Department of Epidemiology, Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL 33199, USA.
Department of Epidemiology, Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL 33199, USA; Center for Research on U.S. Latino HIV/AIDS and Drug Abuse [CRUSADA], Florida International University, Miami, FL 33199, USA.
Addict Behav. 2018 Mar;78:74-79. doi: 10.1016/j.addbeh.2017.10.008. Epub 2017 Oct 14.
E-cigarette advertising has been shown to be associated with use of e-cigarettes, but its association with tobacco use has not been studied. Therefore, we examined the association between e-cigarettes advertisement and tobacco use. Data from nationally representative 22,007 middle and high school students (grades 6-12) were used to conduct the analysis. Logistic regression models estimated the adjusted odds ratios (AOR) of ever and current use of cigarette, hookah, cigar, and polytobacco use. Odds ratios were weighted and adjusted for study design, non-response rates, school level, gender, race/ethnicity, e-cigarette use, and smoking at home. E-cigarette marketing exposure was significantly associated with ever use of cigarettes (AOR: 1.3, 95% CI: 1.1-1.5), hookah (AOR: 1.4, 95% CI: 1.2-1.7), cigars (AOR: 1.5, 95% CI: 1.4-1.6), and polytobacco (AOR: 1.7, 95% CI: 1.5-1.8). Likewise, E-cigarette marketing exposure was significantly associated with current use of cigarettes (AOR: 1.3, 95% CI: 1.1-1.6), hookah (AOR: 1.3, 95% CI: 1.03-1.7), cigars (AOR: 1.3, 95% CI: 1.1-1.6), and polytobacco use (AOR: 1.8, 95% CI: 1.5-2.1). The results suggest that e-cigarette advertisement is associated with use of cigarettes, hookah, cigars, and polytobacco products. These results add to the evidence about the risks of e-cigarette marketing and highlight the need for stricter regulation of e-cigarette advertisements.
电子烟广告已被证实与电子烟的使用有关，但尚未研究其与烟草使用的关联。因此，我们研究了电子烟广告与烟草使用之间的关系。本分析使用了来自全国代表性的 22007 名中学生（6-12 年级）的数据。逻辑回归模型估计了曾经和当前使用香烟、水烟、雪茄和多烟草制品的调整后比值比（AOR）。比值比经过加权处理，并根据研究设计、无应答率、学校级别、性别、种族/民族、电子烟使用情况以及在家中吸烟情况进行了调整。电子烟营销暴露与曾经使用香烟（AOR：1.3，95%CI：1.1-1.5）、水烟（AOR：1.4，95%CI：1.2-1.7）、雪茄（AOR：1.5，95%CI：1.4-1.6）和多烟草制品（AOR：1.7，95%CI：1.5-1.8）的使用显著相关。同样，电子烟营销暴露与当前使用香烟（AOR：1.3，95%CI：1.1-1.6）、水烟（AOR：1.3，95%CI：1.03-1.7）、雪茄（AOR：1.3，95%CI：1.1-1.6）和多烟草制品使用（AOR：1.8，95%CI：1.5-2.1）显著相关。结果表明，电子烟广告与香烟、水烟、雪茄和多烟草制品的使用有关。这些结果增加了电子烟营销风险的证据，并强调需要对电子烟广告进行更严格的监管。
