Department of Family & Preventive Medicine, University of Utah School of Medicine, Salt Lake City, Utah.
Department of Family & Preventive Medicine, University of Utah School of Medicine, Salt Lake City, Utah.
Am J Prev Med. 2021 May;60(5):684-691. doi: 10.1016/j.amepre.2020.11.011. Epub 2021 Jan 29.
Heated tobacco products, also referred to as heat-not-burn tobacco, are among the latest products introduced to the market by the tobacco industry. However, data on heated tobacco product awareness and use from population-based probability surveys are limited. This study examines heated tobacco product awareness and ever use among U.S. adults.
This study used data (n=42,477) from the 2019 Tobacco Use Supplement to the Current Population Survey, analyzed in 2020. Descriptive statistics, including a weighted prevalence of heated tobacco product awareness and ever use, were estimated. The awareness and ever use of heated tobacco products were also estimated by age, sex, cigarette smoking status, E-cigarette use status, and other tobacco product use status. Multivariable logistic regression examined the individual characteristics associated with the awareness and ever use of heated tobacco products.
Overall, approximately 8.6% of U.S. adults were aware of heated tobacco products. Awareness was higher among participants who were younger, male, cigarette smokers, E-cigarette users, and other tobacco product users. Ever use of heated tobacco products was uncommon among U.S. adults (0.51%) but more prevalent among E-cigarette users and cigarette smokers. In the general adult populations, the odds of ever use of heated tobacco products were significantly higher among cigarette smokers (AOR=2.19, 95% CI=1.63, 2.94), E-cigarette smokers (AOR=2.70, 95% CI=1.71, 4.25), and other tobacco product users (AOR=1.69, 95% CI=1.30, 2.20).
Although the ever use of heated tobacco products is uncommon among U.S. adults, recent regulatory approval of the marketing of IQOS as modified risk tobacco products may increase use. Therefore, ongoing monitoring of heated tobacco products use and their long-term health consequences are important for informing future decision making.
加热烟草制品，也称为加热不燃烧烟草，是烟草行业最新推出的产品之一。然而，基于人群的概率调查中有关加热烟草制品认知和使用的数据有限。本研究调查了美国成年人对加热烟草制品的认知和使用情况。
本研究使用了 2020 年对 2019 年烟草使用补充调查（Current Population Survey）数据（n=42477）进行分析。描述性统计，包括加热烟草制品认知和使用的加权患病率，均进行了估计。还按年龄、性别、吸烟状况、电子烟使用状况和其他烟草制品使用状况估计了加热烟草制品的认知和使用情况。多变量逻辑回归分析了与加热烟草制品认知和使用相关的个体特征。
总体而言，约有 8.6%的美国成年人了解加热烟草制品。在年龄较小、男性、吸烟者、电子烟使用者和其他烟草制品使用者中，对加热烟草制品的认知率较高。在美国成年人中，加热烟草制品的使用频率较低（0.51%），但在电子烟使用者和吸烟者中较为常见。在一般成年人群中，加热烟草制品的使用频率在吸烟者（AOR=2.19，95%CI=1.63，2.94）、电子烟使用者（AOR=2.70，95%CI=1.71，4.25）和其他烟草制品使用者（AOR=1.69，95%CI=1.30，2.20）中显著更高。
尽管美国成年人使用加热烟草制品的情况并不常见，但 IQOS 作为改良风险烟草产品的营销最近获得监管部门批准，可能会增加其使用。因此，持续监测加热烟草制品的使用及其对健康的长期影响对于未来的决策制定非常重要。
