Department of Communication, University of Louisville, Louisville, KY, USA; Christina Lee Brown Envirome Institute, School of Medicine, University of Louisville, Louisville, KY, USA.
Department of Communication, University of Louisville, Louisville, KY, USA; Department of Epidemiology, University of Michigan, Ann Arbor, MI, USA.
Addict Behav. 2023 Sep;144:107726. doi: 10.1016/j.addbeh.2023.107726. Epub 2023 Apr 17.
Health care providers' (HCP) advice on tobacco prevention and cessation is critical in addressing the tobacco use epidemic among adolescents. However, examination of whether receiving advice from HCPs differs by adolescent sociodemographic characteristics and tobacco use is limited.
HCP advice to abstain from using tobacco was examined using the 2020 National Youth Tobacco Survey (N = 12,483). Sociodemographic (age, sex, sexual orientation, race/ethnicity, and region) and tobacco use (non-current, sole, dual/poly) differences by HCP advice were evaluated using adjusted logistic regression models.
Among the sample, 37.26% of adolescents received HCP advice to abstain from using tobacco products, and 31.35% received HCP advice to abstain from using e-cigarettes specifically. Adolescents who were non-Hispanic Black (vs. non-Hispanic White) were more likely not to receive HCP advice to abstain from all tobacco products (OR = 1.31, 95% CI: 1.08-1.59). Adolescents who were non-Hispanic Black (vs. non-Hispanic White) (OR = 1.41, 95% CI: 1.16-1.73) or sexual minority (vs. heterosexual) (OR = 1.16, 95% CI: 1.02-1.33) were more likely not to receive HCP advice to abstain from e-cigarettes. Adolescents who were aged 16-18 (vs. aged 9-12) (OR = 0.68, 95% CI: 0.56-0.83) or currently use dual/poly tobacco products (vs. adolescents who do not currently use tobacco) (OR = 0.56, 95% CI: 0.43-0.74) were more likely to receive HCP advice to abstain from using e-cigarettes).
Many U.S. adolescents do not receive HCP advice to abstain from using tobacco. HCPs should increase tobacco prevention and cessation advice across adolescent groups, particularly racial/ethnic and sexual minorities. HCP training and public health policies that improve delivery of e-cigarette advice to adolescents are essential.
医疗保健提供者（HCP）在预防和戒烟方面的建议对于解决青少年中的烟草使用流行至关重要。然而，对于 HCP 建议是否因青少年的社会人口统计学特征和烟草使用而有所不同，目前的研究还很有限。
使用 2020 年全国青少年烟草调查（N=12483），调查 HCP 关于禁止使用烟草的建议。使用调整后的逻辑回归模型评估 HCP 建议在社会人口统计学（年龄、性别、性取向、种族/民族和地区）和烟草使用（非当前、单一、双重/多重）方面的差异。
在样本中，37.26%的青少年接受了 HCP 关于禁止使用烟草制品的建议，31.35%的青少年接受了 HCP 关于禁止使用电子烟的具体建议。与非西班牙裔白人相比，非西班牙裔黑人（非西班牙裔黑人和非西班牙裔白人）更不可能收到禁止使用所有烟草制品的 HCP 建议（OR=1.31，95%CI：1.08-1.59）。与异性恋者相比，非西班牙裔黑人（非西班牙裔黑人和非西班牙裔白人）（OR=1.41，95%CI：1.16-1.73）或性少数群体（OR=1.16，95%CI：1.02-1.33）更不可能收到禁止使用电子烟的 HCP 建议。与 9-12 岁的青少年相比，16-18 岁的青少年（OR=0.68，95%CI：0.56-0.83）或目前使用双重/多重烟草制品的青少年（与目前不使用烟草制品的青少年相比）（OR=0.56，95%CI：0.43-0.74）更有可能收到禁止使用电子烟的 HCP 建议。
许多美国青少年没有收到 HCP 关于禁止使用烟草的建议。HCP 应在各个青少年群体中增加烟草预防和戒烟建议，特别是针对种族/民族和性少数群体。HCP 培训和改善向青少年提供电子烟建议的公共卫生政策至关重要。
