Health Promotion Research Center, Department of Health Services, University of Washington, Seattle, Washington.
Health Promotion Research Center, University of Washington, Box 354804, 1107 NE 45th St, Ste 400, Seattle, WA 98105. E-mail:
Prev Chronic Dis. 2020 Feb 20;17:E16. doi: 10.5888/pcd17.190217.
Evidence-based interventions for tobacco control in the US workplace can reach a large audience. The purpose of our study was to explore the prevalence and determinants of type of tobacco use (ie, cigarettes only, e-cigarettes only, or dual use) among adult employees in the United States and to examine type of use by state.
We used data from the 2017 Behavioral Risk Factor Surveillance System to examine the prevalence of cigarette use, e-cigarette use, dual use, and quit attempts. We used multinomial logistic regression to examine the relationships between sociodemographic characteristics and type of tobacco product used, and we estimated adjusted prevalence.
Approximately 17% of respondents were current smokers, 5% were current e-cigarette users, and 2% were dual users. E-cigarette-only and dual use were generally highest among young (aged 18-24), male, and less-educated respondents and lower for respondents who identified as black, Asian/Native Hawaiian/Pacific Islander, or Hispanic than for white respondents. Cigarette-only and dual use were higher for respondents who did not have health care coverage. Prevalence by state of e-cigarette use only ranged from 1.2% (Vermont) to 3.9% (Arkansas), whereas the prevalence of dual use ranged from 0.6% (District of Columbia) to 4.0% (Oklahoma).
Prevalence of cigarette, e-cigarette, and dual use varied by sociodemographic characteristics and by state. These findings can support targeting of specific populations when designing and implementing evidence-based interventions for tobacco control in workplace settings.
在美国工作场所实施基于证据的控烟干预措施可以覆盖大量受众。我们的研究目的是探讨美国成年员工中不同类型烟草使用（即仅吸烟、仅使用电子烟或同时使用两者）的流行情况及其决定因素，并研究各州的使用类型。
我们使用 2017 年行为风险因素监测系统的数据，调查了吸烟、吸电子烟、同时使用两者和戒烟尝试的流行率。我们使用多项逻辑回归分析了社会人口特征与使用的烟草产品类型之间的关系，并估计了调整后的流行率。
约 17%的受访者是当前吸烟者，5%是当前电子烟使用者，2%是同时使用者。电子烟仅使用和同时使用通常在年轻（18-24 岁）、男性和受教育程度较低的受访者中最高，而在自认为是黑人、亚裔/夏威夷原住民/太平洋岛民或西班牙裔的受访者中低于自认为是白人的受访者。没有医疗保险的受访者中，吸烟和同时使用的比例较高。电子烟仅使用的州流行率从 1.2%（佛蒙特州）到 3.9%（阿肯色州）不等，而同时使用的州流行率从 0.6%（哥伦比亚特区）到 4.0%（俄克拉荷马州）不等。
吸烟、吸电子烟和同时使用的流行率因社会人口特征和州而异。这些发现可以为在工作场所环境中设计和实施基于证据的控烟干预措施时针对特定人群提供支持。
