Adolescent Use of Flavored Non-Tobacco Oral Nicotine Products.

Autor:	Harlow AF; USC Institute for Addiction Science.; Department of Population and Public Health Sciences, Keck School of Medicine., Vogel EA; USC Institute for Addiction Science.; Department of Population and Public Health Sciences, Keck School of Medicine., Tackett AP; USC Institute for Addiction Science.; Department of Population and Public Health Sciences, Keck School of Medicine.; USC Norris Comprehensive Cancer Center, Keck School of Medicine., Cho J; USC Institute for Addiction Science.; Department of Population and Public Health Sciences, Keck School of Medicine.; USC Norris Comprehensive Cancer Center, Keck School of Medicine., Han DH; USC Institute for Addiction Science.; Department of Population and Public Health Sciences, Keck School of Medicine., Wong M; USC Institute for Addiction Science.; Department of Population and Public Health Sciences, Keck School of Medicine., Cockburn MG; USC Institute for Addiction Science.; Department of Population and Public Health Sciences, Keck School of Medicine.; USC Norris Comprehensive Cancer Center, Keck School of Medicine.; Department of Dermatology, Keck School of Medicine, University of Southern California, Los Angeles, California., Sussman SY; USC Institute for Addiction Science.; Department of Population and Public Health Sciences, Keck School of Medicine.; USC Norris Comprehensive Cancer Center, Keck School of Medicine., Unger JB; USC Institute for Addiction Science.; Department of Population and Public Health Sciences, Keck School of Medicine.; USC Norris Comprehensive Cancer Center, Keck School of Medicine., Leventhal AM; USC Institute for Addiction Science.; Department of Population and Public Health Sciences, Keck School of Medicine.; USC Norris Comprehensive Cancer Center, Keck School of Medicine., Barrington-Trimis JL; USC Institute for Addiction Science.; Department of Population and Public Health Sciences, Keck School of Medicine.; USC Norris Comprehensive Cancer Center, Keck School of Medicine.
Jazyk:	angličtina
Zdroj:	Pediatrics [Pediatrics] 2022 Sep 01; Vol. 150 (3).
DOI:	10.1542/peds.2022-056586
Abstrakt:	Background and Objectives: Flavored non-tobacco oral nicotine products (eg, nicotine pouches and nontherapeutic nicotine gum, lozenges, tablets, gummies), are increasingly marketed in the United States. Prevalence of non-tobacco oral nicotine product use among adolescents is unknown. Methods: We calculated prevalence of ever and past 6-month use of nicotine pouches, other non-tobacco oral nicotine products (ie, gum, lozenges, tablets, and/or gummies), e-cigarettes, cigarettes, hookah or waterpipe, cigars, cigarillos, and snus among high school students in Southern California between September and December 2021. Generalized linear mixed models tested associations of sociodemographic factors and tobacco-product use with use of any non-tobacco oral nicotine product. Results: Among the sample (n = 3516), prevalence was highest for e-cigarettes (ever: 9.6%, past 6-month: 5.5%), followed by non-tobacco oral nicotine products (ever: 3.4%, past 6-month: 1.7%), and <1% for other products. Ever users of combustible tobacco (adjusted odds ratio [aOR] = 77.6; 95% confidence interval [CI] = 39.7-152) and ever users of noncombustible tobacco (aOR = 40.4; 95% CI= 24.3-67.0) had higher odds of ever using non-tobacco oral nicotine products, compared to never users of combustible and noncombustible tobacco. Use of any non-tobacco oral nicotine product was greater for Hispanic (versus all other races/ethnicities except Asian, aOR = 2.58; 95% CI = 1.36-4.87), sexual minority (versus heterosexual, aOR=1.63; 95% CI = 1.03-2.57), gender minority (versus male, aOR = 2.83; 95% CI = 1.29-6.19), and female (versus male, aOR=1.92, 95% CI = 1.20-3.06) participants. Conclusions: Non-tobacco oral nicotine products were the second most prevalent nicotine product used by adolescents. They were disproportionately used by certain racial or ethnic, sexual, or gender minority groups, and those with a history of nicotine use. Adolescent non-tobacco oral nicotine product use surveillance should be a public health priority. (Copyright © 2022 by the American Academy of Pediatrics.)
Databáze:	MEDLINE
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