Department of Human Development and Family Studies, Pennsylvania State University, University Park, Pennsylvania.
Department of Sociology and Criminology, Pennsylvania State University, University Park, Pennsylvania.
J Adolesc Health. 2024 Nov;75(5):766-771. doi: 10.1016/j.jadohealth.2024.05.006. Epub 2024 Jul 14.
To identify risk factors for relaxing a strict e-cigarette ban in households with adolescents.
Youth (ages 12-17) in the Population Assessment of Tobacco and Health (PATH) Study whose parents held a strict vaping ban in 2016 (n = 6,514; 51.5% male) and their parents provided follow-up data on up to four occasions through 2020 on whether the ban was relaxed.
13.5% of households with strict vaping bans relaxed them in a subsequent wave. Results from a logistic regression model showed that the odds of relaxing strict bans were higher if, at baseline, parents vaped (OR = 2.20; 95% CI: 1.22-3.97; p < .01), parents smoked tobacco (OR = 2.55; CI: 2.00-3.26; p < .001), youth smoked tobacco (OR = 2.27; CI: 1.29-4.00; p < .01), parents reported no smoking ban (OR = 2.68; CI: 1.88-3.81; p < .001), youth did not know that their household had a vaping ban (OR = 1.95; CI: 1.50-2.54; p < .001), and parents perceived low harm from vaping (OR = 1.60; CI: 1.16-2.19; p < .01). Although most sociodemographic controls were not independently associated, parents were less likely to relax bans if they had a college degree (OR = 0.71; CI: 0.51-0.998; p < .05), graduate degree (OR = 0.50; CI: 0.43-0.72; p < .001), or children who were non-Hispanic Black (OR = 0.69; CI: 0.49-0.96; p < .05) or Hispanic (OR = 0.62; CI: 0.47-0.81; p < .001).
While most households with adolescents prohibited e-cigarette use indoors, nearly one in seven relaxed prior strict vaping bans. Parents need support to maintain clear, consistent, and continuous restrictions that communicate that vaping is not safe or permissible for youth.
确定与青少年同住的家庭放宽严格电子烟禁令的相关风险因素。
2016 年，参加“人口评估烟草与健康”（PATH）研究的年龄在 12-17 岁的青少年（n=6514；51.5%为男性）的父母持有严格的电子烟禁令，他们的父母在 2020 年之前最多提供了四次关于禁令是否放宽的随访数据。
在随后的波次中，13.5%的严格电子烟禁令家庭放宽了禁令。来自逻辑回归模型的结果显示，如果在基线时父母吸食电子烟（比值比[OR]=2.20；95%置信区间[CI]：1.22-3.97；p<.01）、父母吸烟（OR=2.55；CI：2.00-3.26；p<.001）、青少年吸烟（OR=2.27；CI：1.29-4.00；p<.01）、父母报告没有吸烟禁令（OR=2.68；CI：1.88-3.81；p<.001）、青少年不知道自己家里有电子烟禁令（OR=1.95；CI：1.50-2.54；p<.001）以及父母认为电子烟的危害较低（OR=1.60；CI：1.16-2.19；p<.01），则放宽严格禁令的可能性更高。尽管大多数社会人口统计学控制因素与禁令的放宽无关，但如果父母受过大学教育（OR=0.71；CI：0.51-0.998；p<.05）、研究生学历（OR=0.50；CI：0.43-0.72；p<.001），或其子女是非西班牙裔黑人（OR=0.69；CI：0.49-0.96；p<.05）或西班牙裔（OR=0.62；CI：0.47-0.81；p<.001），则父母不太可能放宽禁令。
尽管大多数与青少年同住的家庭禁止室内使用电子烟，但仍有近七分之一的家庭放宽了先前严格的电子烟禁令。父母需要得到支持，以维持明确、一致和持续的限制，向青少年传达电子烟不安全或不允许使用的信息。
