Department of Biostatistics and Epidemiology, East Tennessee State University, Johnson City, TN, 37604, USA.
Department of Pediatrics, Quillen College of Medicine, East Tennessee State University, Johnson City, TN, 37604, USA.
J Community Health. 2021 Feb;46(1):190-194. doi: 10.1007/s10900-020-00868-y.
We investigated the prevalence of vaping among college students in South-central Appalachia in the United States and explored factors which were associated with and could predict vaping among the college students. A sample of 498 enrolled students voluntarily completed a self-report REDCap health survey questionnaire in 2018. Outcome variable was use of electronic cigarettes categorized as yes/no. Independent variables included risky behaviors such as texting or emailing while driving, riding in a car with someone who had been drinking, history of protected and unprotected sexual intercourse, age at first intercourse, and type of contraceptive used. Covariates were age, gender, ethnicity/race and high school location. The first category was used as reference. Binary logistic regression was used to identify factors associated with and predicting vaping. Mean age of participants was 20.93(± 8.26), 62.9% were female, a majority (76.5%) were non-Hispanic White, and 43.2% reported vaping at some point in their lives. Initial univariate analysis showed gender (p < 0.0001), seat belt usage (p = 0.002), texting or emailing while driving (p = 0.002), riding in a car with someone who had been drinking (p = 0.001), history of sexual intercourse (p < 0.001), coitarche (p = 0.026), use of birth control pills and withdrawal method were associated with vaping. Adjusting for co-variates, gender (p < 0.002), county of high school (p < 0.009) and texting and e-mailing while driving (0.05), seat belt usage (0.04) remained significant. Vaping was highly prevalent (43.2%) among our participants. Gender, location of high school, texting/emailing while driving and seat belt usage are predictors of vaping among these students.
我们调查了美国中阿巴拉契亚地区大学生的蒸气电子烟使用情况，并探讨了与大学生蒸气电子烟使用相关的因素，以及这些因素对蒸气电子烟使用的预测作用。2018 年，对 498 名在校学生进行了一项自愿的电子病历 REDCap 健康调查问卷调查。结果变量为电子香烟使用情况，分为是/否。自变量包括发短信或发电子邮件时开车、与酒后驾车者同车、有保护和无保护性行为史、初次性交年龄和使用的避孕类型等危险行为。协变量为年龄、性别、种族/民族和高中地点。第一类被用作参考。采用二项逻辑回归分析来确定与蒸气电子烟使用相关的因素和预测因素。参与者的平均年龄为 20.93(±8.26)岁，62.9%为女性，大多数(76.5%)是非西班牙裔白人，43.2%的人在一生中的某个时候使用过蒸气电子烟。初步单变量分析显示，性别(p<0.0001)、安全带使用情况(p=0.002)、开车时发短信或发电子邮件(p=0.002)、与酒后驾车者同车(p=0.001)、有性行为史(p<0.001)、初次性行为年龄(p=0.026)、避孕药具的使用和撤退法与蒸气电子烟使用有关。在调整协变量后，性别(p<0.002)、高中所在县(p<0.009)和开车时发短信或发电子邮件(0.05)、安全带使用(0.04)仍然具有显著意义。在我们的参与者中，蒸气电子烟的使用非常普遍(43.2%)。性别、高中所在地、开车时发短信/发电子邮件和使用安全带是这些学生使用蒸气电子烟的预测因素。
