School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA.
Institute for Social Research, University of Michigan, Ann Arbor, MI 48106, USA.
Int J Environ Res Public Health. 2022 Mar 3;19(5):2965. doi: 10.3390/ijerph19052965.
This study assessed the sociodemographic predictors of exclusive and dual use of the most frequently used nicotine/tobacco products, e-cigarettes, and combustible tobacco among adolescents. Cross-sectional data was from the 2017-2020 Monitoring the Future nationally representative study of eighth, tenth, and twelfth-grade students. We coded past 30 day nicotine/tobacco use into four mutually exclusive categories: no use, e-cigarette use only, combustible use (cigarette or cigar) only, and dual use (e-cigarette and combustible). We pooled the 2017-2020 data to examine the relationship between sex, race/ethnicity, parental education, and each product-use category using multinomial logistic regression, stratified by grade level. Among eighth ( = 11,189), tenth ( = 12,882), and twelfth graders ( = 11,385), exclusive e-cigarette use was the most prevalent pattern (6.4%, 13.2%, 13.8%, respectively), followed by dual use (2.7%, 4.5%, 8.9%), and exclusive combustible use (1.5%, 2.5%, 5.3%). eighth and tenth-grade adolescents whose highest parental education was a 4-year college degree or more had lower odds of exclusive combustible and dual use when compared to adolescents whose highest parental education was less than a high school degree. Research should continue to monitor the differential use of combustible tobacco products and e-cigarettes among adolescents from low socioeconomic status backgrounds or racial/ethnic minority households to inform ongoing and future interventions or policies.
本研究评估了青少年中最常使用的尼古丁/烟草产品电子烟和可燃烟草的单独使用和双重使用的社会人口学预测因素。横断面数据来自于 2017-2020 年监测未来全国代表性的八年级、十年级和十二年级学生研究。我们将过去 30 天的尼古丁/烟草使用情况编码为四个互斥类别：不使用、仅使用电子烟、仅使用可燃烟草（香烟或雪茄）以及双重使用（电子烟和可燃烟草）。我们汇总了 2017-2020 年的数据，使用多项逻辑回归，按年级分层，检查了性别、种族/族裔、父母教育程度与每种产品使用类别的关系。在八年级（n=11189）、十年级（n=12882）和十二年级（n=11385）学生中，单独使用电子烟的比例最高（分别为 6.4%、13.2%和 13.8%），其次是双重使用（2.7%、4.5%和 8.9%），以及单独使用可燃烟草（1.5%、2.5%和 5.3%）。与父母最高教育程度低于高中学位的青少年相比，父母最高教育程度为四年制大学或更高学历的八年级和十年级青少年，单独使用可燃烟草和双重使用的可能性较低。研究应继续监测来自社会经济地位较低或种族/少数民族家庭的青少年对可燃烟草产品和电子烟的差异使用情况，为正在进行和未来的干预或政策提供信息。
