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Instituto Nacional de Salud Pública

2023, Número 1

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salud publica mex 2023; 65 (1)


Primer producto de tabaco de prueba y uso actual de cigarros y cigarros electrónicos en adolescentes de Guatemala

Mus S, Monzon J, Islam F, Thrasher JF, Barnoya J

Idioma: Ingles.
Referencias bibliográficas: 52
Paginas: 46-53
Archivo PDF: 254.16 Kb.


RESUMEN

Objectivo. Evaluar la asociación entre primera experimentación con cigarros o cigarros electrónicos (e-cigarro) y el uso actual en Guatemala, un país de medianos ingresos con escaso control de tabaco y sin regulaciones para los e-cigarros. Material y métodos. Se encuestó a estudiantes de escuelas privadas en la ciudad de Guatemala, limitando el análisis a los adolescentes que habían probado algún producto (n=1 026). Modelos logísticos multinomiales exploraron la asociación de uso actual y primer producto de uso, ajustando para variables sociodemográficas y uso en la familia y amigos. Resultados. El producto de primer uso más común fue el e-cigarro (56%), seguido por cigarros saborizados (24%) y cigarros convencionales (20%). Al momento de la encuesta 4% eran usuarios exclusivos de cigarros, 37% eran usuarios exclusivos de e-cigarros, 18% usuarios duales, y 40% habían probado, pero no eran usuarios actuales. Comparado con aquéllos que probaron por primera vez cigarros, los que probaron por primera vez e-cigarros tenían menor probabilidad de ser usuarios actuales de cigarro (RR=0.19 [CI: 0.11,0.31]) o usuarios duales (RR=0.26 [CI: 0.14,0.49]), y los que probaron primero cigarros saborizados tenían más probabilidad de ser usuarios actuales de cigarro (RR=1.66 [CI=1.13,2.42]). Conclusiones. Los adolescentes guatemaltecos de escuelas privadas experimentan con mayor frecuencia y continúan usando e-cigarros a comparación de cigarros. Es urgente implementar regulaciones para el e-cigarro además de implementar políticas para el control de tabaco.


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