Department of Epidemiology, Milken Institute School of Public Health, George Washington University, 950 New Hampshire Ave, NW, 5th Floor, Washington, DC, 20052, USA.
Department of Epidemiology, Milken Institute School of Public Health, George Washington University, 950 New Hampshire Ave, NW, 5th Floor, Washington, DC, 20052., USA.
J Sch Health. 2022 Jun;92(6):521-529. doi: 10.1111/josh.13180. Epub 2022 Mar 9.
Tobacco use is known to worsen asthma management. No studies have investigated how trends in youth tobacco use and related harm perceptions vary by asthma status and sex. This study examined these trends among Florida high school students during 2012-2018.
Data from the 2012, 2014, 2016, and 2018 Florida Youth Tobacco Survey were analyzed. Public high school students (grades 9-12) with known asthma status were included along with their current tobacco product use, tobacco product harm perceptions, and demographics. Weighted multivariable logistic regression was used to assess trends in tobacco product use and harm perceptions and test differences by asthma status and sex.
From 2012 to 2018, high school students with asthma had the slowest decline in cigarette and cigar use prevalence (asthma status-time interaction p = .01) compared to those with no asthma. Cigarette and cigar smoking were perceived as less harmful over time, except among females with asthma who smoked cigarettes (p < .05).
Those with asthma showed a slower decline and were more likely to smoke cigarettes. Results indicate that further public health efforts are needed to address tobacco use among high school students with asthma.
已知吸烟会使哮喘管理恶化。尚无研究调查青少年吸烟趋势和相关危害认知如何因哮喘状况和性别而异。本研究在 2012-2018 年期间调查了佛罗里达州高中生的这些趋势。
对 2012 年、2014 年、2016 年和 2018 年佛罗里达青少年烟草调查的数据进行了分析。包括已知哮喘状况的公立高中学生（9-12 年级）及其当前的烟草制品使用情况、烟草制品危害认知和人口统计学信息。使用加权多变量逻辑回归评估烟草制品使用和危害认知的趋势，并测试哮喘状况和性别的差异。
从 2012 年到 2018 年，与没有哮喘的学生相比，患有哮喘的高中生的香烟和雪茄使用流行率下降速度最慢（哮喘状况-时间交互作用 p =.01）。随着时间的推移，香烟和雪茄被认为危害较小，但哮喘女性吸烟的情况除外（p <.05）。
患有哮喘的人吸烟量下降速度较慢，更有可能吸烟。结果表明，需要进一步开展公共卫生努力，以解决哮喘青少年的烟草使用问题。
