Getachew Betelihem, Payne Jackelyn B, Vu Milkie, Pillai Drishti, Shah Jill, Levine Hagai, Berg Carla J
Am J Health Behav. 2018 Jul 1;42(4):118-130. doi: 10.5993/AJHB.42.4.11.
Objectives With increased alternative tobacco product (ATP) use and lagging public health action, we explored perceptions of ATPs, anti-tobacco messaging, and tobacco regulation among young adults. Methods Semi-structured interviews were conducted with 60 Georgia college students aged 18-25 using: (1) cigarettes, little cigars/cigarillos (LCCs), smokeless tobacco, or e-cigarettes ≥15 days of the past 30; or (2) hookah ≥10 of the past 30 days (due to lower frequency of use). Of 99 participants recruited, 80 consented, and 60 participated. Results Participants were on average 21.01 years old (SD = 2.07), 56.7% women, and 65.0% black; 56.7% reported current use of cigarettes, 43.3% LCCs, 26.7% smokeless tobacco, 45.0% e-cigarettes, and 41.7% hookah. Cigarettes were perceived as most harmful to health and most addictive. E-cigarettes and hookah were generally regarded as lowest risk. Many indicated that ATP risk information was limited or inaccessible and that most anti-tobacco campaigns were irrelevant to ATPs. Participants requested more research and dissemination of evidence regarding ATP risks and need for ATP regulation. Conclusions In light of low risk perceptions regarding ATPs among young adults, research, anti-tobacco campaigns, and regulation must address their known and potential risks.
目标 随着另类烟草产品（ATP）使用的增加以及公共卫生行动的滞后，我们探讨了年轻人对ATP、反烟草信息以及烟草监管的看法。方法 对60名年龄在18至25岁的佐治亚州大学生进行了半结构化访谈，这些学生在过去30天内：（1）使用香烟、小雪茄/小烟支（LCC）、无烟烟草或电子烟≥15天；或（2）在过去30天内使用水烟≥10天（由于使用频率较低）。在招募的99名参与者中，80名同意参与，60名实际参与。结果 参与者平均年龄为21.01岁（标准差=2.07），56.7%为女性，65.0%为黑人；56.7%报告目前使用香烟，43.3%使用LCC，26.7%使用无烟烟草，45.0%使用电子烟，41.7%使用水烟。香烟被认为对健康危害最大且最易上瘾。电子烟和水烟通常被视为风险最低。许多人表示，ATP风险信息有限或难以获取，而且大多数反烟草运动与ATP无关。参与者要求对ATP风险进行更多研究并传播相关证据，以及对ATP进行监管。结论 鉴于年轻人对ATP的低风险认知，研究、反烟草运动和监管必须关注其已知和潜在风险。
