Sabrina L. Smiley, University of Southern California, Keck School of Medicine, Department of Preventive Medicine, Los Angeles, CA, United States;, Email:
Heesung Shin, University of Southern California, Keck School of Medicine, Department of Preventive Medicine, Los Angeles, CA, United States.
Am J Health Behav. 2020 Nov 1;44(6):893-901. doi: 10.5993/AJHB.44.6.12.
In this study, we examined tobacco retailers' perceptions of e-cigarettes and associations with in-store availability of e-cigarettes. Retailers (N = 700) in multiple, racial/ethnic neighborhoods (black/African-American, N = 200); Hispanic/Latino, N = 200; white American, N = 200; Korean American, N = 100) in Los Angeles County participated in on-site interviews and store observations. Controlling for individual and racial/ethnic neighborhood factors, retailers in majority-white neighborhoods had significantly higher odds of selling e-cigarettes and flavored e-cigarettes than retailers located in Hispanic/Latino (p < .001, OR = 0.14, 95% CI = 0.08-0.25; p < .001, OR = 0.19, 95% CI = 0.11-0.33) and Korean American (p < .05, OR = 0.21, 95% CI = 0.12-0.37; p < .05, OR = 0.21, 95% CI = 0.12-0.39) neighborhoods. Perceptions of e-cigarettes as being completely safe/safer than cigarettes were significantly associated with availability of flavored e-cigarettes (p < .05, OR = 2.03, 95% CI = 1.04-3.97); and opposition to flavored e-cigarette restrictions was marginally significantly associated with availability of flavored e-cigarettes (p < .10, OR = 1.56, 95% CI = 0.96-2.51). Adjusting for store type, perceptions of e-cigarettes as being completely safe/safer than cigarettes were marginally significantly associated with availability of flavored e-cigarettes (p < .10, OR = 1.78, 95% CI = 0.85-3.73). : Targeted efforts are warranted for educating retailers and employees in these neighborhoods on the appeal and nicotine dependence potential of e-cigarette use for youth.
在这项研究中，我们调查了烟草零售商对电子烟的看法及其与店内电子烟供应的关联。在洛杉矶县的多个种族/族裔社区（黑人/非裔美国人，N=200；西班牙裔/拉丁裔，N=200；白种美国人，N=200；韩裔美国人，N=100），700 名零售商参与了现场访谈和商店观察。在控制个人和种族/族裔社区因素的情况下，位于白人为主社区的零售商销售电子烟和调味电子烟的可能性明显高于位于西班牙裔/拉丁裔（p<0.001，OR=0.14，95%CI=0.08-0.25；p<0.001，OR=0.19，95%CI=0.11-0.33）和韩裔美国人（p<0.05，OR=0.21，95%CI=0.12-0.37；p<0.05，OR=0.21，95%CI=0.12-0.39）社区的零售商。认为电子烟完全安全/比香烟更安全的看法与调味电子烟的供应显著相关（p<0.05，OR=2.03，95%CI=1.04-3.97）；反对调味电子烟限制与调味电子烟的供应也有一定的关联（p<0.10，OR=1.56，95%CI=0.96-2.51）。在调整了商店类型后，认为电子烟完全安全/比香烟更安全的看法与调味电子烟的供应仍有一定的关联（p<0.10，OR=1.78，95%CI=0.85-3.73）。因此，有必要针对这些社区的零售商和员工开展有针对性的教育活动，使他们了解电子烟对青少年的吸引力和尼古丁依赖的潜在风险。
