Cohn Amy M, Zaring-Hinkle Brittany, Catino Joshua D, Ehlke Sarah J, Ware Kali, Alexander Adam, Smith Michael A, Jewell-Fleming Sheri, Queimado Lurdes, Kendzor Darla E
TSET Health Promotion Research Center, University of Oklahoma Health Sciences Center, Stephenson Cancer Center, 655 Research Parkway, Suite 400, Oklahoma City, OK 73014, USA.
Department of Pediatrics, University of Oklahoma Health Sciences Center, 1200 Children's Aven, Suit 14000, Oklahoma City, OK, 73104, USA.
Prev Med Rep. 2024 Jul 23;45:102835. doi: 10.1016/j.pmedr.2024.102835. eCollection 2024 Sep.
Little is known about the demographic and health correlates of secondhand cannabis smoke (SHCS) exposure, despite increased availability and use of cannabis across the U.S. This study examined the prevalence and correlates of SHCS exposure in a sample of N=5,410 adults living in Oklahoma and the association of SHCS exposure with self-reported respiratory problems.
Data were from a repeated cross-sectional online survey of adults ages 18 and older who completed measurements of past 30-day SHCS exposure in the respondent's home, in a vehicle, and/or in an indoor setting; harm perceptions of SHCS exposure; frequency of current respiratory symptoms; past 30-day use of cannabis, alcohol, and cigarettes.
Almost half (42 %) reported past 30-day SHCS exposure. In bivariate tests, those exposed were male, younger, non-Hispanic (NH) black or Hispanic, reported lower educational and financial attainment, had lower harm perceptions of SHCS exposure, endorsed more respiratory symptoms, and reported past 30-day cannabis and cigarette use (all p's < 0.01). In an adjusted regression model, young adulthood (ages 18-24), NH black race (vs NH White), and past 30-day cigarette smoking and cannabis use emerged as the strongest correlates of SHCS exposure. In interaction models, respiratory symptoms were highest among those reporting past 30-day SHCS exposure and past 30-day cannabis use.
SHCS exposure is common and associated with more frequent respiratory symptoms, particularly among cannabis users. Those exposed were more socially and economically vulnerable.
尽管美国大麻的可获得性和使用有所增加，但关于二手大麻烟雾（SHCS）暴露的人口统计学和健康相关性却知之甚少。本研究调查了居住在俄克拉荷马州的N = 5410名成年人样本中SHCS暴露的患病率及其相关因素，以及SHCS暴露与自我报告的呼吸问题之间的关联。
数据来自对18岁及以上成年人的重复横断面在线调查，这些成年人完成了对过去30天内在受访者家中、车内和/或室内环境中SHCS暴露的测量；对SHCS暴露的危害认知；当前呼吸道症状的频率；过去30天内大麻、酒精和香烟的使用情况。
近一半（42%）的人报告过去30天有SHCS暴露。在双变量检验中，暴露者为男性、年轻人、非西班牙裔（NH）黑人或西班牙裔，报告的教育程度和经济收入较低，对SHCS暴露的危害认知较低，认可更多的呼吸道症状，并报告过去30天使用过大麻和香烟（所有p值<0.01）。在调整后的回归模型中，青年期（18 - 24岁）、NH黑人种族（与NH白人相比）以及过去30天吸烟和使用大麻成为SHCS暴露的最强相关因素。在交互模型中，报告过去30天有SHCS暴露且过去30天使用过大麻的人群中呼吸道症状最为严重。
SHCS暴露很常见，且与更频繁的呼吸道症状相关，尤其是在大麻使用者中。暴露者在社会和经济方面更脆弱。
