2012 - 2013年美国成年人水烟使用的州特定患病率、地区差异及相关因素分析
Analysis of State-Specific Prevalence, Regional Differences, and Correlates of Hookah Use in U.S. Adults, 2012-2013.
作者信息
Park Su Hyun, Duncan Dustin T, Shahawy Omar El, Shearston Jenni A, Lee Lily, Tamura Kosuke, Sherman Scott E, Weitzman Michael
机构信息
Department of Pediatrics, New York University School of Medicine, New York, NY.
Department of Population Health, New York University School of Medicine, New York, NY.
出版信息
Nicotine Tob Res. 2017 Nov 1;19(11):1365-1374. doi: 10.1093/ntr/ntw229.
OBJECTIVE
To investigate the state-specific prevalence, regional differences, and correlates of hookah use among U.S. adults.
METHODS
We analyzed the most recent nationally representative data of adults from the National Adult Tobacco Survey (NATS) 2012-2013 (n = 60192). State-specific prevalence of lifetime and current hookah use was calculated and mapped. Multivariate logistic regression was performed to determine the association between sociodemographic characteristics, regional differences, and hookah use.
RESULTS
Among U.S. adults (≥18 years), overall prevalence of lifetime hookah use was 12.3%, while current use was 3.9%. Mapping of state-specific prevalence revealed that the West tended to have higher rates of use, while the South tended to have lower ones. In the adjusted model, we observed that current hookah use was positively associated with younger adults, males, non-Hispanic adults, those with higher education and income statuses, being single, those living in the West, and current cigarette use.
CONCLUSION
The prevalence of hookah use varies by state, region, and sociodemographic characteristics among adults. Future research, including longitudinal studies, are needed to identify geographic and sociodemographic characteristics and trends among hookah users, investigate hookah-related health outcomes, and evaluate targeted public health efforts aimed at this emerging threat.
IMPLICATIONS
This study investigates state-level prevalence, regional differences, and sociodemographic characteristics of hookah use among U.S. adults, using the most recent NATS. Hookah use was positively associated with younger adults and those living in the West. This study adds to the understanding of the geographic and sociodemographic factors underlying hookah use, which can be used to develop much needed evidence-based regulations and programs that are responsive to the needs of different risk groups.
目的
调查美国成年人中抽水烟的各州特定患病率、地区差异及其相关因素。
方法
我们分析了2012 - 2013年全国成人烟草调查（NATS）中成年人的最新全国代表性数据（n = 60192）。计算并绘制了一生中及当前抽水烟使用情况的各州特定患病率。进行多变量逻辑回归以确定社会人口统计学特征、地区差异与抽水烟使用之间的关联。
结果
在美国成年人（≥18岁）中，一生中抽水烟使用的总体患病率为12.3%，而当前使用率为3.9%。各州特定患病率的地图显示，西部的使用率往往较高，而南部的使用率往往较低。在调整模型中，我们观察到当前抽水烟使用与年轻成年人、男性、非西班牙裔成年人、教育程度和收入水平较高者、单身者、居住在西部的人以及当前吸烟情况呈正相关。
结论
成年人中抽水烟的患病率因州、地区和社会人口统计学特征而异。需要开展包括纵向研究在内的未来研究，以确定抽水烟使用者的地理和社会人口统计学特征及趋势，调查与抽水烟相关的健康结果，并评估针对这一新兴威胁的有针对性的公共卫生措施。
启示
本研究利用最新的全国成人烟草调查，调查了美国成年人中抽水烟的州级患病率、地区差异和社会人口统计学特征。抽水烟使用与年轻成年人及居住在西部的人呈正相关。本研究增进了对抽水烟使用背后的地理和社会人口统计学因素的理解，可用于制定急需的基于证据的法规和项目，以满足不同风险群体 的需求。
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