PDF(Pubmed)
Abstract：
BACKGROUND: The variety of available flavors in e-cigarettes may be a driver for young people to start using these products. The objectives of our study were to examine the relationship between sensation-seeking behavior and e-cigarette use, and to identify the predictors of flavor use patterns among adolescents in Indonesia.
METHODS: Students aged 15 to 24 years participated from randomly selected high schools and universities in Indonesia. Participants answered questions about their demographic data, e-cigarette use, conventional cigarette use, and sensation-seeking. Flavor preferences were identified from eight different flavor categories. Multivariate multinomial regression analysis was employed to predict conventional cigarette and e-cigarette use among students. A latent class analysis was conducted to determine the number of latent classes of flavor use.
RESULTS: One thousand six hundred high school and university students, with a mean age of 18.2 years (SD 2.19), were recruited between March and August, 2023. Conventional cigarette use in the past 30 days was higher (16.3%) compared to e-cigarette use (13.3%, p = 0.017), with approximately 8.5% of students were being dual users. Higher levels of sensation-seeking significantly increased the odds of being a current e-cigarette user (OR = 2.54, 95%CI 1.99-3.25) and a current conventional cigarette smoker (OR = 2.38, 95%CI 1.85-3.07). Three groups of flavor classes were identified: 1) primarily menthol flavor users (14%), who had a strong association with current conventional cigarette use; 2) experimenters, who mostly preferred fruit-flavored e-cigarettes (76%); and 3) the multi-flavor user group (10%), who had a higher sensation-seeking tendency.
CONCLUSIONS: Flavors, especially menthol and fruit flavors, attract youth, broaden the e-cigarette audience and are particularly appealing to high sensation-seekers. Banning these flavors could significantly deter e-cigarette initiation among youth.
METHODS: Students aged 15 to 24 years participated from randomly selected high schools and universities in Indonesia. Participants answered questions about their demographic data, e-cigarette use, conventional cigarette use, and sensation-seeking. Flavor preferences were identified from eight different flavor categories. Multivariate multinomial regression analysis was employed to predict conventional cigarette and e-cigarette use among students. A latent class analysis was conducted to determine the number of latent classes of flavor use.
RESULTS: One thousand six hundred high school and university students, with a mean age of 18.2 years (SD 2.19), were recruited between March and August, 2023. Conventional cigarette use in the past 30 days was higher (16.3%) compared to e-cigarette use (13.3%, p = 0.017), with approximately 8.5% of students were being dual users. Higher levels of sensation-seeking significantly increased the odds of being a current e-cigarette user (OR = 2.54, 95%CI 1.99-3.25) and a current conventional cigarette smoker (OR = 2.38, 95%CI 1.85-3.07). Three groups of flavor classes were identified: 1) primarily menthol flavor users (14%), who had a strong association with current conventional cigarette use; 2) experimenters, who mostly preferred fruit-flavored e-cigarettes (76%); and 3) the multi-flavor user group (10%), who had a higher sensation-seeking tendency.
CONCLUSIONS: Flavors, especially menthol and fruit flavors, attract youth, broaden the e-cigarette audience and are particularly appealing to high sensation-seekers. Banning these flavors could significantly deter e-cigarette initiation among youth.
摘要：
背景：电子烟中可用的各种口味可能是年轻人开始使用这些产品的驱动力。我们研究的目的是检查寻求感觉行为与电子烟使用之间的关系，并确定印度尼西亚青少年风味使用模式的预测因素。
方法：15至24岁的学生来自印度尼西亚随机选择的高中和大学。参与者回答了有关他们的人口统计数据的问题，电子烟的使用，传统的香烟使用，寻求感觉。从八种不同的风味类别中鉴定风味偏好。多元多项回归分析用于预测学生中常规香烟和电子烟的使用。进行了潜在类别分析以确定潜在的风味使用类别的数量。
结果：一千六百名高中生和大学生，平均年龄为18.2岁（SD2.19），是在3月到8月之间招募的，2023年。与电子烟使用（13.3％，p=0.017),大约8.5%的学生是双重用户。较高的感觉寻求水平显着增加了成为当前电子烟使用者（OR=2.54，95CI1.99-3.25）和当前常规吸烟者（OR=2.38，95CI1.85-3.07）的可能性。确定了三组风味类别：1)主要是薄荷醇风味使用者(14%)，谁与目前的传统香烟使用有很强的联系；2)实验者，他们最喜欢水果味电子烟(76%)；3)多口味用户群体(10%)，有更高的寻求感觉的倾向。
结论：风味，尤其是薄荷醇和水果口味，吸引青春,扩大了电子烟的受众，特别吸引了高感觉的寻求者。禁止使用这些口味可以显着阻止年轻人开始使用电子烟。
方法：15至24岁的学生来自印度尼西亚随机选择的高中和大学。参与者回答了有关他们的人口统计数据的问题，电子烟的使用，传统的香烟使用，寻求感觉。从八种不同的风味类别中鉴定风味偏好。多元多项回归分析用于预测学生中常规香烟和电子烟的使用。进行了潜在类别分析以确定潜在的风味使用类别的数量。
结果：一千六百名高中生和大学生，平均年龄为18.2岁（SD2.19），是在3月到8月之间招募的，2023年。与电子烟使用（13.3％，p=0.017),大约8.5%的学生是双重用户。较高的感觉寻求水平显着增加了成为当前电子烟使用者（OR=2.54，95CI1.99-3.25）和当前常规吸烟者（OR=2.38，95CI1.85-3.07）的可能性。确定了三组风味类别：1)主要是薄荷醇风味使用者(14%)，谁与目前的传统香烟使用有很强的联系；2)实验者，他们最喜欢水果味电子烟(76%)；3)多口味用户群体(10%)，有更高的寻求感觉的倾向。
结论：风味，尤其是薄荷醇和水果口味，吸引青春,扩大了电子烟的受众，特别吸引了高感觉的寻求者。禁止使用这些口味可以显着阻止年轻人开始使用电子烟。
