Introduction

While risk factors for cigarette smoking among youth and young adults are well-documented, less is known about the correlates of initiation of other tobacco products. This study aims to provide estimates and correlates of initiation among U.S. youth and young adults.

Methods

Data on youth aged 12–17 (n = 10,072) and young adults aged 18–24 (N = 5,727) who provided information on cigarettes, electronic nicotine delivery systems (ENDS), cigars, pipe, hookah and smokeless tobacco use in Wave 1 (W1: 2013–2014)-Wave 4 (W4: 2016–2018) of the nationally-representative PATH Study were used to calculate ever use initiation and correlates of initiation by W4.

Results

Nearly 6 million youth and 2.5 million young adults used tobacco for the first time between W1-W4. Approximately one quarter of youth and young adult ENDS never users initiated ENDS between W1-W4 of the PATH Study. Among youth, use of other tobacco products, ever substance use, and high externalizing problems were associated with initiation of most products. Among young adults, use of other tobacco products and ever substance use were associated with initiation of most products. In both youth and young adults, Hispanics were more likely to initiate hookah use than their non-Hispanic White counterparts. While male sex was a risk factor for most tobacco product initiation across both age groups, it was not associated with hookah initiation.

Conclusions

Cigarette and non-cigarette products shared many correlates of initiation, although there are noteworthy demographic differences. Findings can help tailor product specific interventions to reach populations at risk during preliminary stages of use.

中文翻译：

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烟草与健康人口评估 (PATH) 研究（2013-2018）第 1-4 波之间青少年和年轻人开始使用烟草产品的相关性

介绍

虽然青少年吸烟的危险因素已有充分记录，但人们对开始使用其他烟草产品的相关性知之甚少。本研究旨在提供美国青少年和年轻人的入门估计和相关性。

方法

第 1 波中提供卷烟、电子尼古丁输送系统 (ENDS)、雪茄、烟斗、水烟和无烟烟草使用信息的 12-17 岁青少年 (n = 10,072) 和 18-24 岁年轻人 (N = 5,727) 的数据（第 1 周：2013 年至 2014 年）-全国代表性 PATH 研究的第 4 波（第 4 周：2016 年至 2018 年）用于计算第 4 周的曾经使用启动情况和启动相关性。

结果

在第一周至第四周期间，近 600 万青少年和 250 万年轻人首次使用烟草。大约四分之一的青少年和年轻成人从未在 PATH 研究的第 1 周至第 4 周期间启动过 ENDS。在青少年中，使用其他烟草产品、经常使用药物以及高度外化问题与大多数产品的开始使用有关。在年轻人中，其他烟草产品的使用和曾经的物质使用与大多数产品的开始使用有关。在青少年和年轻人中，西班牙裔比非西班牙裔白人更有可能开始使用水烟。虽然男性是两个年龄段中大多数开始使用烟草产品的危险因素，但它与水烟的开始无关。

结论

尽管存在显着的人口统计差异，但卷烟和非卷烟产品在启动方面有许多共同的相关性。研究结果可以帮助制定特定产品的干预措施，以覆盖使用初期阶段的高危人群。