Little Melissa A, Derefinko Karen J, Bursac Zoran, Ebbert Jon O, Colvin Lauren, Talcott Gerald W, Hryshko-Mullen Ann S, Richey Phyllis A, Klesges Robert C
Department of Preventive Medicine, University of Tennessee Health Science Center, Memphis, TN;
Department of Primary Care Internal Medicine, Mayo Clinic, Rochester, MN;
Nicotine Tob Res. 2016 Apr;18(4):416-23. doi: 10.1093/ntr/ntv090. Epub 2015 Apr 20.
Although there is increasing attention to the prevalence of new and emerging tobacco products in the civilian population, remarkably little is known about the current prevalence of these products in a military population.
The current investigation was designed to determine the prevalence of tobacco and nicotine containing products (TNCP) and correlates of use across multiple cohorts of trainees undergoing Technical Training in the US Air Force between April 2013 and December 2014. Chi-square test, Cochran-Armitage test for linear trend, and logistic regression models were applied to test differences and linear trends across time for TNCP use as well as correlates of use in a cross-sectional sample of 13 685 Airmen (final analytic sample).
Over a quarter (26.9%) of Airmen reported regular use of a TNCP. The two most prevalent products were cigarettes (11.2%) and hookah (10.5%). Among correlates of use, Airmen that regularly use TNCPs were more likely to be male, younger, non-Hispanic white, and single with a high school degree or General Education Development. Hookah was the most endorsed for intentions to use, and along with e-cigarettes, had the lowest perception of harm. While prevalence of most products remained constant across entering cohorts, the prevalence of e-cigarettes showed significant linear increase.
The prevalence of TNCP use is high across cohorts of Airmen. Remarkably high estimates of future intentions to use and low perceptions of harm for emerging products suggest that intervention efforts should be directed at multiple forms of TNCP use to address this important public health issue.
尽管民用人群中新型烟草产品的流行情况越来越受到关注，但对于这些产品在军人中的当前流行情况却知之甚少。
本调查旨在确定2013年4月至2014年12月期间在美国空军接受技术培训的多批学员中含烟草和尼古丁产品（TNCP）的流行情况以及使用的相关因素。应用卡方检验、线性趋势的 Cochr an - Armitage检验和逻辑回归模型来测试TNCP使用情况随时间的差异和线性趋势，以及在13685名飞行员（最终分析样本）的横断面样本中使用的相关因素。
超过四分之一（26.9%）的飞行员报告经常使用TNCP。最流行的两种产品是香烟（11.2%）和水烟（10.5%）。在使用的相关因素中，经常使用TNCP的飞行员更可能是男性、年轻、非西班牙裔白人、单身且具有高中学历或普通教育发展水平。水烟在使用意愿方面得到的认可最高，并与电子烟一样，对危害的认知最低。虽然大多数产品的流行率在各入学批次中保持不变，但电子烟的流行率呈显著线性上升。
TNCP在飞行员群体中的使用率很高。对新兴产品未来使用意愿的极高估计以及对危害的低认知表明，干预措施应针对多种形式的TNCP使用，以解决这一重要的公共卫生问题。
