青少年吸食大麻与国家大麻政策和电子烟使用有关。

IF 4.5
Mike Vuolo, Maria M Orsini, Jeremy Staff, Jennifer L Maggs, Brian C Kelly
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引用次数: 0

摘要

目的:吸食大麻已经成为一个日益严重的问题,尤其是在年轻人中。必须了解国家关于医疗和娱乐用大麻以及禁止吸电子烟的政策如何影响青少年开始吸大麻。我们的目的是确定州级大麻政策、室内电子烟禁令和青少年尼古丁使用的变化是否与青少年开始吸电子烟有关。方法:我们使用来自烟草与健康人口评估研究的前瞻性全国代表性队列数据(38,163项观察中19,009名青少年,年龄在13-22岁)。我们对州级医疗和合法休闲大麻政策以及全面的室内电子烟禁令对大麻电子烟起始、青少年尼古丁使用和社会人口统计学的影响进行了事件历史分析。结果:相对于大麻非法使用的州,居住在大麻娱乐使用或医疗使用合法的州,大麻吸电子烟的几率分别高出1.449(95%可信区间[CI]: 1.285-1.635)和1.198(95%可信区间:1.006-1.427)。尽管全面的室内电子烟禁令与大麻电子烟的开始无关,但在过去一个月报告使用电子烟的青少年中,大麻电子烟开始的相关几率高出8.07倍(95% CI: 7.170-9.072)。讨论:在成年人使用大麻合法化的国家,需要努力防止电子烟等新产品从合法市场转移到青少年手中。预防吸食大麻的努力应该集中在已经使用电子烟的年轻人身上。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Youth Initiation of Cannabis Vaping is Associated With State Cannabis Policy and E-Cigarette Use.

Purpose: Cannabis vaping has emerged as a growing problem, particularly among youth. It is essential to understand how state policies on medical and recreational cannabis as well as vaping bans may influence initiation into cannabis vaping during adolescence. We aimed to determine whether changes in state-level cannabis policies, indoor vaping bans, and youths' nicotine use were associated with cannabis vaping initiation in adolescence.

Methods: We used prospective nationally representative cohort data from the Population Assessment of Tobacco and Health study (19,009 youth across 38,163 observations, ages 13-22). We conducted event history analysis of the role of state-level medical and legal recreational cannabis policies and comprehensive indoor vaping bans on cannabis vaping initiation, net of youth nicotine use and sociodemographics.

Results: Relative to states with illicit cannabis, residing in states where cannabis was legal for recreational use or medical use was associated with 1.449 (95% confidence interval [CI]: 1.285-1.635) and 1.198 (95% CI: 1.006-1.427) higher odds of cannabis vaping initiation, respectively. Though comprehensive indoor vaping bans were not related to cannabis vaping initiation, the associated odds of cannabis vaping initiation were 8.07 times higher (95% CI: 7.170-9.072) for youth reporting e-cigarette use during the past month.

Discussion: Within states that legalized adult use of cannabis, efforts are needed to prevent diversion of novel products, such as vaping devices, from legal marketplaces to adolescents. Prevention efforts for cannabis vaping should focus on youth who already use e-cigarettes.

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