From the Department of Pediatric Emergency Medicine.
Department of Medical Education, Nicklaus Children's Hospital.
Pediatr Emerg Care. 2022 Feb 1;38(2):e709-e713. doi: 10.1097/PEC.0000000000002339.
Electronic cigarettes (e-cigs) and vaping are a popular form of substance abuse among adolescents. Studies have shown that adolescents have a poor understanding of e-cigs but little is known about parental understanding. The primary objective was to assess if a discrepancy in perception and knowledge regarding the content and safety profile of e-cigs between adolescents and their parents exists.
Single-site prospective questionnaire analysis of adolescents (12-21 years) and their parents between November 2018 and March 2019 was performed. Each participant pair received an anonymous, confidential, electronic questionnaire. Data were collected via Research Electronic Data Capture. χ2 and independent t tests were used for comparative analysis.
A total of 300 adolescent/parent pairs were included for analysis. The mean age of adolescents was 15.1 years (SD, 2.1), and that of parents was 43.9 years (SD, 8.7). Overall knowledge of e-cigs was inadequate in both adolescents and parents: 93.7% and 88.3%, respectively (P < 0.0001). Less adolescents (49.0%) compared with parents (71.0%) perceived any health risks to smoking e-cigs (P < 0.0001). Among adolescents, 17% admitted to smoking e-cigs compared with 5.4% smoking conventional tobacco cigarettes (P < 0.0001), and they reported using e-cigs (17.0%) more often than any other substance except alcohol (27.3%). Only 49.7% of adolescents reported receiving formal education at school regarding e-cigs. Parents reported discussing e-cigs risks/benefits with adolescents less often than other topics (71.3% vs 79.0% to 84.3%; P < 0.0007).
This analysis suggests that perception and knowledge regarding the content and safety profile of e-cigs are poor among both adolescents and parents. These findings support the need for tighter federal regulation and an increase in public health awareness programs.
电子烟在青少年中是一种流行的物质滥用形式。研究表明，青少年对电子烟的理解很差，但对父母的理解却知之甚少。主要目的是评估青少年和他们的父母对电子烟的内容和安全状况的看法和知识是否存在差异。
2018 年 11 月至 2019 年 3 月，在一个地点对青少年（12-21 岁）及其父母进行了单站点前瞻性问卷调查分析。每个参与的父母对子都收到了一份匿名、保密的电子问卷。数据通过 Research Electronic Data Capture 收集。χ2 和独立 t 检验用于比较分析。
共纳入 300 对青少年/父母进行分析。青少年的平均年龄为 15.1 岁（标准差，2.1），父母的平均年龄为 43.9 岁（标准差，8.7）。青少年和父母对电子烟的总体认识都不足：分别为 93.7%和 88.3%（P<0.0001）。与父母（71.0%）相比，较少的青少年（49.0%）认为吸电子烟有任何健康风险（P<0.0001）。在青少年中，17%的人承认吸电子烟，而吸传统烟草香烟的比例为 5.4%（P<0.0001），他们报告吸电子烟（17.0%）比除酒精（27.3%）以外的任何其他物质都更频繁。只有 49.7%的青少年报告在学校接受过关于电子烟的正规教育。与讨论其他话题（71.3%对 79.0%至 84.3%）相比，父母较少报告与青少年讨论电子烟的风险/益处（P<0.0007）。
本分析表明，青少年和父母对电子烟的内容和安全状况的看法和知识都很差。这些发现支持需要更严格的联邦监管和增加公共卫生意识项目。
