Beck Dana C, Boyd Carol J, Evans-Polce Rebecca, McCabe Sean Esteban, Veliz Phil T
U-M Institute for Healthcare Policy & Innovation, University of Michigan School of Nursing, Ann Arbor, MI, USA.
Center for the Study of Drugs, Alcohol, Smoking and Health, Department of Health Behavior and Biological Sciences, School of Nursing University of Michigan, Ann Arbor, MI, USA.
Subst Abus. 2022;43(1):344-348. doi: 10.1080/08897077.2021.1941519. Epub 2021 Aug 6.
Adolescent e-cigarette use has increased, as has e-cigarette use during pregnancy, yet little is known about how these types of tobacco/nicotine (cigarettes/e-cigarettes) use during adolescence are associated with tobacco/nicotine use during the third trimester of pregnancy among young adults. National longitudinal data (2013-2018) from the Population Assessment of Tobacco and Health (PATH) study were used. Young adults ages 18-20 who indicated past-year pregnancy made up the analytic sample ( = 246). Logistic regression was used to evaluate the association between history of past 30-day use of cigarettes/e-cigarettes during adolescence (i.e., 14-17) and later use during the third trimester of pregnancy among young women (i.e., 18-20). Within the sample of young women who indicated a pregnancy during the past year, 18.9% indicated smoking cigarettes and 4.2% indicated using e-cigarettes during their last trimester. Cigarette smoking in adolescence (wave 1 or 2) was associated with cigarette use during the last trimester (aOR = 4.76, 95% CI = 1.36, 16.6); however, e-cigarette use during adolescence was not associated with either cigarette or e-cigarette use during the third trimester of pregnancy. Tobacco/nicotine prevention in early adolescence has implications for preventing tobacco/nicotine-related harms during pregnancy among young adults. Intervention programs and clinicians informed about various types of tobacco/nicotine are needed to address tobacco/nicotine cessation among adolescents to prevent consequences of tobacco/nicotine use during pregnancy.
青少年电子烟使用有所增加，孕期电子烟使用情况亦是如此，但对于青少年时期这些类型的烟草/尼古丁（香烟/电子烟）使用与年轻成年人怀孕晚期的烟草/尼古丁使用之间的关联，人们却知之甚少。研究采用了来自烟草与健康人口评估（PATH）研究的全国纵向数据（2013 - 2018年）。年龄在18 - 20岁且表示过去一年怀孕的年轻成年人构成了分析样本（n = 246）。采用逻辑回归来评估青少年时期（即14 - 17岁）过去30天内使用香烟/电子烟的历史与年轻女性（即18 - 20岁）怀孕晚期后期使用情况之间的关联。在过去一年表示怀孕的年轻女性样本中，18.9%表示在怀孕最后三个月吸烟，4.2%表示使用电子烟。青少年时期吸烟（第1波或第2波）与怀孕最后三个月吸烟有关（调整后的比值比 = 4.76，95%置信区间 = 1.36，16.6）；然而，青少年时期使用电子烟与怀孕晚期使用香烟或电子烟均无关联。青少年早期的烟草/尼古丁预防对于预防年轻成年人孕期与烟草/尼古丁相关的危害具有重要意义。需要有针对各类烟草/尼古丁的干预项目和临床医生，以解决青少年戒烟问题，防止孕期烟草/尼古丁使用带来的后果。
