电子尼古丁输送系统(ENDS):美国育龄妇女的使用频率和戒烟努力。

IF 4.3 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Sulamunn R.M. Coleman , Janice Y. Bunn , Elias M. Klemperer , Marc Jerome P. Feinstein , Stephen T. Higgins
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引用次数: 0

摘要

目的:鉴于育龄妇女(WRA)可能容易受到吸烟带来的多代不良影响,减少她们使用可燃卷烟的危害至关重要。尽管电子尼古丁递送系统(ENDS)在美国未被批准为戒烟辅助工具,但许多吸烟的育龄妇女表示使用ENDS来帮助戒烟。美国 WRA 使用 ENDS 的模式与戒烟努力之间的关系仍不清楚:利用烟草与健康人群评估(PATH)研究,我们研究了ENDS的基线使用频率(第3或第4波)是否预示着WRA(人数=2834;72.1%为非西班牙裔白人)中(a)尝试戒烟(QA)和(b)在随访(分别为第4或第5波)时成功戒烟:与非每日使用(AOR = 1.63,95% CI = 1.03,2.59)和不使用ENDS(AOR = 1.97,95% CI = 1.23,3.14)相比,每日使用ENDS可预测更高的调整后QA几率,与非每日使用(AOR = 2.37,95% CI = 1.31,4.26)相比,可预测更高的成功戒烟几率。与不使用ENDS相比,每天使用ENDS并不能显著提高成功戒烟的几率(AOR = 1.62,95% CI = 0.97,2.69)。与不使用ENDS相比,非每天使用ENDS并不能明显提高做出质量评估的几率(AOR = 1.21,95% CI = 0.94,1.56),而且会阻碍成功戒烟(AOR = 0.68,95% CI = 0.48,0.98):这些研究结果表明,在每天使用ENDS的WRA中,ENDS对戒烟的益处可能最大。有证据表明,非每天使用ENDS可能会妨碍戒烟,这对选择使用ENDS帮助戒烟的WRA来说是一个很好的信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Electronic nicotine delivery systems (ENDS): Frequency of use and smoking-cessation efforts among U.S. women of reproductive age

Objective

Reducing harm from combustible cigarette use among women of reproductive age (WRA) is critical given their potential vulnerability to multigenerational adverse impacts of cigarette smoking. Although electronic nicotine delivery systems (ENDS) are not approved smoking cessation aids in the US, many WRA who smoke report using ENDS to help quit smoking. Associations between ENDS use patterns and smoking-cessation efforts among US WRA remain unclear.

Methods

Using the Population Assessment of Tobacco and Health (PATH) Study, we examined whether baseline (Wave 3 or 4) ENDS use frequency predicted (a) making a cigarette quit attempt (QA) and (b) successful quitting by follow-up (Wave 4 or 5, respectively) among WRA (N = 2834; 72.1% non-Hispanic White).

Results

Daily ENDS use predicted greater adjusted odds of making a QA than non-daily (AOR = 1.63, 95% CI = 1.03, 2.59) and no ENDS use (AOR = 1.97, 95% CI = 1.23, 3.14), and greater odds of successful smoking cessation than non-daily use (AOR = 2.37, 95% CI = 1.31, 4.26). Daily ENDS use did not significantly improve odds of successful smoking cessation compared to no ENDS use (AOR = 1.62, 95% CI = 0.97, 2.69). Non-daily ENDS use did not significantly improve odds of making a QA (AOR = 1.21, 95% CI = 0.94, 1.56) and hindered successful smoking cessation compared to no ENDS use (AOR = 0.68, 95% CI = 0.48, 0.98).

Conclusions

These findings suggest that benefits of ENDS for smoking cessation in WRA may be greatest among those who use ENDS daily. WRA who choose to use ENDS to help quit would be well-informed by evidence that non-daily ENDS use may impede smoking cessation.
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来源期刊
Preventive medicine
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
0
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.
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