Parikh Anuraag S, Bhattacharyya Neil
Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, U.S.A.
Department of Otology and Laryngology, Harvard Medical School, Boston, Massachusetts, U.S.A.
Laryngoscope. 2018 Aug;128(8):1817-1821. doi: 10.1002/lary.27133. Epub 2018 Feb 26.
To understand nationwide concurrent use of e-cigarettes (Ecig) with alcohol and conventional cigarettes (Ccig), the major risk factors for head and neck cancer.
Cross-sectional analysis of nationally representative survey.
The National Health Interview Surveys for 2014 and 2015 were analyzed for adult responses to specific questions regarding the daily frequency of alcohol, Ccig, and Ecig use. Statistical relationships between these social habits were determined.
A total of 241.1 million adults (raw N = 162,048) were surveyed (mean age 47.1 years, 51.8% female). Of those, 12.1% (29.2 million) and 3.8% (9.08 million) reported being every day Ccig users and some days Ccig users, respectively. A total of 2.3% (5.63 million) and 1.1% (2.76 million) reported being every day Ecig users and some days Ecig users, respectively. In addition, 58.4% of everyday Ecig users reported also being everyday Ccig users (P < 0.001). Furthermore, 25.6% (61.3 million) and 8.3% (20.0 million) of adults reported light drinking (1-3 drinks/week) and moderate/heavy drinking (4-7 drinks/week), respectively. Of the moderate/heavy drinkers, 17.7% were everyday Ccig users, whereas 12.2% of everyday Ccig users were moderate/heavy drinkers (P < 0.001). Among everyday Ecig users, 34.6% and 11.2% were light drinkers and moderate/heavy drinkers, respectively (P < 0.001). Among non-Ccig users, everyday Ecig users were likely to consume higher levels of alcohol given that 36.5% and 8.9% were light drinkers and moderate/heavy drinkers, respectively (P < 0.01).
We demonstrate a substantial level of Ccig use among moderate/heavy drinkers and Ecig users, as well as a novel independent association between Ecig and moderate/heavy alcohol use. These patterns of concurrent risk factor exposure should be considered when counseling patients who report Ecig use.
2b. Laryngoscope, 1817-1821, 2018.
了解全国范围内电子烟与酒精及传统香烟（传统卷烟）的同时使用情况，这是头颈癌的主要风险因素。
对具有全国代表性的调查进行横断面分析。
分析2014年和2015年的全国健康访谈调查中成年人对关于酒精、传统卷烟和电子烟每日使用频率的特定问题的回答。确定这些社会习惯之间的统计关系。
共对2.411亿成年人（原始样本量N = 162,048）进行了调查（平均年龄47.1岁，51.8%为女性）。其中，分别有12.1%（2920万）和3.8%（908万）报告为传统卷烟每日使用者和有时使用传统卷烟者。分别有2.3%（563万）和1.1%（276万）报告为电子烟每日使用者和有时使用电子烟者。此外，58.4%的电子烟每日使用者报告也是传统卷烟每日使用者（P < 0.001）。此外，分别有25.6%（6130万）和8.3%（2000万）的成年人报告轻度饮酒（每周1 - 3杯）和中度/重度饮酒（每周4 - 7杯）。在中度/重度饮酒者中，17.7%是传统卷烟每日使用者，而在传统卷烟每日使用者中，12.2%是中度/重度饮酒者（P < 0.001）。在电子烟每日使用者中，分别有34.6%和11.2%是轻度饮酒者和中度/重度饮酒者（P < 0.001）。在非传统卷烟使用者中，电子烟每日使用者可能饮酒量更高，因为分别有36.5%和8.9%是轻度饮酒者和中度/重度饮酒者（P < 0.01）。
我们证明了中度/重度饮酒者和电子烟使用者中传统卷烟的大量使用情况，以及电子烟与中度/重度酒精使用之间新的独立关联。在为报告使用电子烟的患者提供咨询时，应考虑这些同时存在的风险因素暴露模式。
2b。《喉镜》，2018年，第1817 - 1821页。
