Abstract

Introduction

This study examined differences among current vapers, those susceptible to vaping, and those non-susceptible to vaping among adolescents and young adults (AYAs) in the U.S. We sought to understand vaping-related characteristics, preferences, and beliefs across these populations to inform prevention efforts. Methods: Participants were N=543 adolescents and N=557 young adults recruited in mid-2019 in the U.S. In two separate cross-sectional surveys, we assessed vaping preferences, tobacco product use, and both health harm and addiction risk beliefs about vaping. We ran separate multivariate logistic regressions to assess differences in risk beliefs across the three distinct e-cigarette groups among AYAs. Results: A majority of AYAs were either current vapers (adolescents: 32%, young adults: 36%) or susceptible to vaping (adolescents: 34%, young adults: 24%). In both samples, pod-based devices were the most common device type used, and fruit and mint/menthol were the most commonly used flavors. In multivariate analyses, adolescent (p<.05) and young adult (p<.05) current vapers both had lower risk beliefs about the health harms of vaping compared to those susceptible to vaping. Susceptible adolescents also had lower health harm risk beliefs compared to those who were non-susceptible (p<.05). Addiction risk beliefs seldom predicted use or susceptibility in multivariate analyses, with only susceptible young adults having lower addiction beliefs than those non-susceptible (p<.05). Conclusion: Results from this study highlight the role of health harm risk beliefs among AYA vapers and those susceptible to vaping. Prevention efforts should examine the most potent ways to communicate vaping health harms to discourage AYA vaping.

中文翻译：

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吸电子烟或易受电子烟影响的青少年和年轻人：特征、产品偏好和信念

摘要

介绍

这项研究检查了美国青少年和年轻成人 (AYAs) 中当前电子烟用户、易受电子烟影响的人和不易受电子烟影响的人之间的差异我们试图了解这些人群中与电子烟相关的特征、偏好和信念，以告知预防努力。方法：参与者是2019 年年中在美国招募的N = 543 名青少年和N = 557 名年轻人在两项独立的横断面调查中，我们评估了电子烟偏好、烟草产品使用以及对健康危害和成瘾风险的看法。我们运行单独的多变量逻辑回归来评估 AYA 之间三个不同电子烟组的风险信念差异。结果：大多数 AYA 要么是当前的电子烟用户（青少年：32%，年轻人：36%），要么是易受电子烟影响（青少年：34%，年轻人：24%）。在这两个样本中，基于豆荚的设备是最常用的设备类型，水果和薄荷/薄荷醇是最常用的口味。在多变量分析中，与易受电子烟影响的人相比，当前的青少年 ( p <.05) 和年轻成人 ( p <.05) 对电子烟的健康危害的风险信念都较低。与非易感青少年相比，易感青少年的健康危害风险信念也较低（p<.05）。在多变量分析中，成瘾风险信念很少预测使用或易感性，只有易感的年轻人的成瘾信念低于非易感者（p <.05）。结论：这项研究的结果强调了健康危害风险信念在 AYA 电子烟用户和易受电子烟影响的人群中的作用。预防工作应研究传达电子烟对健康危害的最有效方式，以阻止 AYA 电子烟。