Aly Ameera Syafiqah, Mamikutty Rokiah, Marhazlinda Jamaludin
Department of Community Oral Health and Clinical Prevention, Faculty of Dentistry, Universiti Malaya, Kuala Lumpur 50603, Malaysia.
Oral Health Program, Ministry of Health, Putrajaya 62590, Malaysia.
Children (Basel). 2022 Oct 31;9(11):1678. doi: 10.3390/children9111678.
Recognising the association between the perceived risks of e-cigarettes and e-cigarette usage among youth is critical for planning effective prevention and intervention initiatives; thus, a systematic review and meta-analysis were performed.
Fourteen databases were searched for eligible studies from the Inception of database until March 2022 to examine the effect estimates of the association between perceptions of harmfulness and addictiveness and overall e-cigarette usage among adolescents and youth.
The meta-analysis showed that in comparison to non-users, young people who were ever e-cigarette users were two times more likely to disagree that e-cigarettes are harmful (OR: 2.20, 95% CI: 1.41-3.43) and perceived e-cigarettes as less harmful than tobacco cigarettes (OR: 2.01, 95% CI 1.47-2.75). Youths who were ever e-cigarette users were also 2.3 and 1.8 times more likely to perceive e-cigarettes as less addictive (OR: 2.28, 95% CI: 1.81-2.88) or perceive e-cigarettes as more addictive (OR: 1.82, 95% CI: 1.22-2.73) than tobacco cigarettes, as compared with non-users. The subgroup analysis reported that adolescents were more likely to believe that e-cigarettes are less harmful than tobacco cigarettes, while youth users perceived otherwise.
the risk perceptions of e-cigarettes are associated with e-cigarette use among adolescents and youth and could be the focus of health promotion to prevent and curb the uptake of e-cigarettes among young people.
认识到青少年对电子烟风险的认知与电子烟使用之间的关联，对于制定有效的预防和干预措施至关重要；因此，我们进行了一项系统综述和荟萃分析。
检索了14个数据库，以查找从数据库创建之初至2022年3月的符合条件的研究，以检验对电子烟有害性和成瘾性的认知与青少年和青年总体电子烟使用之间关联的效应估计值。
荟萃分析表明，与非使用者相比，曾经使用过电子烟的年轻人不同意电子烟有害的可能性高出两倍（比值比：2.20，95%置信区间：1.41 - 3.43），并且认为电子烟比卷烟危害小（比值比：2.01，95%置信区间1.47 - 2.75）。与非使用者相比，曾经使用过电子烟的年轻人认为电子烟成瘾性较低（比值比：2.28，95%置信区间：1.81 - 2.88）或认为电子烟比卷烟成瘾性更高（比值比：1.82，95%置信区间：1.22 - 2.73）的可能性也分别高出2.3倍和1.8倍。亚组分析报告称，青少年更有可能认为电子烟比卷烟危害小，而青年使用者则有不同看法。
青少年和青年对电子烟的风险认知与电子烟使用有关，可能是预防和遏制年轻人使用电子烟的健康促进重点。
