Fagan Matthew James, Zhan Jian Kun, Wunderlich Kelly B, Faulkner Guy
School of Kinesiology, University of British Columbia, Vancouver, Canada.
Tob Use Insights. 2024 Apr 15;17:1179173X241247414. doi: 10.1177/1179173X241247414. eCollection 2024.
Many Canadians use nicotine products such as cigarettes and e-cigarettes. A particular subpopulation of concern is post-secondary students given they have a higher prevalence of use. Many correlates of cigarette smoking and e-cigarette use have been identified. However, less focus has been on examining the correlates of cigarette smoking, e-cigarette use and dual use. This study explores the correlates of different nicotine modality use in post-secondary students. Using data from the Canadian Campus Wellbeing Survey (CCWS; = 27,164), a multi-level nominal regression assessed the correlates of nicotine modality use. In comparison to individuals who were <20, individuals 20-24 (OR = .448, 95% CI .321, .625), 25-29 (OR = .140, 95% CI .093, .212), 30-34 (OR = .076, 95% CI .046, .125) and over 35 (OR = .041, 95% CI .024, .071) had lower odds of e-cigarette use compared to cigarette smoking. Identifying as a woman (OR = 1.553, 95% CI 1.202, 2.006), non-heterosexual (OR = .642, 95% CI = .485,0.851), current cannabis user (OR = 1.651, 95% CI 1.296, 2.104), and being an international student (OR = .350, 95% CI .251, .487) also impacted the odds of e-cigarette use vs only cigarette smoking. When considering dual use vs cigarette smoking, individuals aged 20-24 (OR = .491, 95% CI .337, .717), 25-29 (OR = .221, 95% CI .137, .357), 30-34 (OR = .163, 95% CI .091, .292) and over 35 (OR = .122, 95% CI .065, .230) had lower odds than individuals <20. Current cannabis use (OR = 1.680, 95% CI = 1.209, 2.138), binge drinking (OR = 1.885, 95% CI 1.384, 2.568), and international student status (OR = .689, 95% CI .476, .996) also impacted cigarette smoking vs dual-use. Overall, a minority of young adults (11.5%) at post-secondary institutions in our sample use nicotine products, and the higher prevalence of e-cigarette use warrants continued monitoring. Health promotion campaigns addressing e-cigarette use are required. Additionally, tailored intervention efforts could prioritize the treatment needs of international students studying in Canada.
许多加拿大人使用香烟和电子烟等尼古丁产品。值得关注的一个特定亚群体是大专院校学生，因为他们的使用率较高。已经确定了许多与吸烟和使用电子烟相关的因素。然而，较少关注研究吸烟、使用电子烟和同时使用这两种产品的相关因素。本研究探讨大专院校学生中不同尼古丁使用方式的相关因素。利用加拿大校园幸福感调查（CCWS；n = 27164）的数据，进行了多层次名义回归分析，以评估尼古丁使用方式的相关因素。与20岁以下的个体相比，20 - 24岁（OR = 0.448，95% CI 0.321，0.625）、25 - 29岁（OR = 0.140，95% CI 0.093，0.212）、30 - 34岁（OR = 0.076，95% CI 0.046，0.125）以及35岁以上（OR = 0.041，95% CI 0.024，0.071）的个体使用电子烟的几率低于吸烟。女性（OR = 1.553，95% CI 1.202，2.006）、非异性恋者（OR = 0.642，95% CI = 0.485，0.851）、当前使用大麻者（OR = 1.651，95% CI 1.296，2.104）以及国际学生（OR = 0.350，95% CI 0.251，0.487）也会影响使用电子烟而非仅吸烟的几率。在考虑同时使用两种产品与吸烟的情况时，20 - 24岁（OR = 0.491，95% CI 0.337，0.717）、25 - 29岁（OR = 0.221，95% CI 0.137，0.357）、30 - 34岁（OR = 0.163，95% CI 0.091，0.292）以及35岁以上（OR = 0.122，95% CI 0.065，0.230）的个体的几率低于20岁以下的个体。当前使用大麻（OR = 1.680，95% CI = 1.209，2.138）、狂饮（OR = 1.885，95% CI 1.384，2.568）以及国际学生身份（OR = 0.689，95% CI 0.476，0.996）也会影响吸烟与同时使用两种产品的情况。总体而言，在我们样本中的大专院校少数年轻人（11.5%）使用尼古丁产品，电子烟使用率较高，需要持续监测。需要开展针对使用电子烟的健康促进活动。此外，针对性的干预措施可以优先满足在加拿大学习的国际学生的治疗需求。
