Bluestein Meagan A, Kuk Arnold E, Harrell Melissa B, Chen Baojiang, Hébert Emily T, Pérez Adriana
Michael & Susan Dell Center for Healthy Living, the University of Texas Health Science Center at Houston (UTHealth), School of Public Health, Austin Campus, Austin, TX, USA.
Department of Epidemiology, Human Genetics and Environmental Sciences, the University of Texas Health Science Center at Houston (UTHealth), School of Public Health in Austin Campus, Austin, TX, USA.
Tob Use Insights. 2023 Mar 9;16:1179173X231161314. doi: 10.1177/1179173X231161314. eCollection 2023.
To identify, visualize, and describe the prevalence of within-product patterns of tobacco use behaviors for e-cigarettes, cigarettes, and hookah (TP) by 3 age groups (ie, 12-14-year-old, 15-17-year-old, and 18-20-year-old) with U.S. nationally representative data.
In 2014-2015, never users of each (TP) and age group were followed-up longitudinally between 2015-2019 using five transition states: non-susceptible to (TP) use, susceptible to (TP) use, ever (TP) use, past 30-day (TP) use, and discontinued past 30-day (TP) use. Sankey diagrams were used to graphically visualize patterns in tobacco use behaviors across time.
Among 12-14-year-old who were never users and susceptible to each TP from 2014-2017, 7% initiated ever e-cigarette use and 9.4% first reported past 30-day use by 2018-2019; 5.8% initiated ever cigarette use and 3% first reported past 30-day cigarette use by 2018-2019; and, 4.5% initiated ever hookah use and 1.0% first reported past 30-day hookah use by 2018-2019. Among 15-17-year-old who were never users and susceptible to each TP from 2014-2017, 4.2% initiated ever e-cigarette use and 9.0% first reported past 30-day use by 2018-2019; 4.5% initiated ever cigarette use and 3% first reported past 30-day cigarette use by 2018-2019; and, 4.5% initiated ever hookah use and 2.4% first reported past 30-day hookah use by 2018-2019. Among 18-20-year-old who were never users and susceptible to each TP from 2014-2017, 3.2% initiated ever e-cigarette use and 3.6% first reported past 30-day e-cigarette use by 2018-2019; 3.0% initiated ever cigarette use and 2.3% first reported past 30-day cigarette use; and, 2.8% initiated ever hookah use and 1.0% first reported past 30-day hookah use by 2018-2019.
From 2014 to 2019, onset and progression of e-cigarette, cigarette, and hookah use occurred more frequently in 12-14 and 15-17-year-old than in young adults 18-20-year-old.
利用美国全国代表性数据，识别、可视化并描述三个年龄组（即12 - 14岁、15 - 17岁和18 - 20岁）电子烟、香烟和水烟（TP）的产品内烟草使用行为模式的流行情况。
在2014 - 2015年，对每个（TP）和年龄组的从未使用者在2015 - 2019年期间进行纵向随访，使用五种转变状态：对（TP）使用不敏感、对（TP）使用敏感、曾经（TP）使用、过去30天（TP）使用以及过去30天停止（TP）使用。桑基图用于以图形方式可视化烟草使用行为随时间的模式。
在2014 - 2017年从未使用且对每种TP敏感的12 - 14岁人群中，到2018 - 2019年，7%开始使用电子烟，9.4%首次报告过去30天使用电子烟；5.8%开始使用香烟，3%首次报告过去30天使用香烟；4.5%开始使用水烟，1.0%首次报告过去30天使用水烟。在2014 - 2017年从未使用且对每种TP敏感的15 - 17岁人群中，到2018 - 2019年，4.2%开始使用电子烟，9.0%首次报告过去30天使用电子烟；4.5%开始使用香烟，3%首次报告过去30天使用香烟；4.5%开始使用水烟，2.4%首次报告过去30天使用水烟。在2014 - 2017年从未使用且对每种TP敏感的18 - 20岁人群中，到2018 - 2019年，3.2%开始使用电子烟，3.6%首次报告过去30天使用电子烟；3.0%开始使用香烟，2.3%首次报告过去30天使用香烟；2.8%开始使用水烟，1.0%首次报告过去30天使用水烟。
从2014年到2019年，12 - 14岁和15 - 17岁人群中电子烟、香烟和水烟使用的开始和进展比18 - 20岁的年轻人更频繁。
