Degani-Costa Luiza Helena, Bruno Fernando P, Gushken Fernanda, Szlejf Claudia, Tokeshi Ana B, Tehrani Yasmin F, Kaufman Daniel, Prasad Kandipudi K L, Kumar Pentapati S S, Jamir Limalemla, Benesch Matthew G K, Ryan Morag G, Lotay Hardeep, Fuld Jonathan P, Fidalgo Thiago M
Faculdade Israelita de Ciências da Saúde Albert Einstein, Hospital Israelita Albert Einstein, São Paulo, Brazil; Department of Psychiatry, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.
Touro College of Osteopathic Medicine, Touro University, Middletown, New York; Department of Public Health, School of Health Sciences and Practice, New York Medical College, Valhalla, NY, USA.
Am J Prev Med. 2023 Nov;65(5):940-949. doi: 10.1016/j.amepre.2023.05.009. Epub 2023 May 11.
The increased use of E-cigarettes and hookah among young consumers represents a public health concern. This study aimed to investigate the frequency and patterns of use of E-cigarettes and hookah among medical trainees. This cross-sectional multinational online survey included medical students, residents, and fellows in Brazil, the U.S., and India between October 2020 and November 2021. Information on sociodemographics; mental health; and E-cigarettes, hookah, tobacco, marijuana, and alcohol use were collected. Generalized structural equation models were used in 2022 to explore the factors associated with current vaping and current hookah use (ongoing monthly/weekly/daily use). People reporting previous sporadic/frequent use or those who never used/only tried it once were the reference group. Overall, 7,526 participants were recruited (Brazil=3,093; U.S.=3,067; India=1,366). The frequency of current vaping was 20% (Brazil), 11% (U.S.), and <1% (India), and current hookah use was 10% (Brazil), 6% (U.S.), and 1% (India). Higher family income (OR=6.35, 95% CI=4.42, 9.12), smoking cigarettes (OR=5.88, 95% CI=4.88, 7.09) and marijuana (OR=2.8, 95% CI=2.35, 3.34), and binge drinking (OR=3.03, 95% CI=2.56, 3.59) were associated with current vaping. The same was true for hookah use: higher family income (OR=2.69, 95% CI=1.75, 4.14), smoking cigarettes (OR=3.20, 95% CI=2.53, 4.06), smoking marijuana (OR=4.17, 95% CI=3.35, 4.19), and binge drinking (OR=2.42, 95% CI=1.96, 2.99). In conclusion, E-cigarettes and hookah were frequently used by Brazilian and American trainees, sharply contrasting with data from India. Cultural aspects and public health policies may explain the differences among countries. Addressing the problems of hookah and E-cigarette smoking in this population is relevant to avoid the renormalization of smoking.
电子烟和水烟在年轻消费者中的使用增加引发了公共卫生担忧。本研究旨在调查医学实习生中电子烟和水烟的使用频率及模式。这项横断面跨国在线调查涵盖了2020年10月至2021年11月期间巴西、美国和印度的医学生、住院医师和研究员。收集了有关社会人口统计学、心理健康以及电子烟、水烟、烟草、大麻和酒精使用的信息。2022年使用广义结构方程模型来探究与当前电子烟使用和当前水烟使用（每月/每周/每日持续使用）相关的因素。报告既往偶尔/频繁使用或从未使用/仅尝试过一次的人作为参照组。总体而言，共招募了7526名参与者（巴西=3093人；美国=3067人；印度=1366人）。当前电子烟使用频率在巴西为20%，在美国为11%，在印度<1%；当前水烟使用频率在巴西为10%，在美国为6%，在印度为1%。较高的家庭收入（比值比=6.35，95%置信区间=4.42，9.12）、吸烟（比值比=5.88，95%置信区间=4.88，7.09）和吸食大麻（比值比=2.8，95%置信区间=2.35，3.34）以及狂饮（比值比=3.03，95%置信区间=2.
