Health Services and Outcomes Research, Children's Mercy Hospital, Kansas City, Missouri; Department of Biomedical and Health Informatics, University of Missouri-Kansas City, Kansas City, Missouri; Department of Pediatrics, University of Missouri-Kansas City, Kansas City, Missouri.
Department of Pediatrics, University of Missouri-Kansas City, Kansas City, Missouri; Division of Endocrinology, Children's Mercy Hospital, Kansas City, Missouri; Department of Pediatrics, University of Kansas Medical Center, Kansas City, Kansas.
Am J Prev Med. 2018 Aug;55(2):222-230. doi: 10.1016/j.amepre.2018.04.015. Epub 2018 Jun 20.
The American Academy of Pediatrics issued a policy statement to recommend screening all adolescents for tobacco and other drug use in 2011. This study sought to evaluate the trends of health professional screening and advice on youth tobacco use since then.
Data from the 2011, 2013, and 2015 National Youth Tobacco Survey were analyzed to report the changes in tobacco screening and advice among 46,554 U.S. middle and high school students. Logistic regressions were used to assess trends and factors associated with screening or advice on tobacco use and to examine whether screening or advice on tobacco use was associated with quit behaviors. Analyses were conducted in 2017.
Overall, the prevalence of tobacco screening significantly increased from 32.0% in 2011 to 37.9% in 2013 but had no significant change after that. The increase was largest among females and blacks, but there was no significant increase among e-cigarette users. By contrast, the prevalence of being advised not to use tobacco significantly decreased from 31.4% in 2011 to 26.9% in 2015. The decrease was largest among females, younger students, and e-cigarette users. Current cigarette smokers were more likely than nonsmokers to be advised on tobacco use, but no significant difference was found between e-cigarette only users and noncurrent users. Being advised not to use tobacco was associated with higher odds of planning to quit tobacco use among current tobacco users and current e-cigarette users, respectively.
Continued efforts to increase tobacco use interventions by healthcare providers are needed.
美国儿科学会于 2011 年发布了一项政策声明，建议对所有青少年进行烟草和其他药物使用筛查。本研究旨在评估自那时以来卫生专业人员对青少年烟草使用筛查和建议的趋势。
对 2011、2013 和 2015 年全国青少年烟草调查的数据进行分析，报告了 46554 名美国中、高中生中烟草筛查和建议的变化。使用逻辑回归评估了筛查或建议青少年使用烟草的趋势和相关因素，并检验了筛查或建议青少年使用烟草与戒烟行为是否相关。分析于 2017 年进行。
总体而言，烟草筛查的流行率从 2011 年的 32.0%显著上升到 2013 年的 37.9%，但此后没有显著变化。这种增长在女性和黑人中最大，但在电子烟使用者中没有显著增长。相比之下，被建议不要使用烟草的流行率从 2011 年的 31.4%显著下降到 2015 年的 26.9%。这种下降在女性、年龄较小的学生和电子烟使用者中最大。当前吸烟者比非吸烟者更有可能被建议使用烟草，但电子烟仅使用者和非使用者之间没有显著差异。被建议不要使用烟草与当前烟草使用者和当前电子烟使用者计划戒烟的可能性增加分别相关。
需要继续努力增加卫生保健提供者的烟草使用干预措施。
