Watson Christina Vaughan, Puvanesarajah Samantha, Hawkins Nikki A, Trivers Katrina F
Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, Georgia, USA.
Health Equity. 2023 Feb 28;7(1):137-147. doi: 10.1089/heq.2022.0087. eCollection 2023.
Studies characterizing differences in youth flavored tobacco product use prevalence, curiosity/susceptibility, and harm perceptions by race and ethnicity are limited. This study comprehensively examines flavored tobacco product use and harm perceptions among U.S. middle and high school students, by race and ethnicity.
Data came from the 2019 (=19,018) and 2020 (=14,531) National Youth Tobacco Surveys (NYTS). Weighted prevalence estimates of flavored tobacco product use and curiosity, susceptibility, and harm perception are reported by race and ethnicity (non-Hispanic [NH] White, NH Black, Hispanic, or NH Other). -Tests assessed differences in prevalence by years and racial/ethnic groups.
Among youth with past 30-day tobacco use, use of most flavored tobacco products increased across all racial/ethnic groups; the largest increase was observed among Hispanic youth using other flavored tobacco products (30.3%). The group with the highest susceptibility to future electronic cigarette (e-cigarette) use was Hispanic students (42.3%). Hispanic students had the highest curiosity about and susceptibility to future use of cigarettes and cigars as well.
Increases in the use of and higher susceptibility to other flavored tobacco products, particularly among Hispanic youth, suggest a need for additional changes in environmental conditions and possibly targeted or tailored tobacco control interventions for Hispanic youth.
Given that flavored tobacco use is prevalent among youth and aggressively marketed more to racial/ethnic minority populations, it is important to understand how susceptibility and perceptions relate to tobacco use. Our results suggest a need for a better understanding of social and environmental factors that drive tobacco use behaviors and perceptions, particularly among Hispanic youth, to address the root causes of these differences and create more equitable tobacco control interventions.
关于按种族和族裔特征描述青少年调味烟草产品使用流行率、好奇心/易感性以及危害认知差异的研究有限。本研究全面考察了美国初高中学生中按种族和族裔划分的调味烟草产品使用情况及危害认知。
数据来自2019年（=19,018）和2020年（=14,531）的全国青少年烟草调查（NYTS）。按种族和族裔（非西班牙裔[NH]白人、NH黑人、西班牙裔或NH其他）报告调味烟草产品使用、好奇心、易感性和危害认知的加权流行率估计值。-检验评估了年份和种族/族裔群体之间流行率的差异。
在过去30天内使用过烟草的青少年中，所有种族/族裔群体使用大多数调味烟草产品的情况都有所增加；使用其他调味烟草产品的西班牙裔青少年增幅最大（30.3%）。未来对电子烟使用易感性最高的群体是西班牙裔学生（42.3%）。西班牙裔学生对未来使用香烟和雪茄的好奇心和易感性也最高。
其他调味烟草产品的使用增加且易感性更高，尤其是在西班牙裔青少年中，这表明需要进一步改变环境条件，并可能针对西班牙裔青少年采取有针对性或量身定制的烟草控制干预措施。
鉴于调味烟草在青少年中普遍使用，且更多地向少数种族/族裔群体进行大力营销，了解易感性和认知与烟草使用之间的关系很重要。我们的结果表明，需要更好地理解推动烟草使用行为和认知的社会和环境因素，尤其是在西班牙裔青少年中，以解决这些差异的根本原因，并制定更公平的烟草控制干预措施。
