Jones Dina M, Majeed Ban A, Weaver Scott R, Sterling Kymberle, Pechacek Terry F, Eriksen Michael P
Tobacco Center of Regulatory Science (TCORS), School of Public Health, Georgia State University, Atlanta, GA;, Email:
Assistant Professor, Medical College of Georgia, Augusta University, Augusta, GA.
Am J Health Behav. 2017 Sep 1;41(5):608-617. doi: 10.5993/AJHB.41.5.10.
We aimed to determine whether the prevalence of current use of smokeless tobacco products (STPs) changed during 2014-2016 and examine factors associated with use among adults in the United States (US).
Data were obtained from Tobacco Products and Risk Perceptions Surveys of probability samples representative of US adults in 2014, 2015, and 2016. Change over time in current (past 30 day) STP use was examined using pairwise comparisons of proportions and multivariable logistic regression. Associated factors were examined using Rao-Scott χ2 and multivariable logistic regression.
The prevalence of current STP use was higher in 2015 (3.6%) than in 2014 (2.3%, p < .001) and 2016 (2.7%, p = .018) among US adults. In 2016, current STP use was associated with being male, under age 60, currently using hookah or e-cigarettes, and having less than a college degree. Rates of use did not vary by cigarette smoking status, race/ethnicity, income, or metropolitan statistical area (MSA).
The prevalence of current STP use peaked in 2015. In 2016, current STP use was more prevalent among males and adults with lower education. Continuous monitoring of STP use is needed, particularly non-cigarette tobacco product users.
我们旨在确定2014 - 2016年期间无烟烟草制品（STP）的当前使用率是否发生变化，并研究美国成年人中与使用相关的因素。
数据来自2014年、2015年和2016年对具有美国成年人代表性概率样本的烟草制品和风险认知调查。使用比例的成对比较和多变量逻辑回归来研究当前（过去30天）STP使用随时间的变化。使用Rao - Scott χ2检验和多变量逻辑回归来研究相关因素。
在美国成年人中，2015年当前STP的使用率（3.6%）高于2014年（2.3%，p <.001）和2016年（2.7%，p =.018）。2016年，当前STP的使用与男性、60岁以下、当前使用水烟或电子烟以及学历低于大学程度有关。使用率不因吸烟状况、种族/族裔、收入或大都市统计区（MSA）而有所不同。
当前STP的使用率在2015年达到峰值。2016年，当前STP的使用在男性和受教育程度较低的成年人中更为普遍。需要持续监测STP的使用情况，尤其是非卷烟烟草制品使用者。
