|Titre :||Use of e-cigarettes and other tobacco products and progression to daily cigarette smoking (2021)|
|Auteurs :||J. P. PIERCE ; R. CHEN ; E. C. LEAS ; M. M. WHITE ; S. KEALEY ; M. D. STONE ; T. BENMARHNIA ; D. R. TRINIDAD ; D. R. STRONG ; K. MESSER|
|Type de document :||Article : Périodique|
|Dans :||Pediatrics (Vol.147, n°2, February 2021)|
|Article en page(s) :||art. e2020025122|
|Discipline :||EPI (Epidémiologie / Epidemiology)|
Thésaurus TOXIBASETABAC ; E-CIGARETTE ; CIGARETTE ; USAGE REGULIER ; ADOLESCENT ; JEUNE ADULTE ; FACTEUR DE RISQUE ; EXPERIMENTATION ; PREVALENCE ; ETUDE LONGITUDINALE
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.
|Domaine :||Tabac / Tobacco|
|Refs biblio. :||25|
|Affiliation :||Herbert Wertheim School of Public Health and Human Longevity Science, Moores Cancer Center, and Scripps Institution of Oceanography, University of California, San Diego, La Jolla, CA, USA|