Obinwa Udoka, Clendennen Stephanie L, Rangwalam Shazia, Sumbe Aslesha, Case Kathleen R, Harrell Melissa B
Department of Epidemiology, Human Genetics and Environmental Sciences, The University of Texas Health Science Center at Houston (UT Health), School of Public Health in Austin, Austin, Texas.
Tobacco Center of Regulatory Science on Youth and Young Adults (TCORS), The University of Texas Health Science Center at Houston (UT Health), School of Public Health in Austin, Austin, Texas.
Tex Public Health J. 2021 Winter;73(1):25-32.
Youth use of e-cigarettes is reaching 'epidemic proportions,' even as combustible tobacco use is declining. Comparison of risk factors that are uniquely associated with e-cigarette and combustible tobacco use among adolescents is warranted.
Six waves of data from the Texas Adolescent Tobacco and Marketing Surveillance (TATAMS) study (n=3907; N=461,069; 2014-2017) were used in this analysis. A random intercept logistic regression model was used to compare intrapersonal, interpersonal, and environmental risk factors for use of both products based on the Social Ecological Model.
Risk factors that were significantly associated with both past 30-day use of e-cigarette and combustible tobacco products over time included past 30-day use of marijuana and alcohol, social acceptability of product use, having friends and family members who used the products, and male gender. Increasing age, worse academic performance, higher sensation seeking score, higher recall of social media promotion in the past 30 days, and lower positive affect score were associated with past 30-day use of combustible tobacco only. White race was associated with past-30 day use of e-cigarettes only.
Involving peers and parents in preventive interventions designed to reduce uptake of these products is paramount, as is the need to address other substance use, like alcohol and marijuana. Efforts should also be made to create a social climate that makes tobacco use (e-cigarettes and combustible products) less acceptable and desirable.
尽管可燃烟草的使用在减少，但青少年电子烟的使用正达到“流行程度”。有必要比较青少年中与电子烟使用和可燃烟草使用独特相关的风险因素。
本分析使用了来自德克萨斯青少年烟草与营销监测（TATAMS）研究的六波数据（n = 3907；N = 461,069；2014 - 2017年）。基于社会生态模型，使用随机截距逻辑回归模型比较两种产品使用的个人、人际和环境风险因素。
随着时间推移，与过去30天内电子烟和可燃烟草产品使用均显著相关的风险因素包括过去30天内使用大麻和酒精、产品使用的社会可接受性、有使用这些产品的朋友和家庭成员以及男性。年龄增长、学业成绩较差、寻求刺激得分较高、过去30天内对社交媒体推广的回忆较多以及积极情感得分较低仅与过去30天内可燃烟草的使用相关。白人种族仅与过去30天内电子烟的使用相关。
让同龄人和父母参与旨在减少这些产品使用的预防干预至关重要，解决其他物质使用问题（如酒精和大麻）也同样重要。还应努力营造一种社会氛围，使烟草使用（电子烟和可燃产品）更难以接受和令人向往。
