Cancer Prevention Program, Moores Cancer Center, University of California, San Diego, United States; Department of Family Medicine and Public Health, University of California, San Diego, United States.
Cancer Prevention Program, Moores Cancer Center, University of California, San Diego, United States; Department of Family Medicine and Public Health, University of California, San Diego, United States.
Prev Med. 2017 Aug;101:8-14. doi: 10.1016/j.ypmed.2017.05.010. Epub 2017 May 17.
The purpose of this study was to investigate susceptibility and ever use of tobacco products among adolescents and young adults in the US. Cross-sectional analysis of Wave 1(2013-2014) adolescent (12-17year-olds; n=13,651) and young adult (18-24year-olds; n=9112) data from the nationally-representative Population Assessment of Tobacco and Health (PATH) Study was conducted. At 12years, 5% were ever tobacco users and 36% were susceptible to use. Seventy percent were susceptible at age 17years, and the same proportion were ever users at age 22years. Susceptibility levels were comparable for cigarettes and e-cigarette (28.6% and 27.4%, respectively), followed by hookah (22.0%), pipes (17.5%), cigars (15.2%), and smokeless tobacco (9.7%). Non-Hispanic (NH) Black (Adjusted Odds Ratio [ORadj]=1.36; 95% Confidence Limit [CL], 1.18-1.56) and Hispanic (ORadj=1.34: 95% CL,1.19-1.49) adolescent never- users were more likely to be susceptible to future use of a tobacco product than NH Whites. Susceptibility was higher with age (15-17yrs. vs 12-14yrs.: OR=1.69; 95% CL, 1.55-1.85) and parental education (college graduates vs less than HS education: OR=1.22, 95% CL, 1.08-1.39). Compared to exclusive users of hookah, cigars, or smokeless products, larger proportions of exclusive e-cigarette ever users were also susceptible to cigarette use. Among adolescents, lower levels of ever use of tobacco products are often counterbalanced by higher levels of susceptibility for future use, which may suggest delayed initiation in some groups. Ever users of a given tobacco product were more susceptible to use other tobacco products, putting them at risk for future multiple tobacco product use.
本研究旨在调查美国青少年和年轻成年人对烟草制品的易感性和使用情况。对全国代表性的人群评估烟草和健康（PATH）研究的第 1 波（2013-2014 年）青少年（12-17 岁；n=13651）和年轻成年人（18-24 岁；n=9112）数据进行了横断面分析。在 12 岁时，有 5%的人曾经使用过烟草制品，36%的人易受烟草制品使用的影响。70%的人在 17 岁时易受影响，而同样比例的人在 22 岁时曾经使用过烟草制品。对香烟和电子烟的易感性水平相当（分别为 28.6%和 27.4%），其次是水烟（22.0%）、烟斗（17.5%）、雪茄（15.2%）和无烟烟草（9.7%）。非西班牙裔（NH）黑人（调整后的优势比[ORadj]=1.36；95%置信区间[CL]，1.18-1.56）和西班牙裔（ORadj=1.34：95%CL，1.19-1.49）青少年从不使用者比 NH 白人更有可能易受未来使用烟草制品的影响。随着年龄的增长（15-17 岁比 12-14 岁：OR=1.69；95%CL，1.55-1.85）和父母的教育程度（大学毕业者比未完成高中学业者：OR=1.22，95%CL，1.08-1.39），易感性也随之增加。与仅使用水烟、雪茄或无烟烟草制品的人相比，更大比例的电子烟曾经使用者也易受香烟使用的影响。在青少年中，较低的烟草制品曾经使用水平往往被未来使用的更高水平所抵消，这可能表明某些群体的起始时间有所延迟。某种烟草制品的曾经使用者更容易使用其他烟草制品，使他们面临未来多种烟草制品使用的风险。
