Trends in Tobacco Product Use Patterns Among US Youth, 1999-2014

被引:24
作者
El-Toukhy, Sherine [1 ]
Sabado, Melanie [1 ]
Choi, Kelvin [1 ]
机构
[1] Natl Inst Minor Hlth & Hlth Dispar, Div Intramural Res, NIH, 9000 Rockville Pike, Bethesda, MD 20892 USA
基金
美国国家卫生研究院;
关键词
SMOKELESS TOBACCO; E-CIGARETTES; UNITED-STATES; NICOTINE; SMOKING; EXPOSURE; ACCESS; HEALTH; MIDDLE;
D O I
10.1093/ntr/ntx128
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Introduction: We examined trends in seven mutually exclusive tobacco product use patterns (T-PUPs) in nationally representative samples of U.S. youth over time and age. Methods: We used time varying effect modeling on National Youth Tobacco Surveys, 1999-2014 (N = 38 662, 9-17 years, M = 15.02). Regression coefficients were estimated as a non-parametric function of time. T-PUPs were cigarette only, non-cigarette combustible only, noncombustible only, non-cigarette combustible and noncombustible dual, cigarette and noncombustible dual, cigarette and non-cigarette combustible dual, and POLY (i.e. cigarettes, non-cigarette combustibles, and noncombustibles) use. Results: Among youth tobacco users, cigarette only use was the predominant T-PUP from 1999 to 2010. After 2010 and 2013, non-cigarette combustible only (AOR 1.38, CI = 1.02-1.87) and noncombustible only (AOR 1.57, CI = 1.00-2.45) use became more prevalent than cigarette only use. In 2011, dual and POLY T-PUPs were on the rise although not significantly different from cigarette only use. Cigarette only use was the predominant T-PUP among 11-to 17-year-old tobacco users. Non-cigarette combustible only (AOR 0.14, CI = 0.10-0.19), noncombustible only (AOR 0.01, CI = 0.008-0.02), non-cigarette combustible and noncombustible (AOR 0.01, CI = 0.01-0.03), cigarette and noncombustible (AOR 0.02, CI = 0.01-0.04), cigarette and non-cigarette combustible (AOR 0.32, CI = 0.24-0.43), and POLY (AOR 0.02, CI = 0.01-0.04) use were less prevalent than cigarette only use at age 17. Conclusions: Non-cigarette, dual, and POLY T-PUPs are rising among youth tobacco users. Screening for all tobacco use and delivering treatment during pediatrician visits should be standard clinical practice.
引用
收藏
页码:690 / 697
页数:8
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