不同年龄段吸烟成人的规范信念和烟草制品使用情况的差异:全国代表性样本的横断面分析》。

Dana Rubenstein, Dana M Carroll, Rachel L Denlinger-Apte, Jennifer Cornacchione Ross, F Joseph McClernon
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引用次数: 0

摘要

背景:老年人吸烟率停滞不前,电子烟(EC)的使用导致吸烟率下降。鉴于规范性信念与戒烟和改吸电子烟有关,我们评估了年龄、CC、电子烟描述性和强制性规范之间的横断面关联以及与烟草使用行为之间的潜在相互作用:数据来自成人烟草与健康人群评估研究第 5 波(2018-2019 年)中当前已确定(一生中使用 CC ≥100 次)使用 CC 的人群(n = 8072)。我们使用调整后的多变量逻辑回归来模拟社会规范与年龄(18-24 岁、25-34 岁、35-44 岁、45-54 岁、55-64 岁、≥65 岁)的函数关系。我们还对年龄进行了二分(≥55 岁 vs 18-54 岁),以研究年龄和社会规范对过去 12 个月 CC 戒烟尝试和过去一个月 EC 使用的交互作用:结果:年龄越大,支持和反对 CC 的规范以及反对使用 EC 的规范越多。显著的交互效应显示,与成年人相比,55 岁以上的成年人接受医疗保健提供者的戒烟建议与 CC 戒烟尝试的相关性更大(调整后的几率比 [aOR] [95% CI]:2.12 [1.66, 2.71]):本研究发现了可改变的烟草使用风险因素,这些因素可能对老年人特别有益。针对规范性信念的行为和沟通干预可最大限度地促进戒烟,或在无法戒烟时减少烟草危害。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Differences in Normative Beliefs and Tobacco Product Use by Age Among Adults Who Smoke: Cross-Sectional Analysis of a Nationally Representative Sample.

Background: The prevalence of combusted cigarette (CC) smoking among older adults is stagnant, with 0 declines attributable to e-cigarette (EC) use. Given that normative beliefs are associated with quitting and switching to ECs, we assessed cross-sectional associations between age, CC, and EC descriptive and injunctive norms and potential interactions with tobacco use behavior.

Methods: Data are from people with current, established (≥100 lifetime CCs) CC use (n = 8072) at Wave 5 (2018-2019) of the adult Population Assessment of Tobacco and Health Study. We used adjusted multivariable logistic regressions to model social norms as a function of age (18-24, 25-34, 35-44, 45-54, 55-64, ≥65 years). We also dichotomized age (≥55 vs 18-54) to investigate interactions between age and social norms on past 12-month CC quit attempts and past-month EC use.

Results: Older age was positively associated with pro- and anti-CC norms and anti-EC norms. Significant interactive effects revealed that being advised to quit smoking by a healthcare provider was more strongly associated with CC quit attempts among adults ≥55 years (adjusted odds ratio [aOR] [95% CI]: 2.12 [1.66, 2.71]) than adults <55 years (aOR: 1.63 [1.34, 2.00]). Reporting people close to you use ECs was also more strongly associated with EC use among adults ≥55 years (aOR: 4.37 [3.35, 5.69]) than among adults <55 years (aOR: 3.43 [2.89, 4.08]).

Conclusions: This study identified modifiable risk factors for tobacco use that may be particularly beneficial for older adults. Behavioral and communication interventions that target normative beliefs may maximize smoking cessation, or harm reduction when cessation is not possible.

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