Associations Between Perceptions of e-Cigarette Harmfulness and Addictiveness and the Age of E-Cigarette Initiation Among the Population Assessment of Tobacco and Health (PATH) Youth.

IF 2.1 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Tobacco Use Insights Pub Date : 2022-01-01 DOI:10.1177/1179173X221133645
Meagan A Bluestein, Melissa B Harrell, Emily T Hébert, Baojiang Chen, Arnold E Kuk, Charles E Spells, Adriana Pérez
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Abstract

Introduction: Youth perceptions of harmfulness and addictiveness of e-cigarettes may impact the age that they initiate e-cigarette use, but this has not been investigated previously.

Methods: Youth (12-17 years old) never e-cigarette users at their first wave of PATH participation (waves 1-3, 2013-2016) were included. PATH questions on absolute perceptions of e-cigarette harmfulness and addictiveness were used as exposures. Interval-censored Cox proportional hazards models were used to estimate the impact of perceptions of harmfulness, and perceptions of addictiveness on (i) the age of initiation of e-cigarette use and (ii) age of first reporting past 30-day e-cigarette use, while controlling for covariates.

Results: Youth who perceive e-cigarettes as having no/little harm had increased risk of initiating both ever e-cigarette use (AHR = 2.04; 95%CI = 1.74-2.40) and past 30-day e-cigarette use (AHR = 2.64; 95%CI = 2.07-3.37) at earlier ages compared to youth who perceive e-cigarettes as having a lot of harm. Youth who perceive the likelihood of becoming addicted to e-cigarettes to be very/somewhat unlikely had increased risk of an earlier age of both ever (AHR = 1.28; 95%CI = 1.07-1.52) and past 30-day (AHR = 1.36; 95%CI = 1.04-1.79) e-cigarette initiation compared to youth who perceived the likelihood of becoming addicted to e-cigarettes to be somewhat/very likely.

Conclusion: These results highlight the importance of communicating to youth the potential for health harms and addiction from e-cigarette use in prevention and intervention campaigns, as those with the lowest perceptions of harmfulness and addictiveness had the earliest ages of e-cigarette initiation.

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烟草与健康(PATH)青少年人群评估中电子烟危害性和成瘾性认知与电子烟起始年龄之间的关联
青少年对电子烟的危害性和成瘾性的认知可能会影响他们开始使用电子烟的年龄,但这在以前没有被调查过。方法:纳入了首次参与PATH(2013-2016年第1-3波)时从未使用过电子烟的青少年(12-17岁)。关于电子烟危害性和成瘾性的绝对认知的帕斯问题被用作暴露。在控制协变量的同时,使用间隔审查的Cox比例风险模型来估计危害性感知和成瘾性感知对(i)开始使用电子烟的年龄和(ii)首次报告使用电子烟30天的年龄的影响。结果:认为电子烟没有/几乎没有危害的青少年开始使用电子烟的风险增加(AHR = 2.04;95%CI = 1.74-2.40)和过去30天使用电子烟(AHR = 2.64;95%CI = 2.07-3.37),而认为电子烟有很多危害的年轻人则更早。那些认为对电子烟上瘾的可能性非常/有些不太可能的年轻人,更早地吸烟的风险更高(AHR = 1.28;95%CI = 1.07-1.52)和过去30天(AHR = 1.36;(95%CI = 1.04-1.79)与那些认为有可能/非常有可能对电子烟上瘾的年轻人相比。结论:这些结果强调了在预防和干预运动中向青少年宣传电子烟使用对健康的潜在危害和成瘾的重要性,因为那些对电子烟的危害和成瘾程度最低的人开始吸电子烟的年龄最早。
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来源期刊
Tobacco Use Insights
Tobacco Use Insights PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
自引率
4.50%
发文量
32
审稿时长
8 weeks
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