Program in Health Disparities Research, Department of Family Medicine and Community Health, University of Minnesota, 717 Delaware Street SE, Suite 166, Minneapolis, MN 55414, United States.
Department of Medicine, University of Minnesota, 401 East River Parkway, VCRC 1(st) Floor, Suite 131, Minneapolis, MN 55455, United States.
Addict Behav. 2023 Oct;145:107761. doi: 10.1016/j.addbeh.2023.107761. Epub 2023 Jun 4.
This study characterized variation in e-cigarette use patterns and related protective factors by ethnicity among Asian American adolescents.
Multivariable logistic regressions modelled associations between ethnic group, 6 protective factors (college aspirations, internal developmental assets, positive teacher engagement, family caring, and peer and parent anti-smoking norms), and past 30-day e-cigarette use, adjusting for covariates among 10,482 8th, 9th, and 11th grade Asian American respondents to the 2019 Minnesota Student Survey. Interaction terms (protective factor × ethnic group) were used in 6 subsequent regression models to examine whether the association between each protective factor and e-cigarette use differed as a function of ethnic group.
Respondents included 9.0% Indian, 0.3% Burmese, 7.9% Chinese, 2.5% Filipino, 25.0% Hmong, 3.2% Karen, 4.6% Korean, 2.7% Laotian, 8.2% Vietnamese, 7.5% other, 7.5% multi-ethnic, and 21.6% multi-racial adolescents. E-cigarettes were the predominant form of tobacco use. Laotian and multi-racial groups reported the highest e-cigarette use (16.6% and 16.3%), whereas Chinese and Asian Indians reported the lowest (4.7% and 5.0%). Strong peer anti-smoking norms, higher internal developmental assets scores, and positive teacher engagement were associated with lower odds of e-cigarette use across groups, with significant interactions for internal developmental assets by ethnicity.
E-cigarettes are the most prevalent tobacco product used by Asian adolescents in Minnesota, with notable heterogeneity by ethnicity. While most established protective factors appeared to function similarly for Asian adolescents, others differed, underscoring the importance of disaggregating data by ethnicity to inform the tailoring of prevention and control strategies for these ethnic groups.
本研究通过对美国亚裔青少年的种族特征来描述电子烟使用模式及相关保护因素的差异。
采用多变量逻辑回归模型，对 10482 名 8、9 和 11 年级的亚裔美国学生调查员的 6 项保护因素（大学愿望、内部发展资产、积极的教师参与、家庭关爱、同伴和父母反吸烟规范）和过去 30 天电子烟使用情况与种族群体之间的关联进行了调整。在 6 个后续回归模型中使用了交互项（保护因素×种族群体），以检验每个保护因素与电子烟使用之间的关联是否因种族群体而有所不同。
研究对象包括 9.0%的印度人、0.3%的缅甸人、7.9%的中国人、2.5%的菲律宾人、25.0%的苗族、3.2%的克伦人、4.6%的韩国人、2.7%的老挝人、8.2%的越南人、7.5%的其他人、7.5%的多种族裔和 21.6%的多种族裔青少年。电子烟是主要的烟草制品。老挝和多种族裔群体报告的电子烟使用率最高（16.6%和 16.3%），而中国人和印度人报告的使用率最低（4.7%和 5.0%）。强烈的同伴反吸烟规范、较高的内部发展资产得分和积极的教师参与与各群体电子烟使用率降低相关，且与种族群体内部发展资产存在显著交互作用。
电子烟是明尼苏达州亚裔青少年使用最普遍的烟草产品，不同种族之间存在显著差异。虽然大多数已确立的保护因素似乎对亚裔青少年具有相似的作用，但其他因素则不同，这强调了按种族群体细分数据的重要性，以便为这些族裔群体制定有针对性的预防和控制策略。
