Derrick William, Jackson Hannah, Nugent Kenneth, Yang Shengping
Texas Tech University Health Sciences Center School of Medicine, Lubbock, USA.
Pennington Biomedical Research Center, Baton Rouge, LA, USA.
J Prim Care Community Health. 2025 Jan-Dec;16:21501319251364335. doi: 10.1177/21501319251364335. Epub 2025 Aug 6.
INTRODUCTION/OBJECTIVES: This study analyzed the relationship between social media use, perceptions of harm, demographic factors, and the likelihood of electronic cigarette use in middle and high school students in the United States, using data from the 2023 National Youth Tobacco Survey (NYTS).
A total of 22 069 students participated in the 2023 NYTS, with 16 845 included in the final analysis after excluding those with missing data. The survey collected self-reported data on e-cigarette use, social media engagement, perceptions of harm and addictiveness, and environmental exposure to e-cigarettes. Adjusted odds ratios (OR) were calculated to assess the association between these factors and e-cigarette use.
Two thousand four hundred ninety-eight students (14.8%) reported ever using e-cigarettes, with older students showing significantly higher odds of e-cigarette use than younger students. Non-Hispanic Black and other racial groups had lower odds of e-cigarette use compared to non-Hispanic White students. Adolescents who perceived e-cigarettes as more harmful or more addictive than cigarettes were less likely to have used them. Social media behaviors were also strongly associated with e-cigarette use, with students who used social media less frequently having lower rates of e-cigarette use. Other social media related findings showed that students who frequently saw, posted, or interacted with e-cigarette-related content were significantly more likely to try e-cigarettes. Exposure to e-cigarette use at home and in vehicles further increased the likelihood of use.
This study highlights the influence of social media exposure, perceptions of harm, and demographic factors on adolescent e-cigarette use. Older students and those with greater exposure to e-cigarette-related content on social media are at higher risk for e-cigarette experimentation. Public health efforts should focus on addressing social media influences, correcting misperceptions about peer use, and educating adolescents on the risks of e-cigarette use to mitigate this growing public health concern.
引言/目标：本研究利用2023年全国青少年烟草调查（NYTS）的数据，分析了美国中学生和高中生使用社交媒体、对危害的认知、人口统计学因素与使用电子烟可能性之间的关系。
共有22069名学生参与了2023年NYTS，在排除数据缺失者后，最终分析纳入了16845名学生。该调查收集了关于电子烟使用、社交媒体参与度、对危害和成瘾性的认知以及电子烟环境暴露的自我报告数据。计算调整后的优势比（OR）以评估这些因素与电子烟使用之间的关联。
2498名学生（14.8%）报告曾使用过电子烟，年龄较大的学生使用电子烟的几率明显高于年龄较小的学生。与非西班牙裔白人学生相比，非西班牙裔黑人和其他种族群体使用电子烟的几率较低。认为电子烟比香烟更有害或更易成瘾的青少年使用电子烟的可能性较小。社交媒体行为也与电子烟使用密切相关，使用社交媒体频率较低的学生电子烟使用率也较低。其他与社交媒体相关的研究结果表明，经常看到、发布或与电子烟相关内容互动的学生尝试电子烟的可能性明显更高。在家中和车辆中接触到电子烟的使用进一步增加了使用的可能性。
本研究强调了社交媒体暴露、对危害的认知和人口统计学因素对青少年电子烟使用的影响。年龄较大的学生以及在社交媒体上接触到更多电子烟相关内容的学生进行电子烟尝试的风险更高。公共卫生工作应侧重于应对社交媒体的影响、纠正对同伴使用的误解，并教育青少年认识电子烟使用的风险，以减轻这一日益严重的公共卫生问题。
