Age of initiation of tobacco products among USA youth and young adults

美国青少年开始使用烟草制品的年龄

基本信息

批准号：
10153739
负责人：
Adriana Perez
金额：
$ 46.24万
依托单位：
UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-05-09 至 2023-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10153739
关键词：
12 year old 15 year old 17 year old 18 year old Address Adult Age Age Distribution Age Factors Age of Onset Area Behavior Behavioral Research Categories Cigar Cigarette Communication Data Data Analyses Data Set Electronic cigarette Emerging Tobacco Products Environmental Risk Factor Future Generations Health Knowledge, Attitudes, Practice Incidence Intervention Knowledge Legal Longitudinal Studies Marketing Measures Outcome Pattern Peptide Initiation Factors Population Population Assessment of Tobacco and Health Progress Reports Public Health Regulation Reporting Research Research Priority Respondent Risk Factors Sales Smokeless Smokeless Tobacco Smoking Surgeon Survival Analysis Testing Time Tobacco Tobacco Industry Tobacco use United States Food and Drug Administration Youth age group authority cigarette smoking cigarette user cigarillos cohort hookah innovation non-cigarette tobacco product polytobacco preventive intervention prospective secondary analysis smokeless tobacco use social factors sociodemographics tobacco advertising tobacco control tobacco flavor tobacco products tobacco regulation tobacco regulatory science tobacco user young adult

项目摘要

PROJECT SUMMARY The Surgeon General's 2012 report provided data that the initiation of cigarette smoking begins before adulthood. Considering the new and emerging tobacco products available, estimating the age and onset of initiation, changing patterns of tobacco use and correlates of tobacco use among U.S. youth and young adults is paramount to informing contemporary tobacco regulatory science. We will directly inform the Food and Drug Administration (FDA) authority on tobacco regulation about all tobacco products to protect the public’s health. This project directly address the FDA's research priority areas that focus on understanding the knowledge, attitudes, and behaviors that contribute to tobacco product (TP) initiation, age of TP initiation, and factors associated with age of initiation. Our study involves a prospective secondary analysis of the first three waves of the Population Assessment of Tobacco and Health (PATH) study among U.S. youth (12-17 years old) and young adults (18-24 years old) who reported never use at baseline. Six TPs will be considered: cigarettes, e- cigarettes, cigars (i.e. traditional cigars, cigarillo, filtered cigars), hookah; smokeless tobacco, and any of these TPs. Seven outcomes are considered for each TP: age to first report ever or past 30-day use, age to become susceptible to use, age to be an established user (i.e. ever use fairly regularly), age to first report dual/poly TP use, age to first use flavored TP, and age of ever combustible use. There is a gap in the knowledge related to the age of first reporting of each one of the seven outcomes prospectively and with contemporary data. This project has three aims. Aim 1: Among youth ages 12-17 years old who are never users of TPs at wave 1, to estimate prospectively their age of initiation of TPs and to identify the risk factors associated with the age of initiation of cigarettes and each one of the NCTPs: e-cigarettes, cigars, hookah, and smokeless tobacco. Aim 2: same as aim 1 but among young adults ages 18-24 years old who are never users of TPs at wave 1. Aim 3: Among youth and young adults ages 12-24 who are never users of TPs at wave 1, to identify the trajectories and transitions in the onset of TPs across time, from wave 1 to waves 2 and 3, and to identify the risk factors associated with these trajectories and transitions. We plan to explore socio-demographic, interpersonal, intrapersonal, social, and environmental factors potentially associated with the age of initiation of the different TPs. Consistent with research priorities FDA has set forth, this project focuses on our understanding of the knowledge and behaviors to best predict age of initiation. Few studies can test hypotheses with longitudinal data that span youth and young adults. This project strengthens the evidence for tobacco regulatory science by expanding the evidence regarding emerging tobacco products, using a national longitudinal study, and taking advantage of contemporary data that reflects the evolving tobacco product landscape. This project addresses RFA-OD-18-002.

项目概要卫生局局长 2012 年报告提供的数据表明，人们开始吸烟的时间早于考虑到现有的新型烟草产品，估计年龄和发病情况。美国青少年烟草使用的开始、变化模式以及烟草使用的相关性对于告知当代烟草监管科学至关重要，我们将直接告知食品和药品管理局。管理局（FDA）对所有烟草产品进行烟草监管，以保护公众健康。该项目直接涉及 FDA 的研究优先领域，重点是了解知识、促成烟草产品 (TP) 开始的态度和行为、开始 TP 的年龄以及因素我们的研究涉及对前三波的前瞻性二次分析。针对美国青少年（12-17 岁）的烟草与健康人口评估 (PATH) 研究基线时报告从未使用过的年轻人（18-24 岁）将被考虑为六种 TP：香烟、电子烟。香烟、雪茄（即传统雪茄、小雪茄、过滤雪茄）、水烟以及其中任何一种；每个 TP 考虑七个结果：首次报告曾经或过去 30 天使用的年龄、成为的年龄容易使用、成为既定用户的年龄（即经常使用）、首次报告双/多 TP 的年龄用途、首次使用调味 TP 的年龄以及曾经使用可燃物的年龄与此相关的知识存在差距。首次报告七项结果中每一项的年龄和当代数据。项目有三个目标 1：在第一波从未使用过 TP 的 12-17 岁青少年中，前瞻性地估计他们开始 TP 的年龄，并确定与年龄相关的风险因素开始吸烟和每一种 NCTP：电子烟、雪茄、水烟和无烟烟草 Aim。 2：与目标 1 相同，但针对从未使用过第 1 波 TP 的 18-24 岁年轻人。目标 3：在第一波从未使用过 TP 的 12-24 岁青少年中，以确定轨迹以及 TP 发作随时间的变化（从第 1 波到第 2 波和第 3 波），并确定风险因素我们计划探索社会人口、人际关系、个人、社会和环境因素可能与不同的开始年龄有关与 FDA 规定的研究重点一致，该项目侧重于我们对 TP 的理解。很少有研究能够通过纵向检验假设。该项目涵盖青少年和年轻人的数据，通过以下方式加强了烟草监管科学的证据。利用全国纵向研究扩大有关新兴烟草产品的证据，并采取利用反映不断变化的烟草产品格局的当代数据。 RFA-OD-18-002。