the following products: smokeless tobacco, cigars, pipes, bidis, or kreteks.
Using the results from the 2004, 2006, and 2009 NYTS, multivariate logistic regressions were used to investigate separately the extent of alternative tobacco product use in current cigarette smokers and in those who reported not smoking cigarettes controlling for demographic and other independent influences.
The results indicate that for adolescent smokers and nonsmokers, the use of one type of alternative tobacco product made it much more likely the individual would use one or more of the other alternative tobacco products. Non-cigarette smokers using these tobacco products appeared to exhibit symptoms of nicotine dependence comparable to those of cigarette smokers.
More information on adolescent use of alternative tobacco products is needed. Current cigarette use declined 3.4% annually over 2004-2009 for the NYTS 14- to 17-year-old population, but this cohort's use of alternative tobacco products was unchanged. The number of adolescents aged 14-17 who did not smoke cigarettes but used alternative tobacco products increased 5.9% per year over the same period. Current surveillance measures need to be expanded in order to gain a more comprehensive understanding of adolescent alternative tobacco use.
本研究利用全国代表性的全国青少年烟草调查（NYTS）的最新数据，研究了美国 14-17 岁吸烟和不吸烟的青少年使用替代烟草产品的情况。替代烟草产品的使用定义为使用以下一种或多种产品：无烟烟草、雪茄、烟斗、比迪烟或 kreteks。
利用 2004 年、2006 年和 2009 年 NYTS 的结果，使用多元逻辑回归分别调查当前吸烟青少年和报告不吸烟的青少年中替代烟草产品使用的程度，同时控制人口统计学和其他独立影响因素。
结果表明，对于青少年吸烟者和非吸烟者，使用一种类型的替代烟草产品会大大增加他们使用一种或多种其他替代烟草产品的可能性。使用这些烟草产品的非香烟吸烟者似乎表现出与香烟吸烟者相当的尼古丁依赖症状。
需要更多关于青少年使用替代烟草产品的信息。在 2004-2009 年期间，NYTS 14-17 岁人群中当前香烟使用每年下降 3.4%，但这一年龄组使用替代烟草产品的情况没有变化。同期，不吸烟但使用替代烟草产品的 14-17 岁青少年人数每年增加 5.9%。为了更全面地了解青少年使用替代烟草制品的情况，目前的监测措施需要扩大。
