在PATH研究中,烟草和ENDS使用的转变:与前几年相比,2021-2022年成人多州转变模型分析
Andrew F Brouwer1, Olivia K Roberts1, Jihyoun Jeon1
1Department of Epidemiology, University of Michigan, Ann Arbor, MI, United States.
medRxiv : the preprint server for health sciences
|December 25, 2025
概括
电子尼古丁输送系统 (ENDS) 的采用正在增加,特别是在年轻人中. 公共卫生战略应专注于促进老年人戒烟.
科学领域:
- 烟草监管科学 烟草监管科学
- 公共卫生监督是对公共卫生的监督.
- 行为流行病学行为流行病学.
背景情况:
- 电子尼古丁输送系统 (ENDS) 正在迅速发展.
- 了解烟草产品使用之间的过渡对于公共卫生至关重要.
- 需要纵向数据来跟踪ENDS和香烟使用模式.
研究的目的:
- 为了估计ENDS和香烟使用的当前过渡率.
- 将最近的过渡率与历史数据 (2014-2021) 相比较.
- 为了确定推动观察到的转型的人口群体.
主要方法:
- 使用的烟草和健康人口评估 (PATH) 研究数据 (第6-7波,2021-2022年).
- 应用了马尔科夫多态过渡模型.
- 估计为启动和终止的一年过渡概率.
主要成果:
- 在从未吸烟者,非吸烟者和目前吸烟者中增加了ENDS的采用率.
- 年轻成年人 (18-24岁) 在ENDS采用和从双重使用过渡方面表现出最高的增长.
- 从双重使用到仅使用ENDS的过渡有所增加,特别是在年轻成年人和25-34岁的人群中.
结论:
- ENDS的启动和过渡正在增加,特别是在年轻人中.
- 从双重使用到仅用于ENDS的转变是一个值得注意的趋势.
- 有针对性的公共卫生干预措施是必要的,以鼓励老年人戒烟.
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