RTI International, Public Health Research Division, Research Triangle Park, NC 27709, USA.
Florida Department of Health, 4052 Bald Cypress Way, Tallahassee, FL 32399, USA.
Int J Environ Res Public Health. 2018 Apr 8;15(4):699. doi: 10.3390/ijerph15040699.
E-cigarettes and other non-cigarette tobacco products are increasingly popular among youth. Little is known to inform public health efforts to reduce youth use. We examined psychosocial correlates of single and multiple tobacco product use among youth e-cigarette users. Data were from the 2014 Florida Youth Tobacco Survey ( = 69,923), a representative sample of Florida middle and high school students. Associations between combinations of e-cigarette, cigarette and other tobacco product (OTP) use and psychosocial variables were examined using multinomial logistic regression with an analytic sample of = 2756. Most e-cigarette-using youth used at least one other product (81%). Perceiving cigarettes as easy to quit was significantly associated with greater likelihood of combined e-cigarette/OTP use (relative risk ratio (RRR) = 2.51, < 0.001) and combined e-cigarette/cigarette/OTP use (RRR = 3.20, < 0.0001). Thinking you will be smoking cigarettes in 5 years was associated with product combinations that include cigarettes. Tobacco company marketing receptivity was associated with multiple product user types. Given that specific psychosocial factors put youth at risk for concurrent use of e-cigarettes with tobacco products, public health efforts should address polytobacco use specifically, instead of individual product use. Youth perceptions about the ease of quitting cigarettes, intentions to continue smoking cigarettes and receptivity to tobacco company marketing are promising areas for messaging aimed at reducing e-cigarette polytobacco product use.
电子烟和其他非香烟烟草产品在青少年中越来越受欢迎。为了减少青少年的使用，我们需要了解更多关于这些产品的信息。我们研究了青少年电子烟使用者中单一和多种烟草产品使用的心理社会相关性。数据来自 2014 年佛罗里达州青少年烟草调查（=69923 名），这是佛罗里达州中学和高中生的代表性样本。使用多变量逻辑回归分析了电子烟、香烟和其他烟草产品（OTP）使用与心理社会变量之间的组合关系，分析样本为=2756 名。大多数使用电子烟的青少年至少使用了另一种产品（81%）。认为香烟容易戒掉与同时使用电子烟/OTP（相对风险比（RRR）=2.51，<0.001）和同时使用电子烟/香烟/OTP（RRR=3.20，<0.0001）的可能性显著相关。认为自己在 5 年内会吸烟与包括香烟在内的产品组合有关。对烟草公司营销的接受程度与多种产品使用者类型有关。鉴于特定的心理社会因素使青少年面临同时使用电子烟和烟草产品的风险，公共卫生部门应该专门针对多烟草产品使用进行干预，而不是针对单一产品使用。青少年对戒烟的容易程度、继续吸烟的意图以及对烟草公司营销的接受程度是减少电子烟多烟草产品使用的有希望的信息传递领域。
