Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique (IPLESP), Equipe de Recherche en Epidémiologie Sociale (ERES), Paris, France.
Subst Use Misuse. 2020;55(6):964-972. doi: 10.1080/10826084.2020.1717534. Epub 2020 Jan 30.
Electronic cigarettes (e-cigarettes) are sold in France since 2010 and have rapidly become popular. However, factors associated with e-cigarette use among young adults are not well known. We used data from the 2015 French TEMPO community based cohort study, restricted to current and former smokers with data on e-cigarette use (=368 adults, 23-41years). Participants completed a self-administered questionnaire including information on family status, educational attainment, occupation and type of work contract, health problems, alcohol and cannabis use, electronic cigarette use, as well as perceptions of e-cigarettes. Use of traditional tobacco was assessed in 2011 and 2015. Data were analyzed using logistic regression models. Among current and former smokers, 26.9% reported lifetime e-cigarettes use and 15.2% current use. Factors associated with lifetime use were: low socioeconomic position (OR=2.2; 95% CI=1.2-4.2), traditional cigarette use (OR associated with smoking in 2011 and 2015=13.1; 95% CI=5.2-32.6) and positive perceptions of e-cigarettes (OR = 4.4; 95% CI=2.4-8.1) as well as asthma (OR=2.1; 95% CI=0.9-4.9) and overweight/obesity (OR=2.5, 95% CI=0.9-6.9). Factors associated with current use were traditional cigarette smoking (OR associated with smoking in 2011 and 2015=3.9; 95% CI= 1.3-12.2) and positive perceptions of e-cigarettes (OR =4.4; 95% CI=2.3-8.4). Young adults who use e-cigarettes tend to persist in smoking traditional cigarettes. The conditions under which e-cigarette use can help individuals quit traditional tobacco products remain to be elucidated.
电子香烟(电子烟)自 2010 年在法国销售以来迅速流行起来。然而,年轻人使用电子烟的相关因素尚不清楚。我们使用了 2015 年法国 TEMPO 基于社区的队列研究的数据,该研究仅限于有电子烟使用数据的当前和以前的吸烟者(=368 名成年人,年龄在 23-41 岁之间)。参与者完成了一份自我管理的问卷,其中包括家庭状况、教育程度、职业和工作合同类型、健康问题、酒精和大麻使用、电子烟使用以及对电子烟的看法。2011 年和 2015 年评估了传统烟草的使用情况。使用逻辑回归模型进行数据分析。在当前和以前的吸烟者中,26.9%报告有过终生电子烟使用史,15.2%目前正在使用。与终生使用相关的因素是:低社会经济地位(OR=2.2;95%CI=1.2-4.2)、传统香烟使用(与 2011 年和 2015 年的吸烟相关的 OR=13.1;95%CI=5.2-32.6)和对电子烟的积极看法(OR=4.4;95%CI=2.4-8.1),以及哮喘(OR=2.1;95%CI=0.9-4.9)和超重/肥胖(OR=2.5,95%CI=0.9-6.9)。与当前使用相关的因素是传统香烟吸烟(与 2011 年和 2015 年的吸烟相关的 OR=3.9;95%CI=1.3-12.2)和对电子烟的积极看法(OR=4.4;95%CI=2.3-8.4)。使用电子烟的年轻人往往会继续吸烟传统香烟。电子烟在帮助个人戒烟传统烟草产品方面的条件仍有待阐明。