Disposable e-cigarette use and associated factors in US middle and high school students, 2021-2022.

IF 2.2 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Tobacco Induced Diseases Pub Date : 2024-06-26 eCollection Date: 2024-01-01 DOI:10.18332/tid/189486

Daniel T H Chen, Charis Girvalaki, Filippos T Filippidis

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Abstract

Introduction: Disposable e-cigarettes are the predominant type of vaping product used by adolescents and pose a significant public health concern. Identifying factors contributing to this growing trend is essential to curbing the vaping epidemic among youths. This study aims to investigate the growing prevalence and correlates of disposable e-cigarette use among US students.

Methods: Data from 48437 US middle and high school students from the 2021 and 2022 National Youth Tobacco Survey (NYTS) were analyzed using logistic and ordinal regression models to evaluate disposable e-cigarette use and frequency of use (low, medium, and high) with demographic and psychosocial factors. Weighted prevalence of current e-cigarette use with 95% CIs by device types in 2021 and 2022, were calculated. Odds ratios (ORs) of correlations of disposable e-cigarette use and frequency of use with demographic and psychosocial factors were analyzed.

Results: Disposable e-cigarette use increased from 3.9% (95% CI: 3.3-4.7) in 2021 to 5.1% (95% CI: 4.2-6.1) in 2022, and was associated with being female (OR=1.57; 95% CI: 1.29-1.91 vs male), high schoolers (OR=5.14; 95% CI: 3.96-6.67 vs middle schoolers), having low harm perceptions of e-cigarettes (OR=7.75; 95% CI: 5.58-10.75 vs lot of harm), and high exposure to marketing (OR=1.57; 95% CI: 1.05-2.35 vs low exposure). Identifying as LGBTQ (OR=1.41; 95% CI: 1.00-2.00 vs straight), having low academic performance (OR=2.16; 95% CI: 1.15-4.07, D vs A grades), and having psychological distress (OR=2.01; 95% CI: 1.64-2.47, severe vs none) were also linked to increased frequency of use.

Conclusions: This study underscores increasing disposable e-cigarette use among US students, noting existing disparities. It identifies high-risk adolescent subgroups vulnerable to disposable e-cigarette use. These findings emphasize the urgency of targeted prevention and stricter regulations on disposable e-cigarettes to combat nicotine addiction among youths.

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2021-2022 年美国初中和高中学生一次性电子烟使用情况及相关因素。

导言：一次性电子烟是青少年使用的最主要的吸食产品，对公众健康构成了严重威胁。要遏制吸食电子烟在青少年中的流行，就必须找出导致这一增长趋势的因素。本研究旨在调查一次性电子烟使用在美国学生中日益增长的流行率及其相关因素：使用逻辑和序数回归模型分析了来自 2021 年和 2022 年全国青少年烟草调查（NYTS）的 48437 名美国初中和高中学生的数据，以评估一次性电子烟的使用情况以及使用频率（低、中、高）与人口和社会心理因素的关系。根据 2021 年和 2022 年的设备类型，计算了当前电子烟使用的加权流行率及 95% CIs。分析了一次性电子烟使用率和使用频率与人口和心理社会因素的相关性的比值比（ORs）：一次性电子烟使用率从2021年的3.9%（95% CI：3.3-4.7）上升到2022年的5.1%（95% CI：4.2-6.1），与女性（OR=1.57；95% CI：1.29-1.91 vs 男性）、高中生（OR=5.14；95% CI：3.96-6.67 vs 初中生）、对电子烟危害的认知度低（OR=7.75；95% CI：5.58-10.75 vs 危害大）以及接触营销的机会多（OR=1.57；95% CI：1.05-2.35 vs 接触少）。LGBTQ身份（OR=1.41；95% CI：1.00-2.00 vs异性恋）、学习成绩差（OR=2.16；95% CI：1.15-4.07，D级 vs A级）和心理困扰（OR=2.01；95% CI：1.64-2.47，严重 vs 无）也与使用频率增加有关：本研究强调了美国学生中一次性电子烟使用率的增加，并注意到了现有的差异。它确定了容易使用一次性电子烟的高风险青少年亚群。这些发现强调了有针对性的预防和对一次性电子烟进行更严格监管的紧迫性，以打击青少年尼古丁成瘾。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Tobacco Induced Diseases SUBSTANCE ABUSE-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

5.30

自引率

5.40%

发文量

审稿时长

12 weeks

期刊介绍： Tobacco Induced Diseases encompasses all aspects of research related to the prevention and control of tobacco use at a global level. Preventing diseases attributable to tobacco is only one aspect of the journal, whose overall scope is to provide a forum for the publication of research articles that can contribute to reducing the burden of tobacco induced diseases globally. To address this epidemic we believe that there must be an avenue for the publication of research/policy activities on tobacco control initiatives that may be very important at a regional and national level. This approach provides a very important "hands on" service to the tobacco control community at a global scale - as common problems have common solutions. Hence, we see ourselves as "connectors" within this global community. The journal hence encourages the submission of articles from all medical, biological and psychosocial disciplines, ranging from medical and dental clinicians, through health professionals to basic biomedical and clinical scientists.