Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Mailstop S107-7, 4770 Buford Hwy NE, Atlanta, GA 30341. Email:
Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Prev Chronic Dis. 2020 Feb 27;17:E20. doi: 10.5888/pcd17.190294.
The National Youth Tobacco Survey (NYTS) has successfully monitored tobacco product use patterns and correlates since 1999 among US students in grades 6 through 12 using a scannable paper-and-pencil format. We conducted a study to determine the feasibility and potential benefits of administering an electronic version of the NYTS in school settings.
The pilot survey was administered by using 2 versions. Version 1 mimicked the scannable paper-and-pencil format with respect to design, formatting, and structure, but was administered on a tablet computer. Version 2 used an electronic survey design and formatting capabilities, which included programmed logic skips and tobacco product images. Chi-square and t tests were used to assess subgroup differences. Multivariable-adjusted logistic regression models were used to determine if the odds of ever and current tobacco product use differed between the 2 versions.
In total, 2,769 students completed version 1 or version 2. Three-quarters of respondents reported a strong preference for using an electronic device to take the NYTS (74.7%). Compared with version 1, version 2 reduced the mean time to complete the survey by 15% (P < .01), reduced the number of questions students needed to answer by 30% (P < .01), and removed 1.9% of inconsistent survey responses. A significant difference was observed for ever e-cigarette use between versions 1 (22.2%) and 2 (29.5%; P < .0001). No significant differences in ever or current use were observed for other tobacco products.
An electronic mode of administration is feasible and valid for conducting surveillance of tobacco product use among US youths.
自 1999 年以来，全国青年烟草调查（NYTS）一直通过可扫描的纸质和铅笔格式成功监测美国 6 至 12 年级学生的烟草制品使用模式和相关因素。我们进行了一项研究，以确定在学校环境中管理 NYTS 电子版本的可行性和潜在好处。
使用 2 个版本进行了试点调查。版本 1 在设计、格式和结构方面模仿了可扫描的纸质和铅笔格式，但在平板电脑上进行管理。版本 2 使用电子调查设计和格式化功能，其中包括编程逻辑跳过和烟草产品图像。使用卡方检验和 t 检验评估亚组差异。使用多变量调整的逻辑回归模型确定两种版本之间是否存在使用任何烟草制品的几率差异。
共有 2769 名学生完成了版本 1 或版本 2。四分之三的受访者强烈表示希望使用电子设备来参加 NYTS（74.7%）。与版本 1 相比，版本 2 使完成调查的平均时间缩短了 15%（P<.01），学生需要回答的问题数量减少了 30%（P<.01），并消除了 1.9%的不一致调查答复。版本 1（22.2%）和 2（29.5%）之间的电子香烟使用差异具有统计学意义（P<.0001）。对于其他烟草制品，未观察到使用过或当前使用过的显著差异。
电子管理模式对于监测美国青少年烟草制品使用情况是可行和有效的。
