A qualitative examination of e-cigarette use among California young adults during the EVALI outbreak

被引:4
作者
Yang, Joshua S. [1 ]
Sou, Angela [1 ]
Faruqui, Afsana [1 ]
Mackey, Tim K. [2 ]
机构
[1] Calif State Univ Fullerton, Dept Publ Hlth, 800 N State Coll Blvd,KHS 161-A, Fullerton, CA 92831 USA
[2] Univ Calif San Diego, Dept Anthropol, Global Hlth Program, 8950 Villa La Jolla Dr,A124, La Jolla, CA 92037 USA
关键词
E-cigarettes; E-cigarette; or Vaping; Product-Associated Lung Injury (EVALI); Qualitative research; PRODUCT USE; UNITED-STATES; UPDATE CHARACTERISTICS; ELECTRONIC CIGARETTES; LUNG INJURY; PNEUMONITIS; CESSATION;
D O I
10.1016/j.pmedr.2021.101506
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The 2019 outbreak of E-cigarette, or Vaping, Product Use-Associated Lung Injury (EVALI) increased awareness of potential health risks associated with vaping among the general public. Little is known, however, about how unfolding information regarding EVALI affected knowledge, attitudes, and behaviors among e-cigarette users, particularly among young adults. This study describes attitudinal and behavioral responses to EVALI among young adult e-cigarette users. In October and November 2019, seven focus groups were held with college-going young adult tobacco users from two four-year public universities in California. Focus groups included questions regarding knowledge of and reaction to EVALI news, and how the news affected product use. Text from current ecigarette users was extracted to develop individual phenomenological textural-structural descriptions of ecigarette use for 38 individuals which were used to create a composite experience of e-cigarette use in light of EVALI. Experiences indicated that e-cigarette users were aware of information regarding EVALI and received information from numerous sources. Information was filtered for legitimacy of EVALI claims and causes of EVALI. Risk rationalizations were developed to assess potential harm of continued e-cigarette use and provided reasoning for behavioral responses to EVALI. The emerging harm associated with EVALI prompted e-cigarette users to engage in a cognitive process resulting in employment of a range of rationalities to justify continued use. These results suggest how environmental, cognitive, and behavioral factors may interact as young adults negotiate e-cigarette-related harms.
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页数:5
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