Duke University, Durham, NC, USA.
Subst Use Misuse. 2021;56(6):905-910. doi: 10.1080/10826084.2021.1899236. Epub 2021 Mar 24.
As e-cigarette use rises among U.S. adolescents, the need to understand its risk factors becomes increasingly urgent. If the risk profile of adolescents who exclusively use e-cigarettes differs from those who use traditional tobacco products and dual users, prevention and intervention efforts would need to target such differences. In a sample of 708 adolescents, this study compared individual, peer, and family risk factors that are classically associated with greater substance use between exclusive e-cigarette users and traditional tobacco product users. Exclusive e-cigarette users and traditional tobacco product users share many risk factors when compared to non-users. Additional analyses compared exclusive e-cigarette users to exclusive traditional tobacco users and dual users, with some differences emerging. Lower friend (OR = 0.28, 99% CI [0.12, 0.67]) and peer e-cigarette use (OR = 0.26, 99% CI [0.13, 0.52]), and greater friend cigarette smoking (OR = 2.17, 99% CI [1.23, 3.83]) predicted higher odds of being an exclusive traditional tobacco user compared to an exclusive e-cigarette user. Lower SES (OR = 0.67, 99% CI [0.51, 0.90]), and greater friend (OR = 2.68, 99% CI [1.56, 4.59]) and peer cigarette smoking (OR = 1.91, 99% CI [1.17, 3.13]) predicted greater odds of being a dual user compared to an exclusive e-cigarette user. : Although some differences exist between exclusive e-cigarette users and traditional tobacco users, their risk profiles are generally the same. Prevention and intervention efforts that target traditional tobacco product could guide efforts to target e-cigarette use and dual use. Supplemental data for this article is available online at https://doi.org/10.1080/10826084.2021.1899236.
随着美国青少年使用电子烟的人数不断增加，了解其风险因素变得越来越紧迫。如果仅使用电子烟的青少年的风险特征与使用传统烟草产品和双重使用者的风险特征不同，那么预防和干预措施就需要针对这些差异。 在一项针对 708 名青少年的研究中，本研究比较了与更大物质使用相关的个体、同伴和家庭风险因素，这些因素在仅使用电子烟的青少年和使用传统烟草产品的青少年之间具有典型关联。 与非使用者相比，仅使用电子烟的青少年和使用传统烟草产品的青少年有许多共同的风险因素。 进一步的分析比较了仅使用电子烟的青少年与仅使用传统烟草的青少年和双重使用者，结果出现了一些差异。 较低的朋友（OR = 0.28，99%CI [0.12, 0.67]）和同伴电子烟使用（OR = 0.26，99%CI [0.13, 0.52]），以及更多的朋友吸烟（OR = 2.17，99%CI [1.23, 3.83]），与更有可能成为仅使用传统烟草的青少年相比，更有可能成为仅使用电子烟的青少年。 较低的社会经济地位（OR = 0.67，99%CI [0.51, 0.90]），以及更多的朋友（OR = 2.68，99%CI [1.56, 4.59]）和同伴吸烟（OR = 1.91，99%CI [1.17, 3.13]），与更有可能成为双重使用者相比，更有可能成为仅使用电子烟的青少年。 ：虽然仅使用电子烟的青少年和传统烟草使用者之间存在一些差异，但他们的风险特征通常是相同的。针对传统烟草产品的预防和干预措施可以为针对电子烟使用和双重使用的努力提供指导。本文的补充数据可在 https://doi.org/10.1080/10826084.2021.1899236 在线获取。
