Smoking Intention and Progression From E-Cigarette Use to Cigarette Smoking

被引：35

作者：

Owotomo, Olusegun ^{[1
]}

Stritzel, Haley ^{[2
,3
]}

McCabe, Sean Esteban ^{[6
,7
,8
,9
,10
,11
]}

Boyd, Carol J. ^{[6
,7
,8
,12
]}

Maslowsky, Julie ^{[3
,4
,5
]}

机构：

[1] Childrens Natl Hosp, Washington, DC USA

[2] Univ Texas Austin, Dept Sociol, Austin, TX 78712 USA

[3] Univ Texas Austin, Coll Liberal Arts, Populat Res Ctr, Austin, TX 78712 USA

[4] Univ Texas Austin, Coll Educ, Dept Kinesiol & Hlth Educ, 2109 San Jacinto Blvd,D3700, Austin, TX 78712 USA

[5] Univ Texas Austin, Dell Med Sch, Dept Populat Hlth, Austin, TX 78712 USA

[6] Univ Michigan, Ctr Study Drugs Alcohol Smoking & Hlth, Sch Nursing, Ann Arbor, MI 48109 USA

[7] Univ Michigan, Sch Publ Hlth, Dept Hlth Behav & Biol Sci, Ann Arbor, MI 48109 USA

[8] Univ Michigan, Inst Res Women & Gender, Ann Arbor, MI 48109 USA

[9] Univ Michigan, Social Res, Ann Arbor, MI 48109 USA

[10] Univ Michigan, Healthcare Policy & Innovat, Ann Arbor, MI 48109 USA

[11] Univ Michigan, Rogel Canc Ctr, Ann Arbor, MI 48109 USA

[12] Univ Michigan, Addict Ctr, Dept Psychiat, Michigan Med, Ann Arbor, MI 48109 USA

来源：

PEDIATRICS | 2020年 / 146卷 / 06期

基金：

美国国家卫生研究院;

关键词：

SUBSEQUENT CIGARETTE; PLANNED BEHAVIOR; FUTURE SMOKING; YOUTH SMOKING; SUSCEPTIBILITY; ADOLESCENTS; NICOTINE; INITIATION; ASSOCIATIONS; PREDICTORS;

D O I：

10.1542/peds.2020-002881

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

OBJECTIVES: To investigate whether the prospective association between electronic cigarette (e-cigarette) use and cigarette smoking is dependent on smoking intention status. METHODS: Waves 2 and 3 data of the Population Assessment of Tobacco and Health (PATH) Study, a US nationally representative prospective cohort study of tobacco use. Data were collected in 2014-2015 (wave 2) and 2015-2016 (wave 3) and analyzed in 2019. RESULTS: At wave 2, 12.8% of adolescent never-smokers of conventional cigarettes had intention to smoke and 8.5% had ever used an e-cigarette. At wave 3, 3.2% had ever smoked a cigarette. Both smoking intention and ever using e-cigarettes at wave 2 were positively associated with cigarette smoking at wave 3 (adjusted odds ratio [aOR] = 3.03; 95% confidence interval [CI] = 1.97-4.68, P < .001; aOR = 4.62, 95% CI = 2.87-7.42, P < .001, respectively). The interaction between smoking intention and ever using e-cigarettes was significant (aOR = 0.34, 95% CI = 0.18-0.64, P < .01). Among adolescents who had expressed intention to smoke conventional cigarettes at wave 2, the odds of cigarette smoking at wave 3 did not significantly differ for e-cigarette users and never e-cigarette users (aOR = 1.57; 95% CI 0.94-2.63; P = .08). Among adolescents who had no intention to smoke at wave 2, e-cigarette users, compared with never e-cigarette users, had >4 times the odds of cigarette smoking (aOR = 4.62; 95% CI 2.87-7.42; P < .0001). CONCLUSIONS: E-cigarette use is associated with increased odds of cigarette smoking among adolescents who had no previous smoking intention. E-cigarette use may create intention to smoke and/or nicotine use disorder that lead to onset of cigarette smoking.

引用

页数：9

共 60 条

[41] Vaping as a Catalyst for Smoking? An Initial Model on the Initiation of Electronic Cigarette Use and the Transition to Tobacco Smoking Among Adolescents [J].