Kaleta Dorota, Wojtysiak Piotr, Polańska Kinga
Department of Tobacco Control, Preventive Medicine Department, Medical University of Lodz, Zeligowskiego 7/9 Str., 90-752, Lodz, Poland.
BMC Public Health. 2016 Aug 3;15:703. doi: 10.1186/s12889-016-3417-y.
The use of e-cigarettes has been growing and has become a significant public health concern. Prevention of the youth access to, initiation and continuous use of e-cigarettes with special attention to vulnerable groups is a subject of a health debate. However, still little is known about characteristics of the underage e-cigarette users from different geographic and socio-economic backgrounds as well as other potential factors associated with the use of e-cigarettes, including simultaneous use with tobacco products or alcohol. The aim of the study was to investigate the prevalence and factors associated with ever and continued e-cigarette use among the secondary and high school students from a socially disadvantaged rural area in Poland.
The study sample consisted of 3552 students aged 13-19 years from Piotrkowski district. The anonymous, self-administered questionnaire adapted from the Global Youth Tobacco Survey was implemented to collect relevant information. The uni- and multivariate logistic regression analyses were applied to identify factors associated with ever, current (in the previous 30 days) and continued e-cigarette use.
Almost 22 % of the sample reported ever e-cigarettes use and 27 % of the respondents indicated e-cigarettes use in the past month. Boys, in comparison with girls, were more likely to report current e-cigarette use (OR = 1.7; p < 0.001). Current e-cigarette use was strongly associated with alcohol consumption (OR = 4.3; p < 0.001), current (OR = 32.5; p < 0.001) and ever tobacco smoking (OR = 7.5; p < 0.001) as well as smoking parents (OR = 1.4; p < 0.05) and friends (OR = 4.5; p < 0.05). The use of e-cigarettes was also significantly associated with harm perception (p < 0.001). A similar pattern was observed among ever e-cigarette users. Male gender (OR = 1.4; p < 0.05), current tobacco smoking (OR = 3.0; p < 0.01) and lack of knowledge about a ban on smoking in the school (OR = 1.4; p < 0.05) were predictors of the continued e-cigarette use. Higher paternal education (OR = 0.5; p < 0.001) and perception of e-cigarettes as more harmful comparing to tobacco (OR = 0.2; p < 0.001) protected from the continued e-cigarette use.
E-cigarette use is widespread in the investigated population, especially among boys, those with other risky behaviors and with smoking parents or friends. There is a need for further research and preventive policies to protect the youth from that exposure.
电子烟的使用一直在增加，并已成为一个重大的公共卫生问题。预防青少年接触、开始使用和持续使用电子烟，特别是关注弱势群体，是一个健康辩论的主题。然而，对于来自不同地理和社会经济背景的未成年电子烟使用者的特征以及与电子烟使用相关的其他潜在因素，包括与烟草制品或酒精同时使用，仍然知之甚少。本研究的目的是调查波兰一个社会经济条件不利的农村地区中学生中曾经使用和持续使用电子烟的流行情况及相关因素。
研究样本包括来自皮奥特科夫斯基区的3552名13 - 19岁的学生。采用从全球青少年烟草调查改编而来的匿名自填式问卷收集相关信息。应用单因素和多因素逻辑回归分析来确定与曾经、当前（过去30天内）和持续使用电子烟相关的因素。
近22%的样本报告曾经使用过电子烟，27%的受访者表示在过去一个月内使用过电子烟。与女孩相比，男孩更有可能报告当前使用电子烟（比值比[OR]=1.7；p<0.001）。当前使用电子烟与饮酒（OR=4.3；p<0.001）、当前（OR=32.5；p<0.001）和曾经吸烟（OR=7.5；p<0.001）以及父母（OR=1.4；p<0.05）和朋友吸烟（OR=4.5；p<0.05）密切相关。电子烟的使用也与对危害的认知显著相关（p<0.001）。在曾经使用过电子烟的人群中也观察到类似的模式。男性（OR=1.4；p<0.05）、当前吸烟（OR=3.0；p<0.01）以及对学校禁烟规定缺乏了解（OR=1.4；p<0.05）是持续使用电子烟的预测因素。父亲受教育程度较高（OR=0.5；p<0.001）以及认为电子烟比烟草危害更大（OR=0.2；p<0.001）可防止持续使用电子烟。
在被调查人群中，电子烟的使用很普遍，尤其是在男孩、有其他危险行为以及父母或朋友吸烟的人群中。需要进一步研究和制定预防政策，以保护青少年免受这种暴露。
