All of the authors are with the School of Public Health, Georgia State University, Atlanta.
Am J Public Health. 2019 Sep;109(9):1224-1232. doi: 10.2105/AJPH.2019.305158. Epub 2019 Jul 18.
To investigate use of electronic nicotine delivery systems (ENDS) among priority populations. Using 2016 through 2017 US nationally representative surveys (n = 11 688), we examined ENDS use by sociodemographic variables (age, education, poverty status, insurance, employment, race/ethnicity, sexual orientation) and combustible tobacco use. Among individuals who currently use noncigarette combustible tobacco, those from certain backgrounds (young adults, those living below the poverty level, those less educated, sexual minorities, Blacks, Hispanics, and those without health insurance) were more likely to use ENDS. Among current cigarette smokers, those who were younger, living at or above poverty (ever use), with higher education (current use), sexual minority, and non-Black were more likely to use ENDS. Associations between sociodemographic variables and ENDS use varied depending on combustible tobacco use status, highlighting the need to consider multiple types of tobacco products to understand ENDS use among priority populations. The impact on tobacco disparities will ultimately depend on whether ENDS are used to transition completely away from combustible tobacco products and how this may differ across priority populations who use diverse tobacco products.
调查优先人群使用电子烟的情况。利用 2016 年至 2017 年美国全国代表性调查（n=11688），我们考察了社会人口统计学变量（年龄、教育、贫困状况、保险、就业、种族/族裔、性取向）和可燃烟草使用与电子烟使用之间的关系。在目前使用非香烟可燃烟草的人群中，来自某些背景（年轻人、生活在贫困线以下的人、受教育程度较低的人、性少数群体、黑人、西班牙裔和没有医疗保险的人）的人更有可能使用电子烟。在目前吸烟的人群中，那些年龄较小、生活在贫困线或以上（曾经使用）、受教育程度较高（当前使用）、性少数群体和非黑人的人更有可能使用电子烟。社会人口统计学变量与电子烟使用之间的关联因可燃烟草使用状况而异，这突出表明需要考虑多种类型的烟草产品，以了解优先人群中电子烟的使用情况。电子烟对烟草差异的影响最终将取决于电子烟是否被完全用于替代可燃烟草产品，以及这种替代在使用不同烟草产品的优先人群中可能会有何不同。
