Yang Joshua S, Sou Angela, Faruqui Afsana, Mackey Tim K
Department of Public Health, California State University, Fullerton, 800 N. State College Boulevard, KHS 161-A, Fullerton, CA 92831, USA.
Global Health Program, Department of Anthropology, University of California, San Diego, 8950 Villa La Jolla Drive, A124, La Jolla, CA 92037, USA.
Prev Med Rep. 2021 Jul 29;24:101506. doi: 10.1016/j.pmedr.2021.101506. eCollection 2021 Dec.
The 2019 outbreak of E-cigarette, or Vaping, Product Use-Associated Lung Injury (EVALI) increased awareness of potential health risks associated with vaping among the general public. Little is known, however, about how unfolding information regarding EVALI affected knowledge, attitudes, and behaviors among e-cigarette users, particularly among young adults. This study describes attitudinal and behavioral responses to EVALI among young adult e-cigarette users. In October and November 2019, seven focus groups were held with college-going young adult tobacco users from two four-year public universities in California. Focus groups included questions regarding knowledge of and reaction to EVALI news, and how the news affected product use. Text from current e-cigarette users was extracted to develop individual phenomenological textural-structural descriptions of e-cigarette use for 38 individuals which were used to create a composite experience of e-cigarette use in light of EVALI. Experiences indicated that e-cigarette users were aware of information regarding EVALI and received information from numerous sources. Information was filtered for legitimacy of EVALI claims and causes of EVALI. Risk rationalizations were developed to assess potential harm of continued e-cigarette use and provided reasoning for behavioral responses to EVALI. The emerging harm associated with EVALI prompted e-cigarette users to engage in a cognitive process resulting in employment of a range of rationalities to justify continued use. These results suggest how environmental, cognitive, and behavioral factors may interact as young adults negotiate e-cigarette-related harms.
2019年爆发的电子烟或雾化产品使用相关肺损伤（EVALI）事件，提高了公众对雾化相关潜在健康风险的认识。然而，对于EVALI相关信息的不断披露如何影响电子烟使用者，尤其是年轻成年人的知识、态度和行为，我们却知之甚少。本研究描述了年轻成年电子烟使用者对EVALI的态度和行为反应。2019年10月和11月，对来自加利福尼亚州两所四年制公立大学的大学生烟草使用者进行了七次焦点小组访谈。焦点小组讨论的问题包括对EVALI新闻的了解和反应，以及该新闻如何影响产品使用。提取了当前电子烟使用者的文本，以对38个人的电子烟使用情况进行个体现象学的纹理结构描述，并据此创建了结合EVALI的电子烟使用综合体验。经验表明，电子烟使用者了解有关EVALI的信息，并从众多来源获取信息。对信息进行了筛选，以判断EVALI说法和EVALI病因的合理性。人们形成了风险合理化解释，以评估持续使用电子烟的潜在危害，并为对EVALI的行为反应提供理由。与EVALI相关的新出现的危害促使电子烟使用者进行认知过程，从而采用一系列合理性解释来为继续使用电子烟辩护。这些结果表明，在年轻人应对与电子烟相关的危害时，环境、认知和行为因素可能是如何相互作用的。
