Curran Kelly A, Burk Thad, Pitt Paulette D, Middleman Amy B
1 University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
2 Oklahoma State Department of Health, Oklahoma City, OK, USA.
Clin Pediatr (Phila). 2018 Sep;57(10):1191-1198. doi: 10.1177/0009922818769405. Epub 2018 Apr 13.
Concerns exist that e-cigarette use may introduce adolescents to drugs. This study explores trends and associations of inhaled tobacco use with drug use. We performed a secondary data analysis on the National Youth Risk Behavior Survey examining the inhaled tobacco and drug use patterns among US teens. Adjusted odds ratios were calculated using bivariate and multivariate analyses between inhaled tobacco use with other drug use, adjusting for age, race/ethnicity, and gender. When adjusting for gender, age, and race/ethnicity, teens who use only e-cigarettes had a higher odds than peers who do not use any inhaled tobacco products to have ever tried marijuana or alcohol, currently use marijuana or alcohol, have lifetime drug use, and misused prescription medications. Drug risk behavior appears stratified with type of inhaled tobacco used, with generally exclusive e-cigarette use linked to lowest risk and conventional and e-cigarette use associated with highest risk of drug use.
人们担心使用电子烟可能会使青少年接触毒品。本研究探讨了吸入式烟草使用与毒品使用的趋势及关联。我们对全国青少年风险行为调查进行了二次数据分析，研究美国青少年的吸入式烟草和毒品使用模式。通过双变量和多变量分析计算吸入式烟草使用与其他毒品使用之间的调整后比值比，并对年龄、种族/族裔和性别进行了调整。在对性别、年龄和种族/族裔进行调整后，仅使用电子烟的青少年比不使用任何吸入式烟草产品的同龄人尝试过大麻或酒精、目前使用大麻或酒精、有终身毒品使用史以及滥用处方药的几率更高。毒品风险行为似乎因所使用的吸入式烟草类型而分层，一般来说，仅使用电子烟与最低风险相关，而同时使用传统烟草和电子烟与最高的毒品使用风险相关。
