Susceptibility to tobacco product use among youth in wave 1 of the population Assessment of tobacco and health (PATH) study

被引：59

作者：

Trinidad, Dennis R. ^{[1
,2
]}

Pierce, John P. ^{[1
,2
]}

Sargent, James D. ^{[3
]}

White, Martha M. ^{[1
]}

Strong, David R. ^{[1
,2
]}

Portnoy, David B. ^{[4
]}

Green, Victoria R. ^{[5
,6
]}

Stanton, Cassandra A. ^{[7
,8
]}

Choi, Kelvin ^{[9
]}

Bansal-Travers, Maansi ^{[10
]}

Shi, Yuyan ^{[1
,2
]}

Pearson, Jennifer L. ^{[11
,12
]}

Kaufman, Annette R. ^{[13
]}

Borek, Nicolette ^{[4
]}

Coleman, Blair N. ^{[4
]}

Hyland, Andrew ^{[10
]}

Carusi, Charles ^{[7
]}

Kealey, Sheila ^{[1
]}

Leas, Eric ^{[1
,2
]}

Noble, Madison L. ^{[1
,2
]}

Messer, Karen ^{[1
,2
]}

机构：

[1] Univ Calif San Diego, Canc Prevent Program, Moores Canc Ctr, San Diego, CA 92103 USA

[2] Univ Calif San Diego, Dept Family Med & Publ Hlth, San Diego, CA USA

[3] Geisel Sch Med Dartmouth, C Everett Koop Inst, Norris Cotton Canc Ctr, Hanover, NH 03755 USA

[4] US FDA, Ctr Tobacco Prod, Silver Spring, MD USA

[5] NIH, Div Epidemiol Serv & Prevent Res, NIDA, Bethesda, MD USA

[6] Kelly Govt Solut, Rockville, MD 20770 USA

[7] WESTAT Corp, Rockville, MD 20850 USA

[8] Georgetown Univ, Dept Oncol Canc Prevent & Control Program, Lombardi Comprehens Canc Ctr, Washington, DC 20523 USA

[9] NIH, Div Intramural Res, Natl Inst Minor Hlth & Hlth Dispar, Bldg 10, Bethesda, MD 20892 USA

[10] Roswell Pk Canc Inst, Dept Hlth Behav, Buffalo, NY 14263 USA

[11] Schroeder Inst Tobacco Res & Policy Studies Truth, Washington, DC 20001 USA

[12] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Hlth Behav & Soc, Baltimore, MD 21218 USA

[13] NIH, Tobacco Control Res Branch Behav Res Program, Div Canc Control & Populat Sci, Natl Canc Inst, Rockville, MD 20892 USA

来源：

PREVENTIVE MEDICINE | 2017年 / 101卷

基金：

美国国家卫生研究院;

关键词：

Tobacco products; Susceptibility; Youth and young adults; CIGARETTE-SMOKING; UNITED-STATES; ELECTRONIC CIGARETTES; EXPERIMENTATION; ADOLESCENTS; INITIATION; CESSATION; AMERICAN; VALIDITY; START;

D O I：

10.1016/j.ypmed.2017.05.010

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

The purpose of this study was to investigate susceptibility and ever use of tobacco products among adolescents and young adults in the US. Cross-sectional analysis of Wave 1(2013-2014) adolescent (12-17 year-olds; n= 13,651) and young adult (18-24 year-olds; n = 9112) data from the nationally-representative Population Assessment of Tobacco and Health (PATH) Study was conducted. At 12 years, 5% were ever tobacco users and 36% were susceptible to use. Seventy percent were susceptible at age 17 years, and the same proportion were ever users at age 22 years. Susceptibility levels were comparable for cigarettes and e-cigarette (28.6% and 27.4%, respectively), followed by hookah (22.0%), pipes (17.5%), cigars (15.2%), and smokeless tobacco (9.7%). Non-Hispanic (NH) Black (Adjusted Odds Ratio [ORadj] = 1.36; 95% Confidence Limit [CL], 1.18-1.56) and Hispanic (ORadj= 1.34: 95% CL, 1.19-1.49) adolescent never-users were more likely to be susceptible to future use of a tobacco product than NH Whites. Susceptibility was higher with age (15-17 yrs. vs 12-14 yrs.: ORadj = 1.69; 95% CL, 1.55-1.85) and parental education (college graduates vs less than HS education: ORadj= 1.22, 95% CL, 1.08-1.39). Compared to exclusive users of hookah, cigars, or smokeless products, larger proportions of exclusive e-cigarette ever users were also susceptible to cigarette use. Among adolescents, lower levels of ever use of tobacco products are often counterbalanced by higher levels of susceptibility for future use, which may suggest delayed initiation in some groups. Ever users of a given tobacco product were more susceptible to use other tobacco products, putting them at risk for future multiple tobacco product use. (C) 2017 Elsevier Inc. All rights reserved.

引用

页码：8 / 14

页数：7

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