Owens Victoria L, Ha Trung, Soulakova Julia N
Burnett School of Biomedical Sciences, College of Medicine, University of Central Florida, 6900 Lake Nona Blvd., Orlando, FL 32827, United States of America.
Prev Med Rep. 2019 Mar 22;14:100854. doi: 10.1016/j.pmedr.2019.100854. eCollection 2019 Jun.
In 2009, the U.S. Food and Drug Administration banned the sale of flavored cigarettes (excluding menthol) in the U.S. However, the sale of flavored e-cigarettes (FE) and flavored hookah tobacco (FHT) is still legal. In this study (conducted in the US in the period from October 2018 to February 2019), we estimated the prevalence of use of FE and FHT across users' sociodemographic characteristics (e.g., age, sex, race/ethnicity) and identified the key characteristics of tobacco users associated with use of FE and FHT. We analyzed the 2014-2015 Tobacco Use Supplement to the Current Population Survey data for current e-cigarette (n = 3691) and hookah tobacco (n = 658) users. Among e-cigarette users, 65.5% used FE; and among hookah tobacco users, 87.3% used FHT. Among e-cigarette users, the prevalence of use of FE was significantly higher for 18-24 year-old than 45+ year-old adults; women than men; Southern than Northeastern residents; and never smokers of regular cigarettes than current smokers of regular cigarettes (all adjusted p's < 0.05). Among hookah tobacco users, the rates of FHT use were significantly higher for women than men, and never smokers of regular cigarettes than current smokers (all adjusted p's < 0.05). Because availability and accessibility of flavored tobacco products may promote tobacco use, revising regulatory guidelines concerning manufacturing and distribution of FE and FHT may help reduce the popularity of emerging tobacco products.
Among users of emerging tobacco products such as e-cigarettes and hookah tobacco, use of flavored products is very common. Among e-cigarette users, 66% consumed flavored e-cigarettes; and among users of hookah tobacco, 87% consumed flavored hookah tobacco. Use of flavored products was especially common among users who were young adults, women, or never and former smokers of regular cigarettes. Availability of emerging tobacco products in many different flavors could be a reason for tobacco use initiation and continued use of tobacco after cessation of regular-cigarette smoking.
2009年，美国食品药品监督管理局禁止在美国销售调味香烟（不包括薄荷醇香烟）。然而，调味电子烟（FE）和调味水烟烟草（FHT）的销售仍然合法。在本研究中（于2018年10月至2019年2月在美国进行），我们估计了FE和FHT在不同社会人口学特征（如年龄、性别、种族/族裔）使用者中的使用 prevalence，并确定了与FE和FHT使用相关的烟草使用者的关键特征。我们分析了2014 - 2015年当前人口调查烟草使用补充数据中当前电子烟使用者（n = 3691）和水烟烟草使用者（n = 658）的数据。在电子烟使用者中，65.5%使用FE；在水烟烟草使用者中，87.3%使用FHT。在电子烟使用者中，18 - 24岁成年人使用FE的 prevalence显著高于45岁及以上成年人；女性高于男性；南部居民高于东北部居民；从不吸普通香烟者高于当前吸普通香烟者（所有校正p值 < 0.05）。在水烟烟草使用者中，女性使用FHT的比例显著高于男性，从不吸普通香烟者高于当前吸普通香烟者（所有校正p值 < 0.05）。由于调味烟草产品的可得性和可及性可能会促进烟草使用，修订关于FE和FHT制造和分销的监管指南可能有助于降低新兴烟草产品的受欢迎程度。
在电子烟和水烟烟草等新兴烟草产品使用者中，调味产品的使用非常普遍。在电子烟使用者中，66%消费调味电子烟；在水烟烟草使用者中，87%消费调味水烟烟草。调味产品的使用在年轻成年人、女性或从不吸普通香烟以及曾经吸普通香烟的人群中尤为常见。多种不同口味的新兴烟草产品的可得性可能是开始使用烟草以及在停止吸普通香烟后继续使用烟草的一个原因。
