RESUMO
PURPOSE: The aim of this study was to examine the prevalence, attitudes, and risk factors associated with electronic cigarette (e-cigarette) use among high school students in tobacco growing state. METHODS: A 47-item e-cigarette questionnaire modeled after Monitoring the Future with additional information about demographics, adolescent and family nicotine use, and school and health care interventions was designed, piloted, and administered to public high school students (N = 3,298) in May 2013, in an urban county in North Carolina. RESULTS: Completers (2,769/3,298) were aged 16.4 years (standard deviation ± 1.4) with 48.9% males and 43.9% African-American, 38% white, and 4.6% Hispanics. The majority (77.3%) knew about e-cigarettes; 15.2% reported that they had tried an e-cigarette, and 60% reported that e-cigarettes were safe or had minimal health hazards. Only 5.4% reported that schools had offered information about e-cigarette use. One quarter (24.9%) reported ever cigarette smoking, and 13.3% reported ever using smokeless tobacco. E-cigarette use was positively associated with older age, tobacco use, male gender, Caucasian race, mother's e-cigarette use, biological parents' tobacco use, and lower academic performance, whereas negatively associated with having a mother who never used e-cigarettes, not knowing any e-cigarette users, and living with mother (p < .05). CONCLUSIONS: E-cigarette use and awareness is evident among high school students in North Carolina. A high number of smokers and smokeless tobacco users are using e-cigarettes simultaneously, and many perceive e-cigarettes as healthy and with minimal health hazards. Also, there is limited school-based education about e-cigarettes.
Assuntos
Comportamento do Adolescente/psicologia , Atitude Frente a Saúde , Sistemas Eletrônicos de Liberação de Nicotina/psicologia , Sistemas Eletrônicos de Liberação de Nicotina/estatística & dados numéricos , Estudantes/psicologia , População Urbana , Adolescente , Estudos Transversais , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , North Carolina , Prevalência , Fatores de Risco , Inquéritos e Questionários , População Urbana/estatística & dados numéricosAssuntos
Psiquiatria do Adolescente/educação , Psiquiatria Infantil/educação , Assistência Centrada no Paciente , Ensino/métodos , Adolescente , Psiquiatria do Adolescente/métodos , Criança , Psiquiatria Infantil/métodos , Competência Clínica/normas , Prestação Integrada de Cuidados de Saúde , Humanos , Internato e Residência/organização & administração , Internato e Residência/normas , Assistência Centrada no Paciente/métodos , Estados UnidosRESUMO
Reforming mental health care is a focus of many ongoing initiatives in the United States, both at the national and state levels. Access to adequate mental health care services is one of the identified problems. Telepsychiatry and e-mental health services could improve access to mental health care in rural, remote and underserved areas. The authors discuss the required technology, common applications and barriers associated with the implementation of telepsychiatry and e-mental health services.
