Purpose

The landscape of youth tobacco product use has changed dramatically in recent years; however, little is known about current youth cessation behaviors. This study aims to assess prevalence and correlates of quit intentions and past-year quit attempts among U.S. middle and high school students who report current use of any tobacco product, cigarettes, and e-cigarettes.

Methods

Data came from the 2020 National Youth Tobacco Survey, a nationally representative cross-sectional school-based survey of students in grades 6–12. Weighed prevalence estimates of quit intentions and past-year quit attempts among users of any tobacco product, cigarettes, and e-cigarettes are presented. Multivariable-adjusted logistic regression with predictive marginals was used to assess sociodemographic correlates of quit intentions and quit attempts for each tobacco product user group.

Results

Quit intentions were reported by 62.5% of current users of any tobacco product, 68.1% of cigarette smokers, and 63.9% of e-cigarette users. Similarly, past-year quit attempts were reported by 65.4% of current users of any tobacco product, 65.8% of cigarettes smokers, and 67.4% for e-cigarette users. Harm perceptions toward tobacco, nicotine dependency, and the use of ≥2 tobacco products were significantly correlated with quit intentions, quit attempts, or both among different tobacco product user groups.

Conclusions

Most students who use tobacco products want to quit and have attempted to do so. Development of youth-focused cessation interventions, particularly those addressing the most commonly used products, could potentially accelerate progress in a comprehensive approach to youth tobacco prevention and control.

中文翻译：

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2020 年美国中学生的戒烟行为

目的

近年来，青少年烟草制品使用情况发生了巨大变化；然而，人们对当前的青少年戒烟行为知之甚少。本研究旨在评估报告当前使用任何烟草产品、卷烟和电子烟的美国中学生和高中生的戒烟意愿和过去一年的戒烟尝试的流行率和相关性。

方法

数据来自 2020 年全国青少年烟草调查，这是一项针对 6-12 年级学生的全国代表性横断面学校调查。报告了任何烟草产品、卷烟和电子烟使用者中戒烟意愿和过去一年戒烟尝试的加权流行率估计值。使用具有预测边际的多变量调整逻辑回归来评估每个烟草制品用户组的戒烟意图和戒烟尝试的社会人口学相关性。

结果

62.5% 的任何烟草产品当前用户、68.1% 的卷烟吸烟者和 63.9% 的电子烟用户报告了戒烟意愿。同样，65.4% 的任何烟草产品当前用户、65.8% 的卷烟吸烟者和 67.4% 的电子烟用户报告了过去一年的戒烟尝试。不同烟草制品使用者群体对烟草的危害认知、尼古丁依赖和使用≥2种烟草制品与戒烟意图、戒烟尝试或两者均显着相关。

结论

大多数使用烟草制品的学生都想戒烟，并且已经尝试过。开发以青少年为重点的戒烟干预措施，特别是那些针对最常用产品的干预措施，可能会加速青少年烟草预防和控制综合方法的进展。