The correlation between electronic cigarette use and environmental exposure to electronic cigarette among residents in Guangzhou City
PENG Sihui1, HE Sisi1, LI Yue1, ZHOU Long1, HUANG Lan2
1. School of Medicine, Jinan University, Guangzhou, Guangdong 510632, China; 2. Jinan University-University of Birmingham Joint Institute, Jinan University, Guangzhou, Guangdong 511436, China
Abstract:Objective To evaluate the correlation between electronic cigarette (e-cigarette) use and environmental e-cigarette exposure among residents living in Guangzhou City, so as to provide the evidence for the development of the e-cigarette control policy. Methods Permanent university students living in Guangzhou City were recruited as investigators from July to October 2021, and the permanent adult residents in communities where the university students lived were randomly selected as participants. Subjects' demographic features, e-cigarette use, passive viewing of e-cigarette use and exposure to e-cigarette advertising were collected using both online and offline questionnaire surveys, and the association of e-cigarette use with passive viewing of e-cigarette use and exposure to e-cigarette advertising were examined using a multivariable logistic regression model. Results A total of 948 questionnaires were allocated, and 874 valid questionnaires were recovered, with an effective recovery rate of 92.19%. The respondents had a mean age of ( 34.96±13.76 ) years. There were 420 men ( 48.05% ), and 426 married residents ( 48.80% ). The prevalence of e-cigarette use was 14.99%, and the rate of e-cigarette use was 23.81% in men and 6.83% in women. In addition, 27.27% of respondents at ages of 35 to 44 years used e-cigarette, 479 respondents viewed e-cigarette advertising ( 54.81% ) and 510 respondents had at least once passive viewing of e-cigarette use ( 58.35% ). Multivariable logistic regression analysis revealed that a higher frequency of exposure to e-cigarette advertising ( OR: 3.064-5.784, 95%CI: 1.683-12.620 ) and a higher frequency of passive viewing of e-cigarette use ( OR: 2.182-2.349, 95%CI: 1.094-4.526 ) led to a higher rate of e-cigarette use. Conclusions E-cigarette use is affected by passive viewing of e-cigarette use and exposure to e-cigarette advertising among community residents in Guangzhou City. Supervision and restriction is recommended for e-cigarette advertising, marketing, and use in public places.
彭嗣惠, 何思思, 李月, 周龙, 黄岚. 广州市居民电子烟环境暴露与电子烟使用的关系研究[J]. 预防医学, 2022, 34(5): 445-449,455.
PENG Sihui, HE Sisi, LI Yue, ZHOU Long, HUANG Lan. The correlation between electronic cigarette use and environmental exposure to electronic cigarette among residents in Guangzhou City. Preventive Medicine, 2022, 34(5): 445-449,455.
[1] 李新华. 2018中国成人烟草调查报告[M].北京:人民卫生出版社,2020. LI X H.Report on China Adult Tobacco Survey in 2018[M].Beijing:People's Medical Publishing House,2020. [2] 萧鲲,许浦生,余春红,等.广州市从不吸烟青少年对电子烟认知及控烟态度[J].中国公共卫生,2019,35(5):546-548. XIAO K,XU P S,YU C H,et al.Cognition on e-cigarette and attitude towards tobacco control among adolescent never smokers in Guangzhou city:a cross-sectional study[J].Chin J Public Healh,2019,35(5):546-548. [3] ALI F R M,DAVE D M,COLMAN G J,et al.Association of e-cigarette advertising with e-cigarette and cigarette use among US adults[J].Addiction,2021,116(5):1212-1223. [4] COLLINS L,GLASSER A M,ABUDAYYEH H,et al.E-cigarette marketing and communication:how e-cigarette companies market e-cigarettes and the public engages with e-cigarette information[J].Nicotine Tob Res,2019,21(1):14-24. [5] 杨桂丽,陈镭,韦巧慧,等.温州市中学生卷烟和电子烟使用意向调查[J].预防医学,2021,33(8):844-847. YANG G L,CHEN L,WEI Q H,et al.Intention of e-cigarette and tobacco use among middle school students in Wenzhou[J].Prev Med,2021,33(8):844-847. [6] 杨廷忠. 感知信念-参照规范影响理论——一个文化适宜健康行为模式的构建与实证[J].中国热带医学,2019,19(12):1105-1107. YANG T Z.Perceived belief-subjective norm theory:construction and empirical research of a Chinese culture related health behavioral model[J].China Trop Med,2019,19(12):1105-1107. [7] KING A C,SMITH L J,MCNAMARA P J,et al.Passive exposure to electronic cigarette(e-cigarette)use increases desire for combustible and e-cigarettes in young adult smokers[J].Tob Control,2015,24(5):501-504. [8] 中国疾病预防控制中心.全球成人烟草调查[R].北京:中国疾病预防控制中心,2011. Chinese Center for Disease Control and Prevention.Global Adult Tobacco Survey[R].Beijing:Chinese Center for Disease Control and Prevention,2011. [9] ZHAO Z,ZHANG M,WU J,et al.E-cigarette use among adults in China:findings from repeated cross-sectional surveys in 2015-16 and 2018-19[J].Lancet Public Health,2020,5(12):e639-e649. [10] 刘蒲,程颖玲,严玉洁,等.上海市闵行区成年居民电子烟知晓和使用情况[J].中国健康教育,2021,37(1):75-77. LIU P,CHENG Y L,YAN Y J,et al.Investigation of awareness and usage of electronic cigarettes among adults in Minhang District,Shanghai[J].Chin J Health Educ,2021,37(1):75-77. [11] 周培静,魏霞,陈仁友,等.山东省15岁及以上居民电子烟流行现状及影响因素分析[J].中华流行病学杂志,2020,41(10):1681-1685. ZHOU P J,WEI X,CHEN R Y,et al.Prevalence and influencing factors of e-cigarette among residents aged 15 and above in Shandong Province[J].Chin J Epidemiol,2020,41(10):1681-1685. [12] 方德智. 国际烟草控制政策评估项目(ITC)中国调查报告第一轮至第五轮的研究发现:2006—2015[M].北京:中国纺织出版社,2018. FANG D Z.ITC China Project Report:findings from the wave 1 to 5 surveys (2006-2015)[M]. Beijing:China Textile & Apparel Press,2018. [13] AMALIA B,LIU X,LUGO A,et al.Exposure to secondhand aerosol of electronic cigarettes in indoor settings in 12 European countries:data from the TackSHS survey[J].Tob Control,2021,30(1):49-56. [14] BERKMAN L F,KAWACHI I,GLYMOUR M M.Social epidemiology[M].New York:Oxford University Press,2014. [15] YANG T,PENG S,JIANG S,et al.Who switches from regular to light cigarettes? A study of six provincial capital cities in China[J].Public Health,2016,140:272-275. [16] REINHOLD B,FISCHBEIN R,BHAMIDIPALLI S S,et al.Associations of attitudes towards electronic cigarettes with advertisement exposure and social determinants:a cross sectional study[J].Tob Induc Dis,2017,15(1):1-9. [17] 李艳妮,关素珍,贺宝福,等.宁夏回族自治区青少年使用电子烟现状调查[J].预防医学,2021,33(3):259-263. LI Y N,GUAN S Z,HE B F,et al.Electronic cigarette use among adolescents in Ningxia Hui Autonomous Region[J].Prev Med,2021,33(3):259-263. [18] MCKENZIE K,WHITLEY R,WEICH S.Social capital and mental health[J].Br J Psychiatry,2002,181(4):280-283. [19] ALNAJEM A,REDHA A,ALROUMI D,et al.Use of electronic cigarettes and secondhand exposure to their aerosols are associated with asthma symptoms among adolescents:a cross-sectional study[J].Respir Res,2020,21(1):1-9.