研究目标是检查电子烟和大麻的独家和双重使用的关联,以及达到“让我们去!5-2-1-0”肥胖预防指南和美国青少年对体重状况的看法。数据来自2017年青少年风险行为调查,一项以学校为基础的全国代表性横断面研究,进行了分析(N=12,578)。参与者根据他们过去30天的电子烟和大麻使用情况进行分类:非使用者,独家电子烟用户,独家大麻使用者,和双重用户。进行调整后的逻辑回归模型。在青少年中,5.2%是独家电子烟用户,10.3%是独家大麻使用者,7.4%是双重用户。与非用户相比,独家电子烟使用者更有可能(aOR=1.55,95CI=1.16-2.07)满足身体活动建议.与双用户相比,独家电子烟用户更有可能(aOR=1.47,95CI=1.10-1.97)满足屏幕时间建议。与非用户相比,独家大麻使用者满足水果/蔬菜建议的几率增加(aOR=1.33,95CI=1.03-1.71),但符合含糖饮料建议的几率降低(aOR=0.81,95CI=0.65-0.99).与独家电子烟用户相比,独家大麻使用者较不可能符合屏幕时间(aOR=0.71,95CI=0.54-0.93)和身体活动建议(aOR=0.60,95CI=0.43-0.84).与双用户相比,独家大麻使用者更有可能(aOR=1.38,95CI=1.01-1.88)认为自己超重/超重。与非用户相比,双重用户不太可能满足含糖饮料建议(aOR=0.63,95CI=0.46-0.87).青少年目前的大麻使用者和双重使用者不太可能符合肥胖预防指南。需要采取预防措施来减少电子烟和大麻的使用,并提高对这些指南的遵守程度。
The study objectives were to examine the associations of exclusive and dual use of e-cigarettes and
marijuana and the attainment of the \"Let\'s Go! 5-2-1-0\" obesity prevention
guidelines and perceptions of weight status among U.S. adolescents. Data from the 2017 Youth Risk Behavior Survey, a school-based nationally representative cross-sectional study, were analyzed (N = 12,578). Participants were categorized based on their past 30-day e-cigarette and marijuana use as: non-users, exclusive e-cigarette users, exclusive
marijuana users, and dual users. Adjusted logistic regression models were conducted. Of adolescents, 5.2% were exclusive e-cigarette users, 10.3% were exclusive marijuana users, and 7.4% were dual users. Compared to non-users, exclusive e-cigarette users were more likely (aOR = 1.55, 95%CI = 1.16-2.07) to meet the physical activity recommendation. Compared to dual-users, exclusive e-cigarette users were more likely (aOR = 1.47, 95%CI = 1.10-1.97) to meet the screen time recommendation. Compared to non-users, exclusive marijuana users were at increased odds to meet the fruit/vegetable recommendation (aOR = 1.33, 95%CI = 1.03-1.71), but were at decreased odds to meet the sugar-sweetened beverages recommendation (aOR = 0.81, 95%CI = 0.65-0.99). Compared to exclusive e-cigarette users, exclusive marijuana users were less likely to meet the screen time (aOR = 0.71, 95%CI = 0.54-0.93) and physical activity recommendations (aOR = 0.60, 95%CI = 0.43-0.84). Compared with dual users, exclusive marijuana users were more likely (aOR = 1.38, 95%CI = 1.01-1.88) to perceive themselves as slightly/very overweight. Compared to non-users, dual users were less likely to meet the sugar-sweetened beverages recommendation (aOR = 0.63, 95%CI = 0.46-0.87). Adolescent current
marijuana users and dual users were less likely to meet obesity prevention
guidelines. Prevention efforts are needed to reduce e-cigarette and marijuana use and increase adherence to these
guidelines.