吸烟与吸食电子烟之间的过渡：关于性别和性潜在差异的证据（或缺乏证据

IF 4.3 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

Preventive medicine Pub Date : 2024-11-01 DOI:10.1016/j.ypmed.2024.107974

Jamie Hartmann-Boyce , Monserrat Conde , Eliza Zhitnik , Jazmine Chan , Rachna Begh , Nancy A. Rigotti , Nicola Lindson

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引用次数: 0

摘要

综合两篇 Cochrane 综述报告中关于吸食电子烟和吸烟过渡可能产生的性别差异效应的现有证据。我们筛选了两篇 Cochrane 综述中的纳入研究，以寻找根据性别报告吸烟结果的研究。第一篇综述研究了使用电子烟帮助人们戒烟的效果，包括截至 2023 年 7 月发表的随机对照试验和非对照干预研究。第二篇综述旨在评估电子烟的使用和供应与年轻人（29 岁及以下）随后吸烟之间关系的证据，包括截至 2023 年 4 月发表的准实验研究和队列研究。由于数据的稀缺性和异质性，我们以叙述方式报告结果。在两篇相关综述收录的 161 项研究中，有 10 项符合我们的标准。只有 5 项研究报告分析了观察到的效应或关联是否因性别和/或性取向而异。另有三项研究提供了相关的描述性信息，两项研究没有报告有关吸食和吸烟转变的总体结果，但调查了这些结果是否因性别而异。综合数据基本上没有定论，但有一些迹象表明，与女性相比，年轻男性吸食电子烟与随后吸烟的关系更为密切。没有研究报告非二元参与者的数据。尽管性别和性取向可能是影响吸烟和吸烟转变的因素，但这方面的证据很少。未来有关吸食电子烟和吸烟过渡的研究应该对基于性别的潜在差异进行调查分析并做出报告。

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Transitions between smoking and vaping: Evidence (or lack thereof) on potential differences by gender and sex

Objective

To synthesize existing evidence on possible differential effects by sex and gender from two Cochrane reviews evaluating vaping and smoking transitions.

Methods

We screened included studies from two Cochrane reviews for studies reporting smoking outcomes based on gender or sex. The first review examines the effects of using e-cigarettes to help people quit smoking and includes randomized controlled trials and uncontrolled intervention studies published to July 2023. The second review aims to assess the evidence on the relationship between the use and availability of e-cigarettes and subsequent smoking in young people (aged 29 and younger) and includes quasi-experimental and cohort studies published to April 2023. Due to the paucity and heterogeneity of data, we report results narratively.

Results

10 of 161 studies included in the two relevant reviews met our criteria. Only five reported analyzing whether observed effects or associations varied based on sex and/or gender. A further three provided relevant descriptive information, and two did not report overall outcomes regarding vaping and smoking transitions but did investigate whether these differed by sex/gender. Synthesized data were largely inconclusive, but there was some suggestion that vaping was more strongly associated with subsequent smoking in young males than females. No studies reported data on nonbinary participants.

Conclusions

Despite plausible reasons why sex and gender may be moderators of vaping and smoking transitions, there is little evidence investigating this. Future studies of vaping and smoking transitions should conduct and report analyses investigating potential differences based on sex and gender.

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来源期刊

Preventive medicine 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.70

自引率

3.90%

发文量

审稿时长

42 days

期刊介绍： Founded in 1972 by Ernst Wynder, Preventive Medicine is an international scholarly journal that provides prompt publication of original articles on the science and practice of disease prevention, health promotion, and public health policymaking. Preventive Medicine aims to reward innovation. It will favor insightful observational studies, thoughtful explorations of health data, unsuspected new angles for existing hypotheses, robust randomized controlled trials, and impartial systematic reviews. Preventive Medicine''s ultimate goal is to publish research that will have an impact on the work of practitioners of disease prevention and health promotion, as well as of related disciplines.