MMWR Morb Mortal Wkly Rep. 2016 Jun 10;65(22):557-61. doi: 10.15585/mmwr.mm6522a1.
Electronic cigarettes (e-cigarettes) are battery-powered devices that deliver a heated aerosol, which typically contains nicotine, flavorings, and other additives, to the user. The e-cigarette marketplace is rapidly evolving, but the long-term health effects of these products are not known. Carcinogens and toxins such as diacetyl, acetaldehyde, and other harmful chemicals have been documented in the aerosol from some e-cigarettes (1-3). On May 5, 2016, the Food and Drug Administration (FDA) finalized a rule extending its authority to all tobacco products, including e-cigarettes.* The prevalence of e-cigarette use among U.S. adults has increased in recent years, particularly among current and former conventional cigarette smokers (4); in 2014, 3.7% of all U.S. adults, including 15.9% of current cigarette smokers, and 22.0% of former cigarette smokers, used e-cigarettes every day or some days (5). The extent of current e-cigarette use among U.S. working adults has not been assessed. Therefore, CDC analyzed 2014 National Health Interview Survey (NHIS) data for adults aged ≥18 years who were working during the week before the interview, to provide national estimates of current e-cigarette use among U.S. working adults by industry and occupation. Among the estimated 146 million working adults, 3.8% (5.5 million) were current (every day or some days) e-cigarette users; the highest prevalences were among males, non-Hispanic whites, persons aged 18-24 years, persons with annual household income <$35,000, persons with no health insurance, cigarette smokers, other combustible tobacco users, and smokeless tobacco users. By industry and occupation, workers in the accommodation and food services industry and in the food preparation and serving-related occupations had the highest prevalence of current e-cigarette use. Higher prevalences of e-cigarette use among specific groups and the effect of e-cigarette use on patterns of conventional tobacco use underscore the importance of continued surveillance of e-cigarette use among U.S. working adults to inform public health policy, planning, and practice.
电子烟(e-cigarettes)是一种通过电池供电的设备,可将加热的气溶胶输送给使用者,气溶胶通常含有尼古丁、香料和其他添加剂。电子烟市场正在迅速发展,但这些产品的长期健康影响尚不清楚。一些电子烟的气溶胶中已记录有二乙酰、乙醛等致癌物和毒素,以及其他有害化学物质(1-3)。2016 年 5 月 5 日,食品和药物管理局(FDA)最终确定了一项规则,将其管辖权扩大到所有烟草产品,包括电子烟*。近年来,美国成年人使用电子烟的比例有所增加,尤其是当前和以前使用传统香烟的成年人(4);2014 年,所有美国成年人中有 3.7%,包括 15.9%的当前吸烟者和 22.0%的以前吸烟者,每天或某些天都使用电子烟(5)。目前还没有评估美国在职成年人中电子烟的使用情况。因此,疾病预防控制中心分析了 2014 年全国健康访谈调查(NHIS)数据,该调查针对在访谈前一周内工作的年龄≥18 岁的成年人,以提供全国在职成年人目前使用电子烟的估计情况,按行业和职业划分。在估计的 1.46 亿成年劳动者中,3.8%(550 万人)是当前(每天或某些天都使用)电子烟使用者;比例最高的是男性、非西班牙裔白人、18-24 岁的人、年收入<35000 美元的人、没有医疗保险的人、吸烟者、其他可燃烟草使用者和无烟烟草使用者。按行业和职业划分,住宿和食品服务行业以及食品准备和相关服务行业的劳动者当前使用电子烟的比例最高。特定群体中电子烟使用率较高,以及电子烟使用对传统烟草使用模式的影响,突显了继续监测美国在职成年人电子烟使用情况以告知公共卫生政策、规划和实践的重要性。