Assari Shervin, Sheikhattari Payam
Department of Internal Medicine, Charles R Drew University of Medicine and Science, Los Angeles, CA, USA.
Department of Urban Public Health, Charles R Drew University of Medicine and Science, Los Angeles, CA, USA.
Glob J Cardiovasc Dis. 2024;3(1):13-23. doi: 10.31586/gjcd.2024.1131. Epub 2024 Nov 19.
The dual use of e-cigarettes and combustible cigarettes poses significant public health concerns due to the compounded risks associated with the use of both products. Understanding the predictors of dual use can inform targeted interventions and tobacco control strategies aimed at reducing nicotine dependence and health risks among adults.
This study aims to identify the sociodemographic predictors of dual use of e-cigarettes and combustible cigarettes among U.S. adults using baseline data from the Population Assessment of Tobacco and Health (PATH) Study.
We analyzed baseline data from the PATH Study, focusing on adult participants who reported the use of both e-cigarettes and combustible cigarettes. Logistic regression models were used to identify the associations between dual use and key sociodemographic variables, including age, gender, race/ethnicity, and education level.
The analysis revealed that dual use of e-cigarettes and combustible cigarettes was predominantly observed among young, female, non-Latino, White, and highly educated adults. Younger adults were more likely to engage in dual use compared to older age groups. Females showed higher rates of dual use compared to males. Non-Latino White individuals were more likely to be dual users than individuals from other racial/ethnic backgrounds. Additionally, higher educational attainment was associated with increased dual use, contrary to traditional smoking patterns.
The findings highlight specific demographic groups that are at higher risk of dual use of e-cigarettes and combustible cigarettes, particularly younger, highly educated, non-Latino White females. These insights suggest the need for tailored public health interventions that address the unique needs and behaviors of these populations. Future research should explore the underlying motivations and contextual factors contributing to dual use to enhance the effectiveness of tobacco control policies and cessation programs.
电子烟和可燃香烟的双重使用带来了重大的公共卫生问题，因为使用这两种产品会带来复合风险。了解双重使用的预测因素可以为旨在减少成年人尼古丁依赖和健康风险的针对性干预措施和烟草控制策略提供信息。
本研究旨在利用烟草与健康人口评估（PATH）研究的基线数据，确定美国成年人中电子烟和可燃香烟双重使用的社会人口学预测因素。
我们分析了PATH研究的基线数据，重点关注报告同时使用电子烟和可燃香烟的成年参与者。使用逻辑回归模型来确定双重使用与关键社会人口学变量之间的关联，这些变量包括年龄、性别、种族/族裔和教育水平。
分析显示，电子烟和可燃香烟的双重使用主要出现在年轻、女性、非拉丁裔、白人以及受过高等教育的成年人中。与年龄较大的群体相比，年轻人更有可能进行双重使用。女性的双重使用率高于男性。非拉丁裔白人个体比其他种族/族裔背景的个体更有可能成为双重使用者。此外，与传统吸烟模式相反，较高的教育程度与双重使用的增加有关。
研究结果突出了特定的人口群体，他们使用电子烟和可燃香烟进行双重使用的风险更高，特别是年轻、受过高等教育、非拉丁裔白人女性。这些见解表明需要针对这些人群的独特需求和行为制定量身定制的公共卫生干预措施。未来的研究应探索导致双重使用的潜在动机和背景因素，以提高烟草控制政策和戒烟计划的有效性。
