Marion Jason W, Strand Alina, Baldridge Elliott
Eastern Kentucky University, Department of Environmental Health Science, 521 Lancaster Ave., 220 Dizney Building, Richmond, KY 40475, USA.
Prev Med Rep. 2021 Mar 22;22:101364. doi: 10.1016/j.pmedr.2021.101364. eCollection 2021 Jun.
The behaviors and opinions regarding e-cigarette use and campus policies prohibiting vaping vary greatly among college students nationally. Kentucky is one of the four U.S. states with the highest tobacco use prevalence, and characterizing e-cigarette use, trends and policy opinions among Kentucky undergraduates may inform interventions. To characterize population-level differences in e-cigarette-related behaviors and policy opinions among undergraduates from 2014 to 2018, results from two cross-sectional surveys (2014 and 2018) from a public regional university in south-central Kentucky were analyzed. Students from randomly selected undergraduate general studies courses completed a 5-minute in-class survey. Data were obtained from 514 and 519 respondents in 2014 and 2018, respectively. Mean age did not differ (19.9 and 20.1 years; p = 0.41) nor did class rank (p = 0.30) by survey year. Chi-square analysis indicated previous 30-day e-cigarette use was higher in 2018 than 2014 (28% vs. 18%; p < 0.001), and current cigarette use was lower in 2018 than 2014 (13% vs. 25%; p < 0.001). When current smoking and recent e-cigarette use were combined as a use variable, there was no significant difference between 2018 (29%) and 2014 (30%). Fraternity/sorority affiliation, being under 22 years old, male gender, out-of-state residency, and having a smoking parent were associated with recent e-cigarette use in multivariable logit models. Support for the on-campus vaping prohibition was lower among 2018 respondents (68% approval) compared to 2014 respondents (74% approval), respectively (p = 0.022). Overall, these findings may inform policy, population-specific health communications, and future research.
在全国范围内，大学生对于电子烟使用的行为和看法以及校园禁止吸电子烟的政策存在很大差异。肯塔基州是美国烟草使用率最高的四个州之一，了解肯塔基州本科生的电子烟使用情况、趋势和政策意见可能有助于制定干预措施。为了描述2014年至2018年本科生中与电子烟相关行为和政策意见的人群水平差异，对肯塔基州中南部一所公立地区大学的两项横断面调查（2014年和2018年）结果进行了分析。从随机选择的本科通识课程的学生中完成了一项5分钟的课堂调查。分别从2014年的514名和2018年的519名受访者那里获得了数据。调查年份之间的平均年龄没有差异（分别为19.9岁和20.1岁；p = 0.41），班级排名也没有差异（p = 0.30）。卡方分析表明，2018年之前30天内使用电子烟的比例高于2014年（28%对18%；p < 0.001），2018年当前吸烟的比例低于2014年（13%对25%；p < 0.001）。当将当前吸烟和近期电子烟使用合并为一个使用变量时，2018年（29%）和2014年（30%）之间没有显著差异。在多变量逻辑模型中，兄弟会/姐妹会成员身份、年龄在22岁以下、男性、非本州居民以及有吸烟的父母与近期电子烟使用有关。与2014年的受访者（74%赞成）相比，2018年的受访者对校园禁止吸电子烟的支持率较低（68%赞成）（p = 0.022）。总体而言，这些发现可能为政策制定、针对特定人群的健康宣传以及未来研究提供参考。
