California Tobacco Control Program, California Department of Public Health, Sacramento, CA, United States.
California Tobacco Control Program, California Department of Public Health, Sacramento, CA, United States.
Addict Behav. 2022 Sep;132:107365. doi: 10.1016/j.addbeh.2022.107365. Epub 2022 May 13.
The current study examined race- and ethnicity-based differences in the reasons that youth report for vaping, with an emphasis on understanding the relationship between race/ethnicity and vaping for relaxation and stress/anxiety coping. This work also sought to go beyond examining race-based differences as a cause of tobacco-use disparities by assessing social connectedness factors that mediate relationships between race/ethnicity and vaping for relaxation and coping. Research questions were tested using data from the 2019-2020 California Student Tobacco Survey, a representative school-based survey of 10th and 12th grade public school students throughout schools in California. Overall, 7.78% of the sample reported using nicotine vapes in the past 30 days. The final sample included 11,112 high school student current vape users. The most important reason that youth vaped was for relaxation and stress/anxiety coping, with racial and ethnic minorities most likely to report this vaping motivation. Analyses of the structural mechanisms underlying the relationship between race/ethnicity and vaping reasons showed that minority youth reported lower school, peer, and family connectedness when compared to White youth. Lower school and family connectedness were in turn correlated with being motivated to vape to relax or relieve stress and anxiety, and lower overall mental health. Findings imply that future intervention efforts might profitably focus on reducing stressors associated with relaxation and stress/anxiety coping motivations and highlight the importance of connectedness for indirectly decreasing vape use risk by improving negative mood and mental health.
本研究考察了年轻人报告吸电子烟的原因中的种族和民族差异,重点是了解种族/民族与吸电子烟放松和应对压力/焦虑之间的关系。这项工作还试图超越仅通过评估社会联系因素来考察种族差异是导致烟草使用差异的原因,这些因素可以调节种族/民族与吸电子烟放松和应对压力/焦虑之间的关系。研究问题是使用 2019-2020 年加州学生烟草调查的数据来检验的,这是一项针对加州公立学校 10 年级和 12 年级学生的代表性学校调查。总体而言,有 7.78%的样本报告在过去 30 天内使用过尼古丁电子烟。最终样本包括 11112 名高中学生当前电子烟使用者。年轻人吸电子烟的最重要原因是放松和应对压力/焦虑,种族和少数民族最有可能报告这种吸电子烟的动机。对种族/民族与吸电子烟原因之间关系的结构机制的分析表明,与白人青年相比,少数族裔青年报告的学校、同伴和家庭联系较少。较低的学校和家庭联系与吸电子烟来放松或缓解压力和焦虑以及整体心理健康状况较差有关。研究结果表明,未来的干预措施可能会受益于关注减轻与放松和应对压力/焦虑相关的压力源,并强调联系的重要性,通过改善负面情绪和心理健康来间接降低吸电子烟的风险。
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