Department of Health Behavior, Roswell Park Cancer Institute, Elm and Carlton Street, Buffalo, NY 14263, USA.
Department of Health Behavior, Roswell Park Cancer Institute, Elm and Carlton Street, Buffalo, NY 14263, USA.
Addict Behav. 2014 Apr;39(4):768-81. doi: 10.1016/j.addbeh.2013.12.015. Epub 2013 Dec 29.
Few studies have examined the patterns and correlates of polytobacco use among a large, nationally representative population over an extended period of time.
This study examined 10years of data from the National Survey on Drug Use and Health (NSDUH) to establish time trends and correlates for exclusive and mixed use of cigarettes, smokeless tobacco (SLT), cigars, and pipes.
Results show that rates of polytobacco use were essentially unchanged from 2002 to 2011 (8.7% to 7.4%), though some product combinations, including cigarettes and SLT, cigars and SLT, and use of more than two products have increased. In tobacco users under age 26, the proportion of polytobacco use increased, even as overall tobacco use declined. The factors associated with polytobacco use among tobacco users included sex, income, education, risk taking/seeking behaviors, and outward indicators of 'risk-liability'.
Findings provide a snapshot of trends of single and polytobacco product use as well as trends in combinations of product use. Longitudinal studies are needed to examine the sequence of individual patterns of tobacco product use and to identify whether polytobacco use results in greater nicotine dependence, increased exposure to harmful and potentially harmful constituents and/or greater risk of tobacco related disease.
在很长一段时间内，很少有研究在一个大的、具有代表性的人群中考察多烟草制品使用的模式和相关性。
本研究利用国家药物使用与健康调查（NSDUH）10 年的数据，确定了在特定时间段内，香烟、无烟烟草（SLT）、雪茄和烟斗等产品的单一使用和混合使用的时间趋势和相关因素。
结果表明，多烟草制品使用的比例从 2002 年到 2011 年基本保持不变（8.7%到 7.4%），尽管某些产品组合，包括香烟和 SLT、雪茄和 SLT 以及使用两种以上产品的比例有所增加。在 26 岁以下的烟草使用者中，多烟草制品使用的比例增加了，尽管总体烟草使用量有所下降。在烟草使用者中，与多烟草制品使用相关的因素包括性别、收入、教育、冒险/寻求行为以及“风险-责任”的外在指标。
研究结果提供了单一和多烟草制品使用以及产品使用组合趋势的快照。需要进行纵向研究，以检查个体烟草制品使用模式的顺序，并确定多烟草制品使用是否会导致更高的尼古丁依赖、增加接触有害和潜在有害成分的风险，以及/或者增加与烟草相关的疾病的风险。
