Kennedy Sara M, Caraballo Ralph S, Rolle Italia V, Rock Valerie J
Division of Biostatistics and Epidemiology, RTI International, Atlanta, GA;
Epidemiology Branch, Office on Smoking and Health, Centers for Disease Control and Prevention, Atlanta, GA.
Nicotine Tob Res. 2016 Apr;18 Suppl 1(Suppl 1):S65-72. doi: 10.1093/ntr/ntv202.
Cigarettes, cigars, and marijuana have generally been studied in isolation yet their use does not occur in isolation. Focus on cigarette smoking may overstate the observation that African American youth and young adults are less likely to smoke any combustible product compared with their white counterparts. Assessing cigarette, cigar, and marijuana use trends may help identify the extent of this difference.
Data from the 2002-2012 National Survey on Drug Use and Health (N = 25 541 to N = 28 232) were used to investigate past 30-day cigarette, cigar, and marijuana use trends among African American and white youth (12-17) and young adults (18-25). Logistic regressions assessed trends in combustible tobacco (cigarettes and cigars) and marijuana use, alone and in combination.
From 2002-2012, the absolute difference in cigarette smoking prevalence between African American and white youth (9.6%-4.2%) and young adults (19.0%-10.5%) narrowed. Any combustible tobacco/marijuana use was significantly lower among African Americans than whites but, relative to cigarettes, the absolute difference was much smaller among youth (7.2%-2.2%) and young adults (15.8%-5.6%). Among any combustible tobacco/marijuana users, using two or more substances ranged from 31.4% to 40.3% among youth and 29.1% to 39.8% among young adults.
Any combustible tobacco/marijuana use trends suggest the smoking prevalence difference between African American and white youth and young adults is real, but less pronounced than when assessing cigarette smoking alone. Policies and programs addressing smoking behaviors may benefit from broadening focus to monitor and address cigar and marijuana use as well.
Trends in any use of cigarettes, cigars, and/or marijuana suggest the difference in smoking prevalence between African American and white youth and young adults is real, but less pronounced than when cigarette smoking is assessed alone. In 2012, more than 10% of African American and white youth, more than a third of African American young adults, and nearly half of white young adults reported past 30-day use of cigarette, cigars, and/or marijuana. Public health programs aimed at reducing these behaviors among youth and young adults could be informed by considering detailed, race-specific information regarding tobacco and marijuana use patterns.
香烟、雪茄和大麻通常是单独进行研究的，但它们的使用并非孤立存在。专注于吸烟可能会夸大这样一种观察结果，即与白人同龄人相比，非裔美国青少年和年轻人吸食任何可燃产品的可能性更低。评估香烟、雪茄和大麻的使用趋势可能有助于确定这种差异的程度。
使用2002 - 2012年全国药物使用和健康调查的数据（样本量从25541至28232）来调查非裔美国人和白人青少年（12 - 17岁）及年轻人（18 - 25岁）过去30天内香烟、雪茄和大麻的使用趋势。逻辑回归分析评估了可燃烟草（香烟和雪茄）和大麻单独及联合使用的趋势。
2002 - 2012年期间，非裔美国青少年（9.6% - 4.2%）和年轻人（19.0% - 10.5%）与白人在吸烟率上的绝对差异缩小。非裔美国人中任何可燃烟草/大麻的使用显著低于白人，但相对于香烟，青少年（7.2% - 2.2%）和年轻人（15.8% - 5.6%）中的绝对差异要小得多。在任何可燃烟草/大麻使用者中，青少年中使用两种或更多物质的比例在31.4%至40.3%之间，年轻人中这一比例在29.1%至39.8%之间。
任何可燃烟草/大麻的使用趋势表明，非裔美国青少年和年轻人与白人在吸烟率上的差异是真实存在的，但比单独评估吸烟情况时要小。针对吸烟行为的政策和项目可能会从扩大关注范围以监测和解决雪茄及大麻使用问题中受益。
香烟、雪茄和/或大麻的任何使用趋势表明，非裔美国青少年和年轻人与白人在吸烟率上的差异是真实存在的，但比单独评估吸烟情况时要小。2012年，超过10%的非裔美国人和白人青少年、超过三分之一的非裔美国年轻人以及近一半的白人年轻人报告在过去30天内使用过香烟、雪茄和/或大麻。旨在减少青少年和年轻人这些行为的公共卫生项目可以通过考虑有关烟草和大麻使用模式的详细、按种族分类的信息来制定。
