Population Sciences in the Pacific Program, University of Hawai'i Cancer Center, University of Hawaii at Manoa, 701 Ilalo St., Honolulu, HI 96813, USA.
John A. Burns School of Medicine, University of Hawai'i at Manoa, 651 Ilalo St., Honolulu, HI 96813, USA.
Int J Environ Res Public Health. 2021 Dec 14;18(24):13159. doi: 10.3390/ijerph182413159.
We examined e-cigarette use as a prospective predictor of alcohol and marijuana abuse symptoms in a sample consisting of Native Hawaiian and Other Pacific Islander (NHPI), Filipino, Asian (i.e., Japanese, Chinese, Korean), and White young adults. NHPI represent a highly vulnerable group with regard to substance use and are severely understudied.
Data were collected from 1463 young adults (M age = 22.2, SD = 3.2; 59.5% women) enrolled across community colleges in Hawai'i at two time-points six months apart.
Higher frequency of e-cigarette use at baseline was predictive of higher alcohol (B = 0.06, SE = 0.02, < 0.01) and marijuana (B = 0.06, SE = 0.02, < 0.01) use problems at six-month follow up, adjusting for baseline cigarette smoking, problem alcohol/marijuana use, sensation seeking, and demographic variables. Ethnicity was found to significantly moderate the relationship between baseline e-cigarette use and problem marijuana use later, such that White and NHPI ethnicities were particularly vulnerable to the effects of e-cigarette use on problem marijuana use.
NHPI are often combined with Asians in national surveys, which obfuscates the higher risks faced by NHPI compared with groups that are routinely classified as Asians (e.g., Chinese, Japanese, Filipinos). The current research highlights the NHPI's vulnerability in terms of the effects of e-cigarette use on marijuana and alcohol abuse symptoms.
我们研究了电子烟的使用情况，将其作为一个前瞻性预测因子，在一个由夏威夷原住民和其他太平洋岛民（NHPI）、菲律宾人、亚洲人（即日本人、中国人、韩国人）和白人年轻成年人组成的样本中，预测酒精和大麻滥用症状。NHPI 是一个在物质使用方面非常脆弱的群体，而且研究严重不足。
从夏威夷的社区大学招募了 1463 名年轻人（M 年龄=22.2，SD=3.2；59.5%为女性），在两次相隔六个月的时间点收集数据。
基线时电子烟使用频率较高，可预测六个月后酒精（B=0.06，SE=0.02，<0.01）和大麻（B=0.06，SE=0.02，<0.01）使用问题，调整了基线时的吸烟、酒精/大麻问题使用、感觉寻求和人口统计学变量。研究发现，种族显著调节了基线电子烟使用与随后大麻使用问题之间的关系，使得白人（White）和 NHPI 族群特别容易受到电子烟使用对大麻使用问题的影响。
在全国性调查中，NHPI 通常与亚洲人一起被归入一类，这使得 NHPI 面临的风险比通常被归类为亚洲人的群体（如中国人、日本人、菲律宾人）更高。目前的研究强调了 NHPI 在电子烟使用对大麻和酒精滥用症状的影响方面的脆弱性。
