Department of Neuroscience, American University, Washington, DC 20016, USA.
Division of Intramural Research, National Institute on Minority Health and Health Disparities, Bethesda, MD 20892, USA.
Int J Environ Res Public Health. 2023 Jan 21;20(3):2016. doi: 10.3390/ijerph20032016.
Limited data exist on the awareness, beliefs, and use of heated tobacco products (HTPs). Data from 1583 U.S. adult (age ≥ 21 years) current tobacco users were collected in 2021. Participants self-reported HTP awareness, beliefs, use, and susceptibility, as well as current tobacco product use and sociodemographics. We used weighted logistic and multinomial regression models to explore their associations. Overall, 23.6% were aware of, 8.9% had ever used, and 3.0% currently used HTPs. Younger individuals (vs. 61+ years), those with annual income $50,000+ (vs. <$50,000), and those currently using electronic vaping products (vs. non-users) were more likely to be aware of, to have ever used, and to currently be using HTPs ( < 0.05). Black individuals (vs. White) were more likely to report ever and current HTP use ( < 0.05). Current cigarette smoking was not associated with HTP awareness and use ( > 0.05). Holding favorable HTP beliefs was associated with susceptibility to and more advanced HTP use statuses ( < 0.05). Sociodemographics associated with HTP use may reflect HTP marketing strategies. The lack of association with cigarette smoking suggests HTPs may be unlikely cigarette substitutes. Addressing favorable HTP-related beliefs may prevent dual use.
关于加热不燃烧烟草制品（HTPs）的认知、信念和使用情况的数据有限。2021 年，我们收集了来自 1583 名美国成年（年龄≥21 岁）当前烟草使用者的数据。参与者自我报告了 HTP 的认知、信念、使用和易感性，以及当前的烟草制品使用情况和社会人口统计学特征。我们使用加权逻辑回归和多项回归模型来探讨它们之间的关联。总体而言，23.6%的人知晓 HTP，8.9%的人曾经使用过 HTP，3.0%的人目前正在使用 HTP。年轻人（61 岁以上）、年收入在 50000 美元以上的人（年收入低于 50000 美元）和目前使用电子烟产品的人（非使用者）更有可能知晓 HTP，曾经使用过 HTP，目前正在使用 HTP（<0.05）。黑人（与白人相比）更有可能报告曾经和目前使用 HTP（<0.05）。目前吸烟与 HTP 的知晓和使用无关（>0.05）。持有赞成 HTP 的信念与易感性和更先进的 HTP 使用状态有关（<0.05）。与 HTP 使用相关的社会人口统计学特征可能反映了 HTP 的营销策略。与吸烟无关的情况表明 HTP 不太可能成为香烟替代品。解决与 HTP 相关的有利信念可能有助于防止双重使用。
