Department of Communication, University of Louisville, Louisville, KY 40292, USA.
Christina Lee Brown Envirome Institute, School of Medicine, University of Louisville, Louisville, KY 40202, USA.
Int J Environ Res Public Health. 2021 Jun 23;18(13):6755. doi: 10.3390/ijerph18136755.
E-cigarettes are commonly used tobacco products among youth populations, including Appalachian youth. However, knowledge of the extent to which tobacco use status relates to temptation to try e-cigarettes is limited. Data from the Youth Appalachian Tobacco Study ( = 1047) were used. Temptation to try e-cigarettes was derived from a 12-item situational inventory. Tobacco use status was defined as never, ever non-e-cigarette, and ever e-cigarette use. A factorial ANOVA was used to estimate the adjusted association between tobacco use status and the e-cigarette use temptation scale. Two-way interaction terms between tobacco use status and gender, and tobacco use status and race/ethnicity, were plotted to depict effect modification. Approximately 10% of youth were ever non-e-cigarette users and 24% were ever e-cigarette users. Never and ever non-e-cigarette user middle schoolers had higher temptation to try e-cigarettes than their high school counterparts. The same relationship was found among never and ever e-cigarette users living in households with tobacco users. The ANOVA results suggest a positive, monotonic relationship between tobacco use status and temptation to try e-cigarettes, and that the adjusted group means differ by gender and race/ethnicity. The findings can inform tobacco prevention interventions for youth at higher risk for e-cigarette use, especially youth who have not yet tried e-cigarettes.
电子烟在青少年人群中，包括阿巴拉契亚地区的青少年中，是一种常见的烟草制品。然而，对于烟草使用状况与尝试电子烟的诱惑之间的关系程度，我们的了解是有限的。该研究的数据来自于青年阿巴拉契亚烟草研究（n = 1047）。电子烟尝试诱惑来自于 12 项情境性的调查问卷。烟草使用状况被定义为从未使用、曾经使用非电子烟和曾经使用电子烟。采用析因方差分析来估计烟草使用状况与电子烟使用诱惑量表之间的调整关联。绘制了烟草使用状况与性别和烟草使用状况与种族/民族之间的双向交互作用项，以描述效应修饰。大约 10%的青少年是从未使用过非电子烟的用户，24%的青少年是曾经使用过电子烟的用户。从未使用过非电子烟的中学生和曾经使用过非电子烟的中学生比他们的高中生同辈对尝试电子烟的诱惑有更高的倾向。在居住在有烟民家庭的从未使用过电子烟和曾经使用过电子烟的青少年中，也发现了同样的关系。方差分析结果表明，烟草使用状况与尝试电子烟的诱惑之间存在正相关和单调关系，并且调整后的组平均值因性别和种族/民族而异。这些发现可以为那些处于更高电子烟使用风险的青少年提供烟草预防干预措施，特别是那些尚未尝试过电子烟的青少年。
