Introduction

Tobacco use is a public health concern, and adolescents are at an increased risk of starting and continuing to use tobacco relative to other age groups. Parent involvement and other social environmental factors may influence the development and persistence of tobacco use behaviors in adolescence. This study used the nationally representative Population Assessment of Tobacco and Health (PATH) study data set, and responses from 7025 adolescent participants were analyzed to illustrate the longitudinal relationship between social environment influences and use of adolescent electronic nicotine delivery systems (i.e., ENDS).

Methods

Social environmental factors were assessed at Wave 3 and then compared to electronic nicotine delivery systems (ENDS) status transitions (i.e., initiation, expansion, persistence) at follow-up. Survey-weighted multivariable logistic regression models were used to calculate adjusted odds ratios (AOR) and 95% confidence intervals (CI).

Results

Initiation and persistence of ENDS use were associated with tobacco availability in the house, perception of having no adverse parent reaction to discovering ENDS use and having a best friend who uses ENDS. Initiation of ENDS use was further associated with having biological relatives who have ever been diagnosed with a substance use disorder (SUD) and persistence of ENDS use was also positively associated with lack of in-house rules. Parents talking about ENDS use with adolescents had no association across all three outcomes.

Conclusions

Findings suggest that parental and environmental factors alter the risk of initiation and persistence of ENDS and tobacco use in adolescents, and these should be considered when working with this at-risk population.

中文翻译：

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调查家庭和同伴相关因素对美国青少年电子尼古丁输送系统 (ENDS) 使用的作用

介绍

烟草使用是一个公共卫生问题，与其他年龄组相比，青少年开始和继续使用烟草的风险更高。父母的参与和其他社会环境因素可能会影响青春期烟草使用行为的发展和持久性。本研究使用具有全国代表性的烟草与健康人口评估 (PATH) 研究数据集，并分析了 7025 名青少年参与者的反应，以说明社会环境影响与青少年电子尼古丁输送系统（即 ENDS）使用之间的纵向关系。

方法

在第 3 波评估社会环境因素，然后在随访中与电子尼古丁输送系统 (ENDS) 状态转换（即启动、扩展、持续）进行比较。调查加权多变量逻辑回归模型用于计算调整优势比 (AOR) 和 95% 置信区间 (CI)。

结果

ENDS 使用的开始和持续与家中的烟草供应、父母对发现 ENDS 使用没有不良反应的感觉以及有一个使用 ENDS 的好朋友有关。开始使用 ENDS 与曾被诊断患有物质使用障碍 (SUD) 的生物亲属进一步相关，并且持续使用 ENDS 也与缺乏内部规则呈正相关。与青少年谈论 ENDS 使用的父母在所有三个结果中都没有关联。

结论

研究结果表明，父母和环境因素会改变青少年开始和持续使用 ENDS 和烟草的风险，在与这些高危人群合作时应考虑这些因素。