Department of Psychiatry, Washington University School of Medicine, 660 South Euclid Avenue, Box 8134, St. Louis, MO, 63110, USA.
Department of Psychiatry, Washington University School of Medicine, 660 South Euclid Avenue, Box 8134, St. Louis, MO, 63110, USA.
J Adolesc. 2021 Feb;87:98-105. doi: 10.1016/j.adolescence.2021.01.003. Epub 2021 Feb 3.
Tobacco use is a public health concern, and adolescents are at an increased risk of starting and continuing to use tobacco relative to other age groups. Parent involvement and other social environmental factors may influence the development and persistence of tobacco use behaviors in adolescence. This study used the nationally representative Population Assessment of Tobacco and Health (PATH) study data set, and responses from 7025 adolescent participants were analyzed to illustrate the longitudinal relationship between social environment influences and use of adolescent electronic nicotine delivery systems (i.e., ENDS).
Social environmental factors were assessed at Wave 3 and then compared to electronic nicotine delivery systems (ENDS) status transitions (i.e., initiation, expansion, persistence) at follow-up. Survey-weighted multivariable logistic regression models were used to calculate adjusted odds ratios (AOR) and 95% confidence intervals (CI).
Initiation and persistence of ENDS use were associated with tobacco availability in the house, perception of having no adverse parent reaction to discovering ENDS use and having a best friend who uses ENDS. Initiation of ENDS use was further associated with having biological relatives who have ever been diagnosed with a substance use disorder (SUD) and persistence of ENDS use was also positively associated with lack of in-house rules. Parents talking about ENDS use with adolescents had no association across all three outcomes.
Findings suggest that parental and environmental factors alter the risk of initiation and persistence of ENDS and tobacco use in adolescents, and these should be considered when working with this at-risk population.
吸烟是一个公共卫生关注点，青少年相对于其他年龄群体，开始和继续使用烟草的风险更高。家长的参与和其他社会环境因素可能会影响青少年吸烟行为的发展和持续。本研究使用了具有全国代表性的人口烟草和健康评估（PATH）研究数据集，对 7025 名青少年参与者的回答进行了分析，以说明社会环境影响与青少年电子尼古丁输送系统（ENDS）使用之间的纵向关系。
在第 3 波评估社会环境因素，然后将其与随访时电子尼古丁输送系统（ENDS）状态转变（即开始、扩展、持续）进行比较。使用调查加权多变量逻辑回归模型计算调整后的优势比（AOR）和 95%置信区间（CI）。
ENDS 使用的开始和持续与房屋内的烟草供应、对发现ENDS 使用没有不良家长反应的看法以及有一个使用ENDS 的最好朋友有关。ENDS 使用的开始还与有过物质使用障碍（SUD）诊断的生物亲属有关，ENDS 使用的持续与房屋内没有规则有关。父母与青少年谈论ENDS 使用与所有三种结果均无关。
研究结果表明，父母和环境因素改变了青少年开始和持续使用ENDS 和烟草的风险，在与这一高危人群合作时应考虑这些因素。
