North Caroline, Pasch Keryn E, Pinedo Miguel, Wilkinson Anna V, Loukas Alexandra
Department of Kinesiology and Health Education, The University of Texas at Austin, 2100 San Jacinto Blvd D3700, Austin, TX, 78712, USA.
Department of Epidemiology, UTHealth Houston, School of Public Health, 1836 San Jacinto Blvd, Suite 595, Austin, TX, 78701, USA.
Prev Sci. 2025 May 1. doi: 10.1007/s11121-025-01811-0.
We examined the associations of impulsivity, sensation-seeking, and peer electronic nicotine delivery systems (ENDS) use on longitudinal changes in ENDS use frequency across ages 19-29 years old. Data were drawn from a larger multi-wave study of college students in Texas. Participants were 1227 initially 19-25-year-old young adults who currently used ENDS at least once across six waves (baseline: fall 2015, final wave: spring 2019). At baseline, participants were 21.3 years old on average, 43.6% male, 35.5% non-Hispanic White, 32.5% Hispanic/Latino, 16.2% Asian, 6.7% Black, and 9.1% another racial/ethnic identity. Growth curve modeling with an accelerated longitudinal design was used to test direct and interactive associations of age, impulsivity, sensation-seeking, and peer ENDS use on ENDS use frequency across young adulthood, 19-29 years old. Findings indicated that the trajectory of ENDS use frequency increased with increasing age. Impulsivity, but not sensation-seeking, was associated with an increase in ENDS use frequency across increasing age. Impulsivity and sensation-seeking significantly interacted with peer ENDS use: those high in impulsivity or sensation-seeking used ENDS less frequently as they aged when they had fewer peers who use ENDS, and those high in sensation-seeking used ENDS more frequently when they had more peers who use ENDS. Peers play an important role for young adults with impulsivity and/or sensation-seeking-having few peers who use ENDS was protective of escalations in ENDS use, and having more peers who use ENDS increases the risk for escalations in ENDS use for those high in sensation-seeking only.
我们研究了冲动性、寻求刺激以及同伴使用电子尼古丁传送系统(ENDS)与19至29岁人群ENDS使用频率的纵向变化之间的关联。数据来自德克萨斯州一项针对大学生的规模更大的多波研究。参与者为1227名最初年龄在19至25岁的年轻人,他们在六个波次(基线:2015年秋季,最后一波次:2019年春季)中至少使用过一次ENDS。基线时,参与者平均年龄为21.3岁,男性占43.6%,非西班牙裔白人占35.5%,西班牙裔/拉丁裔占32.5%,亚洲人占16.2%,黑人占6.7%,其他种族/族裔身份占9.1%。采用加速纵向设计的增长曲线模型来测试年龄、冲动性、寻求刺激以及同伴ENDS使用对19至29岁青年期ENDS使用频率的直接和交互关联。研究结果表明,ENDS使用频率的轨迹随年龄增长而增加。冲动性而非寻求刺激与年龄增长过程中ENDS使用频率的增加相关。冲动性和寻求刺激与同伴ENDS使用存在显著交互作用:冲动性或寻求刺激程度高的人,在同伴使用ENDS较少时,随着年龄增长使用ENDS的频率降低;而寻求刺激程度高的人,在同伴使用ENDS较多时,使用ENDS的频率更高。同伴对于有冲动性和/或寻求刺激的年轻人起着重要作用——同伴中使用ENDS的人少对ENDS使用的增加具有保护作用,而对于仅寻求刺激程度高的人来说,同伴中使用ENDS的人多会增加ENDS使用增加的风险。