Lee Juhan, Thompson Lindsay A, Salloum Ramzi G
Department of Health Education and Behavior, College of Health and Human Performance, University of Florida, Gainesville, United States.
Department of Pediatrics, College of Medicine, University of Florida, Gainesville, United States.
Tob Prev Cessat. 2021 Jan 8;7:01. doi: 10.18332/tpc/130502. eCollection 2021.
There is growing public health concern about adolescent use of heated tobacco products (HTPs) after the US Food and Drug Administration approved the leading HTPs, IQOS, as a modified risk tobacco product. Extending the previous studies examining the correlates of HTP use among adolescents, this study aims to investigate potential risk factors for HTP use among US adolescents, including the use of multiple tobacco and flavored tobacco products.
We analyzed the 2019 National Youth Tobacco Survey (n=19018) and conducted a series of logistic regression models on awareness and use of HTPs as a function of tobacco use status (none, single, dual/poly) and past 30 days flavored tobacco use (e.g. menthol cigarette use, flavored e-cigarettes), controlling for sociodemographics.
In multivariable analyses, awareness of HTPs was associated with usual menthol cigarette use (AOR=1.77; 95% CI: 1.23-2.53) and past 30 days flavored tobacco use (AOR=1.44; 95% CI: 1.16-1.80). Risk factors for ever HTP use included single (AOR=2.52; 95% CI: 1.19-5.33) and dual/poly tobacco use (AOR=4.94; 95% CI: 2.56-9.54), usual menthol cigarette use (AOR=2.50; 95% CI: 1.66-3.76), and past 30 days flavored tobacco use (AOR=1.61; 95% CI: 1.07-2.44). Risk factors for current HTP use included single (AOR=10.84; 95% CI: 6.72-17.49) and dual/poly tobacco use (AOR=31.96; 95% CI: 17.79-57.43), and usual menthol cigarette use (AOR=2.50; 95% CI: 1.63-3.85).
This study documents HTP use in adolescents and contributes insight and urgency into prioritizing at-risk adolescents for interventions, including current users of other tobacco products and flavored tobacco users.
在美国食品药品监督管理局批准了主要的加热烟草制品IQOS作为一种具有降低风险功能的烟草制品后，公众对青少年使用加热烟草制品（HTP）的健康问题愈发关注。本研究在之前关于青少年使用HTP相关因素研究的基础上进行拓展，旨在调查美国青少年使用HTP的潜在风险因素，包括多种烟草及调味烟草制品的使用情况。
我们分析了2019年全国青少年烟草调查（n = 19018）的数据，并根据烟草使用状况（无、单一、双重/多种）以及过去30天内调味烟草的使用情况（如薄荷醇香烟使用、调味电子烟使用），针对HTP的知晓情况和使用情况进行了一系列逻辑回归模型分析，同时控制了社会人口统计学因素。
在多变量分析中，对HTP的知晓情况与经常使用薄荷醇香烟（比值比[AOR]=1.77；95%置信区间[CI]：1.23 - 2.53）以及过去30天内使用调味烟草（AOR = 1.44；95% CI：1.16 - 1.80）有关。曾经使用过HTP的风险因素包括单一烟草使用（AOR = 2.52；95% CI：1.19 - 5.33）和双重/多种烟草使用（AOR = 4.94；95% CI：2.56 - 9.54）、经常使用薄荷醇香烟（AOR = 2.50；95% CI：1.66 - 3.76）以及过去30天内使用调味烟草（AOR = 1.61；95% CI：1.07 - 2.44）。当前使用HTP的风险因素包括单一烟草使用（AOR = 10.84；95% CI：6.72 - 17.49）和双重/多种烟草使用（AOR = 31.96；95% CI：17.79 - 57.43）以及经常使用薄荷醇香烟（AOR = 2.50；95% CI：1.63 - 3.85）。
本研究记录了青少年中HTP的使用情况，并为将有风险的青少年列为干预重点提供了见解和紧迫性依据，这些有风险的青少年包括其他烟草制品的当前使用者以及调味烟草使用者。
