To use or not to use electronic cigarettes? Reasons for use, stopping use and their behavioural sequelae among Mexicans who smoke.

IF 4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Katia Gallegos Carrillo, Dèsirée Vidaña-Pérez, Inti Barrientos-Gutierrez, Edna Arillo-Santillán, Lizeth Cruz-Jiménez, Rosibel Rodríguez-Bolaños, James F Thrasher
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引用次数: 0

Abstract

Introduction: Reasons for using and stopping the use of e-cigarettes and their associations with transitions in nicotine product use are relatively unknown in countries with e-cigarette bans, such as Mexico.

Methods: Data comes from an open cohort of people who smoke in Mexico, surveyed every 4 months from November 2018 to November 2021. Those who smoked and used e-cigarettes at time t (n=904 individuals, 1653 observations) were categorised at 4-month follow-up (t+1): (1) continued 'dual use', (2) exclusive smoking, (3) exclusive use of e-cigarettes or neither product. For people who formerly used e-cigarettes at time t (n=332 individuals, 372 observations), follow-up categories were: (1) continued exclusive smoking; (2) re-initiated e-cigarette use. Multinomial and logistic models regressed follow-up status (ref=status at time t) on reasons for using or stopping e-cigarette use, respectively, at time t, adjusting for covariates.

Results: The most prevalent reasons for current e-cigarette use were 'they were less harmful to others' (40.5%) and 'enjoyable' (39.0%). Those who reported using e-cigarettes because they were less harmful to others (Adjusted Relative Risk Ratio (ARRR)=0.67), more enjoyable (ARRR=0.52), could help them to quit smoking (ARRR=0.65), or to control weight (ARRR=0.46) were less likely to return to exclusively smoking. Among people who formerly used e-cigarettes, lack of satisfaction was the primary reason for stopping e-cigarette use (32%) and those who reported this were less likely to start using e-cigarettes again at follow-up (Adjusted Odds Ratio (AOR)=0.58).

Conclusions: Specific reasons for using and stopping e-cigarettes predict changes in smoking and e-cigarette use, and targeting these beliefs could promote desired behaviour changes.

使用还是不使用电子香烟?墨西哥吸烟者使用、停止使用的原因及其行为后遗症。
导言:在墨西哥等禁止使用电子烟的国家,人们对使用和停止使用电子烟的原因及其与尼古丁产品使用过渡之间的关系还相对不了解:数据来自墨西哥吸烟者的开放队列,从 2018 年 11 月到 2021 年 11 月,每 4 个月调查一次。在t时间吸烟并使用电子烟的人(n=904人,1653个观测值)在4个月的随访(t+1)中被分为以下几类:(1)继续 "双重使用";(2)完全吸烟;(3)完全使用电子烟或两种产品都不使用。对于在时间 t 曾经使用过电子烟的人(n=332 人,372 次观察),随访类别为:(1) 继续完全吸烟;(2) 完全吸烟;(3) 完全使用电子烟或两种产品都不使用:(1) 继续完全吸烟;(2) 重新开始使用电子烟。多项式模型和逻辑模型分别对t时使用或停止使用电子烟的原因的跟踪状态(ref=t时的状态)进行了回归,并对协变量进行了调整:目前使用电子烟最普遍的原因是 "对他人危害较小"(40.5%)和 "令人愉快"(39.0%)。那些表示使用电子烟是因为 "对他人危害较小(调整后相对风险比=0.67)"、"更令人愉悦(调整后相对风险比=0.52)"、"有助于戒烟(调整后相对风险比=0.65)"或 "控制体重(调整后相对风险比=0.46)"的人,恢复纯吸烟的可能性较小。在曾经使用过电子烟的人群中,缺乏满足感是停止使用电子烟的主要原因(32%),而那些报告了这一原因的人在随访时再次开始使用电子烟的可能性较小(调整后比值比(AOR)=0.58):使用和停止使用电子烟的具体原因可预测吸烟和使用电子烟的变化,针对这些信念可促进预期的行为改变。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Tobacco Control
Tobacco Control 医学-公共卫生、环境卫生与职业卫生
CiteScore
9.10
自引率
26.90%
发文量
223
审稿时长
6-12 weeks
期刊介绍: Tobacco Control is an international peer-reviewed journal covering the nature and consequences of tobacco use worldwide; tobacco''s effects on population health, the economy, the environment, and society; efforts to prevent and control the global tobacco epidemic through population-level education and policy changes; the ethical dimensions of tobacco control policies; and the activities of the tobacco industry and its allies.
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