Department of Community Health and Health Behavior, University at Buffalo, Buffalo, NY 14214, United States of America; Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, United States of America.
Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, United States of America.
Addict Behav. 2019 Nov;98:106034. doi: 10.1016/j.addbeh.2019.106034. Epub 2019 Jun 24.
Identifying as a 'smoker' has been associated with many cigarette smoking-related behaviors, including less frequent and intense cigarette use. Additional smoking behaviors (e.g., use of cannabis or cigars) also may contribute to self-identification as a 'smoker'. This study compared correlates of identifying as a 'smoker' and measurement strategies for non-daily cigarette consumption among young-adult intermittent and light daily smokers. Using data from Wave 1 of the PATH Study, different measurements of past 30-day non-daily cigarette use were evaluated. Weighted logistic regression models were used to compare associations with self-identification as a smoker among 18-24 year-old intermittent and light daily smokers (n = 1531). Use of other smoked products (combustible tobacco, cannabis) and other documented correlates of smoker identity were evaluated. As frequency of monthly smoking increased, self-identification as a smoker increased (1-5 days = 24%, 6-19 days = 48%, 20-29 days = 78%, light daily smokers = 93%, daily smokers using >5 cigarettes per day = 99%). Self-reported smoking status 12 months ago significantly contributed to current identification as a smoker. Smoking cigars daily or using cannabis in the past 30 days were each positively associated with smoker identity. Different measurement approaches to non-daily cigarette use offer different advantages in terms of interpretability and granularity of information. Compared to daily smokers, non-daily smokers exhibit significant variability in identifying as a smoker, and systematic correlates of smoker identification are apparent. These findings may serve to enhance understanding of non-daily smokers and potential targets for intervention among this growing subpopulation of tobacco users.
将自己认定为“烟民”与许多与吸烟相关的行为有关，包括吸烟频率较低和吸烟强度较低。其他吸烟行为（例如，使用大麻或雪茄）也可能导致自我认定为“烟民”。本研究比较了青少年间歇性和轻度每日吸烟者将自己认定为“烟民”的相关因素和非每日吸烟的测量策略。使用 PATH 研究第 1 波的数据，评估了过去 30 天非每日吸烟的不同测量方法。使用加权逻辑回归模型比较了 18-24 岁间歇性和轻度每日吸烟者（n=1531）中自我认定为烟民的关联因素。评估了使用其他吸烟产品（可燃烟草、大麻）和其他记录的烟民身份相关因素。随着每月吸烟频率的增加，自我认定为烟民的比例也会增加（1-5 天=24%，6-19 天=48%，20-29 天=78%，轻度每日吸烟者=93%，每天吸烟超过 5 支者=99%）。12 个月前的自我报告吸烟状况对当前的烟民身份有显著影响。过去 30 天内每天抽雪茄或使用大麻与烟民身份呈正相关。非每日吸烟的不同测量方法在解释性和信息粒度方面各有优势。与每日吸烟者相比，非每日吸烟者在认定自己为烟民方面存在显著差异，且烟民身份的系统相关因素显而易见。这些发现可能有助于提高对非每日吸烟者的理解，并为这一日益增长的烟草使用者亚群提供潜在的干预目标。
