Thrul Johannes, Lisha Nadra E, Ling Pamela M
Center for Tobacco Control Research and Education, Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, San Francisco, California.
Center for Tobacco Control Research and Education, Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, San Francisco, California.
J Adolesc Health. 2016 Dec;59(6):642-647. doi: 10.1016/j.jadohealth.2016.08.008. Epub 2016 Oct 1.
Use of other tobacco products (smokeless tobacco, hookah, cigarillo, and e-cigarettes) is increasing, particularly among young adults, and there are few regulations on marketing for these products. We examined the associations between tobacco marketing receptivity and other tobacco product (OTP) use among young adult bar patrons (aged 18-26 years).
Time-location sampling was used to collect cross-sectional surveys from 7,540 young adult bar patrons from January 2012 through March of 2014. Multivariable logistic regression analyses in 2015 examined if tobacco marketing receptivity was associated (1) with current (past 30 day) OTP use controlling for demographic factors and (2) with dual/poly use among current cigarette smokers (n = 3,045), controlling for demographics and nicotine dependence.
Among the entire sample of young adult bar patrons (Mean = 23.7, standard deviation = 1.8; 48.1% female), marketing receptivity was consistently associated with current use of all OTP including smokeless tobacco (adjusted odds ratio [AOR]= 2.56, 95% confidence interval [CI] 2.08-3.16, p < .001), hookah (AOR = 1.97, 95% CI 1.58-2.43, p < .001), cigarillos (AOR = 3.00, 95% CI 2.21-4.08, p < .001), electronic cigarettes (AOR = 2.43, 95% CI 1.93-3.04, p < .001), and multiple tobacco products (AOR = 2.93, 95% CI 2.45-3.51, p < .001). Among current smokers, marketing receptivity was significantly associated with use of smokeless tobacco (AOR = 1.63, 95% CI 1.22-2.18, p < .01), cigarillos (AOR = 1.81, 95% CI 1.22-2.70, p < .01), and multiple tobacco products (AOR = 1.58, 95% CI 1.27-1.97, p < .001).
OTP use is common among young adult bar patrons, and it is associated with tobacco marketing receptivity. Efforts to limit tobacco marketing should address OTP in addition to cigarettes.
其他烟草制品（无烟烟草、水烟、小雪茄和电子烟）的使用正在增加，尤其是在年轻人中，而且针对这些产品的营销几乎没有相关规定。我们研究了年轻成年酒吧顾客（年龄在18 - 26岁之间）对烟草营销的接受程度与其他烟草制品（OTP）使用之间的关联。
采用时间 - 地点抽样法，于2012年1月至2014年3月期间收集了7540名年轻成年酒吧顾客的横断面调查数据。2015年进行的多变量逻辑回归分析，检验了烟草营销接受程度是否与以下因素相关：（1）当前（过去30天）OTP使用情况，并控制人口统计学因素；（2）当前吸烟者（n = 3045）中的双重/多种烟草制品使用情况，并控制人口统计学因素和尼古丁依赖情况。
在整个年轻成年酒吧顾客样本中（平均年龄 = 23.7岁，标准差 = 1.8岁；48.1%为女性），营销接受程度始终与所有OTP的当前使用情况相关，包括无烟烟草（调整后的优势比[AOR]= 2.56，95%置信区间[CI] 2.08 - 3.16，p <.001）、水烟（AOR = 1.97，95% CI 1.58 - 2.43，p <.001）、小雪茄（AOR = 3.00，95% CI 2.21 - 4.08，p <.001）、电子烟（AOR = 2.43，95% CI 1.93 - 3.04，p <.001）以及多种烟草制品（AOR = 2.93，95% CI 2.45 - 3.51，p <.001）。在当前吸烟者中，营销接受程度与无烟烟草的使用（AOR = 1.63，95% CI 1.22 - 2.18，p <.01）、小雪茄（AOR = 1.81，95% CI 1.22 - 2.70，p <.01）以及多种烟草制品的使用（AOR = 1.58，95% CI 1.27 - 1.97，p <.001）显著相关。
OTP在年轻成年酒吧顾客中使用普遍，且与对烟草营销的接受程度相关。除香烟外，限制烟草营销的努力应涵盖OTP。
