期刊
TOBACCO REGULATORY SCIENCE
卷 4, 期 3, 页码 38-46出版社
TOBACCO REGULATORY SCIENCE GROUP
DOI: 10.18001/TRS.4.3.4
关键词
tobacco; adolescents; e-cigarettes; waterpipe; cigars; cigarettes; smokeless
资金
- National Cancer Institute [P50CA180907]
- FDA Center for Tobacco Products (CTP)
Objectives: To inform targeted prevention efforts, it is important to understand which tobacco products are used first and associations by demographic characteristics. Methods: We conducted a nationally-representative random digit-dial telephone survey of 1125 adolescents ages 13-17. Adolescents reported the first tobacco product they tried, and we analyzed associations with demographic variables. Results: Two-hundred nineteen (18.6%) adolescents reported ever using a tobacco product. The most common first product tried was cigarettes (35.4%), followed by electronic nicotine delivery systems (24.3%), smokeless tobacco (17.7%), cigars (11.4%), and waterpipe (11.2%). Weighted multivariable logistic regression analyses showed girls were 2.7 times more likely than boys to report cigarettes as their first product, Hispanic/Latinos were 5.0 times more likely than non-Hispanic/Latinos to report cigarettes, and those whose mothers had at least a 4-year college degree were 6.1 times more likely to report waterpipe compared to those whose mothers had less than a 4-year college degree. Conclusions: Nearly one in 5 adolescents had tried a tobacco product. Although cigarettes were the most frequently reported product, most youth initiated with a non-cigarette tobacco product, and demographic differences were found. These findings point towards potential regulatory policies, including targeted campaigns, which might deter adolescents from initiating tobacco use.
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