Health Services and Outcomes Research, Children's Mercy Hospital, 2420 Pershing Rd, Kansas City, MO 64108. Email:
Department of Biomedical and Health Informatics, University of Missouri-Kansas City, Kansas City, Missouri.
Prev Chronic Dis. 2017 Sep 21;14:E84. doi: 10.5888/pcd14.170073.
The use of electronic cigarettes (e-cigarettes) among US adults has increased since 2007. The objective of this study was to investigate the prevalence of direct marketing promotion of e-cigarettes and its association with e-cigarette use among US adults.
We used using data from the 2013-2014 National Adult Tobacco Survey (NATS) to estimate prevalence of e-cigarette promotions received by mail or email. Multinomial logistic regression was used to examine the associations between e-cigarette promotions and the prevalence and frequency of e-cigarette use among US adults.
In the 2013-2014 survey period, 7.1% of adults (about 16.0 million) reported receiving mail or email e-cigarette promotions in the previous 6 months; 3.2% received mail promotions, and 5.1% received email promotions. A higher prevalence of promotions was found among men versus women, adults aged under 65 years versus those older, current e-cigarette users, current smokers, and people with no smoking restriction rules in their homes or vehicles. In the multivariable analysis, receiving mail or email e-cigarette promotions was associated with higher odds of being current e-cigarette users (adjusted odds ratio [aOR] = 2.0; P < .001) than being noncurrent e-cigarette users. Receiving promotions was also associated with higher odds of using e-cigarettes some days (aOR = 1.6; P = .006) or every day (aOR = 1.7; P = .008) than using e-cigarettes rarely.
Receipt of e-cigarette direct marketing promotions was prevalent among US adults. Receiving e-cigarette promotions was associated with increased odds of both prevalence and frequency of e-cigarette use. Future longitudinal studies are needed to measure causal effects of e-cigarette promotions on e-cigarette use among adults.
自 2007 年以来，美国成年人使用电子烟（电子烟）的情况有所增加。本研究的目的是调查电子烟直接营销推广的流行情况及其与美国成年人电子烟使用的关系。
我们使用 2013-2014 年全国成人烟草调查（NATS）的数据来估计通过邮件或电子邮件收到的电子烟促销活动的流行率。使用多项逻辑回归来检查电子烟促销活动与美国成年人电子烟使用的流行率和频率之间的关联。
在 2013-2014 年的调查期间，7.1%的成年人（约 1600 万人）报告在过去 6 个月内收到过邮件或电子邮件电子烟促销活动；3.2%收到邮件促销，5.1%收到电子邮件促销。在男性与女性、65 岁以下成年人与 65 岁以上成年人、当前电子烟使用者、当前吸烟者以及家中或车内没有吸烟限制规定的人中，发现促销活动的流行率更高。在多变量分析中，收到邮件或电子邮件电子烟促销活动与当前电子烟使用者的几率更高相关（调整后的优势比[aOR]=2.0；P<0.001），而非当前电子烟使用者。收到促销活动也与使用电子烟的几率更高相关，有些日子（aOR=1.6；P=0.006）或每天（aOR=1.7；P=0.008），而不是很少使用电子烟。
美国成年人中普遍收到电子烟直接营销促销活动。收到电子烟促销活动与电子烟使用的流行率和频率增加有关。需要未来的纵向研究来衡量电子烟促销对成年人电子烟使用的因果影响。
