Vu Thanh-Huyen T, Groom Allison, Hart Joy L, Tran Hy, Landry Robyn L, Ma Jennie Z, Walker Kandi L, Giachello Aida L, Kesh Anshula, Payne Thomas J, Robertson Rose Marie
Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
American Heart Association, Dallas, TX, USA.
Health Promot Pract. 2020 Jan;21(1_suppl):148S-156S. doi: 10.1177/1524839919882700.
The prevalence of e-cigarette use among youth is rising and may be associated with perceptions of health risks for these products. We examined how demographic factors and socioeconomic status (SES) are correlated with the perceived health risks of e-cigarette product contents among youth. . Data were from a national online survey of youth aged 13 to 18 between August and October 2017, weighted to be representative of the overall U.S. population in age, sex, race/ethnicity, and region. Survey analysis procedures were used. . Of 1,549 e-cigarette users and 1,451 never-e-cigarette users, 20.9% were Hispanic, 13.7% Black, 21.7% LGBTQ (lesbian/gay/bisexual/transgender/queer), and 49.3% in low-income families. With adjustment for e-cigarette use status, perceived health risks of nicotine and toxins/chemicals in e-cigarettes significantly differed by gender, race, sexual orientation, and SES (s < .05). For example, adjusted odds of perceiving harm from nicotine were 60% higher in girls versus boys, 34% lower in non-Hispanic Blacks versus non-Hispanic Whites, 33% lower in urban versus suburban residents, 40% higher in LGBTQ versus straight-identifying individuals, and 28% lower in low-income versus high-income families. Lower parental education level also was associated with children's lower health risk perception of e-cigarette product contents. . For youth, the perceived health risks of e-cigarette product contents were associated with demographics, sexual orientation, and SES. The findings may have relevance for developing communication and education strategies addressing specific youth audiences, especially those in vulnerable groups. These strategies could improve awareness among youth concerning the health risks of e-cigarettes, helping to prevent or reduce e-cigarette uptake and continued use.
青少年使用电子烟的比例正在上升，这可能与他们对这些产品健康风险的认知有关。我们研究了人口统计学因素和社会经济地位（SES）如何与青少年对电子烟产品成分的感知健康风险相关联。数据来自2017年8月至10月对13至18岁青少年进行的全国在线调查，经过加权处理以代表美国总体人口在年龄、性别、种族/族裔和地区方面的情况。采用了调查分析程序。在1549名电子烟使用者和1451名从未使用过电子烟的使用者中，20.9%为西班牙裔，13.7%为黑人，21.7%为LGBTQ（女同性恋/男同性恋/双性恋/跨性别者/酷儿），49.3%来自低收入家庭。在对电子烟使用状况进行调整后，青少年对电子烟中尼古丁和毒素/化学物质的感知健康风险在性别、种族、性取向和社会经济地位方面存在显著差异（P <.05）。例如，经调整后，女孩认为尼古丁有害的几率比男孩高60%，非西班牙裔黑人比非西班牙裔白人低34%，城市居民比郊区居民低33%，LGBTQ群体比认同异性恋的个体高40%，低收入家庭比高收入家庭低28%。父母教育水平较低也与孩子对电子烟产品成分的健康风险感知较低有关。对于青少年来说，对电子烟产品成分的感知健康风险与人口统计学、性取向和社会经济地位有关。这些发现可能与制定针对特定青少年群体，尤其是弱势群体的沟通和教育策略相关。这些策略可以提高青少年对电子烟健康风险的认识，有助于预防或减少电子烟的使用和持续使用。
