Xie Catherine, Xie Zidian, Li Dongmei
Pittsford Sutherland High School, Pittsford, United States.
University of Rochester Clinical and Translational Science Institute, University of Rochester Medical Center, Rochester, United States.
Tob Induc Dis. 2020 Dec 22;18:106. doi: 10.18332/tid/130925. eCollection 2020.
Electronic cigarette use (vaping) has become increasingly popular among youth. The aim of this study is to determine the cross-sectional association of vaping, smoking, and dual use of these tobacco products with self-reported serious difficulty concentrating, remembering, or making decisions (DCRMD), because of a physical, mental, or emotional condition (PMEC) in US youth.
The 2018 National Youth Tobacco Survey (NYTS) data with 18535 youth were used for analysis. All included youth who answered whether they have serious DCRMD and stated their vaping and smoking status. Multivariable weighted logistics regression models were used to examine the association of vaping and smoking with the risk of DCRMD in youth, considering a complex sampling design.
Ever dual users (AOR=4.19; 95% CI: 2.97-5.92), exclusive ever cigarette smokers (AOR=1.50; 95% CI: 1.18-1.91) and exclusive ever e-cigarette users (AOR=3.13; 95% CI: 2.25-4.34) had significantly higher odds of self-reported DCRMD than never users in youth. Subgroup analysis on exclusive ever e-cigarette users who started vaping in middle school or earlier had significantly higher odds of self-reported DCRMD compared to those who started vaping in high school (AOR=1.77; 95% CI: 1.27-2.45). Meanwhile, male youth who were exclusive ever e-cigarette users had higher odds of self-reported DCRMD than female youth who were exclusive ever e-cigarette users (AOR=1.67; 95% CI: 1.25-2.22).
Vaping, smoking and dual use were associated with self-reported serious difficulty concentrating, remembering, or making decisions because of a physical, mental, or emotional condition in youth, which provided initial evidence on the cross-sectional association between vaping and self-reported cognitive problems.
电子烟使用（吸电子烟）在青少年中越来越流行。本研究的目的是确定在美国青少年中，吸电子烟、吸烟以及同时使用这两种烟草产品与因身体、心理或情绪状况（PMEC）导致的自我报告的严重注意力不集中、记忆力减退或决策困难（DCRMD）之间的横断面关联。
使用2018年全国青少年烟草调查（NYTS）中18535名青少年的数据进行分析。所有纳入的青少年均回答了他们是否有严重的DCRMD，并说明了他们吸电子烟和吸烟的状况。考虑到复杂的抽样设计，使用多变量加权逻辑回归模型来检验青少年吸电子烟和吸烟与DCRMD风险之间的关联。
曾经同时使用过两种产品的人（调整后比值比[AOR]=4.19；95%置信区间[CI]：2.97-5.92）、仅曾经吸过香烟的人（AOR=1.50；95%CI：1.18-1.91）和仅曾经吸过电子烟的人（AOR=3.13；95%CI：2.25-4.34）自我报告的DCRMD几率显著高于青少年中从未使用过的人。对初中或更早开始吸电子烟的仅曾经吸过电子烟的用户进行亚组分析，与高中开始吸电子烟的用户相比，自我报告的DCRMD几率显著更高（AOR=1.77；95%CI：1.27-2.45）。同时，仅曾经吸过电子烟的男性青少年自我报告的DCRMD几率高于仅曾经吸过电子烟的女性青少年（AOR=1.67；95%CI：1.25-2.22）。
吸电子烟、吸烟和同时使用与青少年因身体、心理或情绪状况导致的自我报告的严重注意力不集中、记忆力减退或决策困难有关，这为吸电子烟与自我报告的认知问题之间的横断面关联提供了初步证据。
