Use of E-cigarettes and Other Tobacco Products and Progression to Daily Cigarette Smoking.
Pediatrics
; 147(2)2021 02.
Article
em En
| MEDLINE
| ID: mdl-33431589
ABSTRACT
OBJECTIVES:
To identify predictors of becoming a daily cigarette smoker over the course of 4 years.METHODS:
We identified 12- to 24-year-olds at wave 1 of the US Population Assessment of Tobacco and Health Study and determined ever use, age at first use, and daily use through wave 4 for 12 tobacco products.RESULTS:
Sixty-two percent of 12- to 24-year-olds (95% confidence interval [CI] 60.1% to 63.2%) tried tobacco, and 30.2% (95% CI 28.7% to 31.6%) tried ≥5 tobacco products by wave 4. At wave 4, 12% were daily tobacco users, of whom 70% were daily cigarette smokers (95% CI 67.4% to 73.0%); daily cigarette smoking was 20.8% in 25- to 28-year-olds (95% CI 18.9% to 22.9%), whereas daily electronic cigarette (e-cigarette) vaping was 3.3% (95% CI 2.4% to 4.4%). Compared with single product triers, the risk of progressing to daily cigarette smoking was 15 percentage points higher (adjusted risk difference [aRD] 15%; 95% CI 12% to 18%) among those who tried ≥5 products. In particular, e-cigarette use increased the risk of later daily cigarette smoking by threefold (3% vs 10%; aRD 7%; 95% CI 6% to 9%). Daily smoking was 6 percentage points lower (aRD -6%; 95% CI -8% to -4%) for those who experimented after age 18 years.CONCLUSIONS:
Trying e-cigarettes and multiple other tobacco products before age 18 years is strongly associated with later daily cigarette smoking. The recent large increase in e-cigarette use will likely reverse the decline in cigarette smoking among US young adults.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Produtos do Tabaco
/
Sistemas Eletrônicos de Liberação de Nicotina
/
Vaping
/
Fumar Cigarros
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Limite:
Adolescent
/
Adult
/
Child
/
Female
/
Humans
/
Male
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Pediatrics
Ano de publicação:
2021
Tipo de documento:
Article