Department of Health Policy and Management, Texas A&M University, College Station, TX, USA.
Department of Economics, Texas A&M University, College Station, TX, USA.
Addict Behav. 2019 Jun;93:108-114. doi: 10.1016/j.addbeh.2019.01.038. Epub 2019 Jan 25.
The novel features of e-cigarettes in the recent vaping boom are appealing to females. Given increasing concerns about using e-cigarettes among females, understanding the patterns of using e-cigarettes in females compared to males is critical. We investigate the moderating effect of gender on the association between ever vaping and smoking status and gender differences in reason for ever vaping and in having ever stopped smoking.
We used population data (n = 38,661) from the 2015, 2016, and 2017 Texas Behavioral Risk Factor Surveillance System (BRFSS) to examine a gender difference in ever vaping associated with smoking status. Additionally, we restricted the sample to current smokers who have ever vaped (n = 4733) to examine the association of gender with quitting smoking as reason for ever vaping and with having ever stopped smoking.
We found a significant association between ever vaping and gender (OR = 0.77, 95%CI = 0.65, 0.91). When smoking status was considered, female never-smokers had a significantly lower likelihood of ever vaping than male never-smokers (OR = 0.43, 95%CI = 0.27, 0.76). No significant gender difference was found in ever vaping to quit smoking (OR = 1.12, 95%CI = 0.73, 1.74) and having ever stopped smoking (OR = 1.41, 95%CI = 0.95, 2.10).
The findings of this study provide evidence of gender differences in vaping patterns. Female never-smokers are less likely than male never-smokers to experiment with e-cigarettes. However, there is no evidence of a gender difference in both ever vaping to quit smoking and having ever stopped smoking. Consistent monitoring of gender differences in using e-cigarettes and stratified policy approaches tailored for genders are necessary.
电子烟的新颖特点在最近的蒸气浪潮中很有吸引力。鉴于女性使用电子烟的担忧不断增加，了解女性与男性相比使用电子烟的模式至关重要。我们调查了性别对曾经吸食电子烟与吸烟状况之间关联的调节作用，以及曾经吸食电子烟的原因和曾经戒烟方面的性别差异。
我们使用来自 2015、2016 和 2017 年德克萨斯州行为风险因素监测系统（BRFSS）的人群数据（n=38661），以研究与吸烟状况相关的曾经吸食电子烟与性别之间的差异。此外，我们将样本限制为曾经吸食电子烟的当前吸烟者（n=4733），以研究性别与将戒烟作为曾经吸食电子烟的原因以及曾经戒烟之间的关联。
我们发现曾经吸食电子烟与性别之间存在显著关联（OR=0.77，95%CI=0.65，0.91）。当考虑吸烟状况时，女性从不吸烟者比男性从不吸烟者更不可能曾经吸食电子烟（OR=0.43，95%CI=0.27，0.76）。在为戒烟而曾经吸食电子烟（OR=1.12，95%CI=0.73，1.74）和曾经戒烟（OR=1.41，95%CI=0.95，2.10）方面，我们没有发现性别差异。
本研究结果提供了电子烟吸食模式存在性别差异的证据。女性从不吸烟者比男性从不吸烟者更不可能尝试电子烟。然而，在为戒烟而曾经吸食电子烟和曾经戒烟方面，没有证据表明存在性别差异。需要持续监测使用电子烟方面的性别差异，并制定针对不同性别的分层政策方法。
