美国成年人从卷烟转向非燃烧烟草和尼古丁产品的相关个人特征:PATH研究第1-5波的结果。

IF 3 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Akshika Sharma, Karin A Kasza, Richard J O'Connor, Nicholas J Felicione
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引用次数: 0

摘要

导言:减少吸烟造成的疾病负担可能包括改用非燃烧性(NC)烟草和戒烟。本研究评估了转用NCs(电子烟、无烟烟、鼻烟)与继续吸烟、完全戒烟或双重使用的相关因素:分析了 2013-2019 年间三个两年波对的烟草与健康成人人群评估数据,以评估专门吸烟人群的产品转换情况。广义估计方程研究了人口统计学、吸烟特征、感知和信息接触作为从吸烟过渡的预测因素:结果:18-44 岁(参考=65 岁以上;aORs=3.79-5.92)、男性(aOR=1.18,95%CI[1.01,1.37])和认为数控烟比吸烟危害小(参考=否;aOR=1.47,95%CI[1.28,1.69])与吸烟过渡正相关。69])呈正相关,而黑人(ref=白人;aOR=0.36,95%CI[0.26,0.48])或西班牙裔(ref=非西班牙裔;aOR=0.59,95%CI[0.45,0.78])呈负相关。年龄 18-64 岁(aORs=2.49-5.89)、注意到促销广告(ref=没有;aOR=1.34,95%CI[1.14,1.58])、每天轻度或重度吸烟(ref=nondaily;aORs=2.33-3.72)、醒后 30 分钟内吸烟(ref=>30 分钟;aOR=1.黑人(aOR=0.55,95%CI[0.38,0.74])或西班牙裔(aOR=0.52,95%CI[0.38,0.71])与改吸NCs或戒烟呈负相关。收入为 10,000->100,000 美元(参考=结论:过渡到 NCs 在社会人口群体和吸烟特征之间的分布不均。仅仅提供 NCs 可能无法促进健康公平。在市场和监管方面继续努力,促进不同人群戒烟和过渡到NCs,可能会促进公共卫生的发展:本研究探讨了从吸烟过渡到使用非燃烧烟草制品的相关因素。我们研究了三种不同的产品使用情况,这些情况可能与不同程度的危害暴露有关。我们发现,与继续吸烟和戒烟相比,年龄较小且认为非易燃烟草制品的危害小于香烟的人更有可能过渡到使用非易燃烟草制品,而黑人或西班牙裔人过渡到使用非易燃烟草制品的可能性较小。这突出表明,有必要针对少数种族和少数族裔人群开展更有针对性的减害工作,作为戒烟的补充策略,以减少吸烟造成的健康差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Personal Characteristics Associated With Switching From Cigarettes to Noncombustible Tobacco and Nicotine Products Among U.S. Adults: Findings From PATH Study Waves 1-5.

Introduction: Reducing the disease burden from tobacco smoking may encompass switching to noncombustible (NCs), along with cessation. This study evaluates factors associated with switching to NCs (e-cigarettes, smokeless, and snus) versus continued smoking, complete cessation, or dual use.

Aims and methods: Population Assessment of Tobacco and Health adult data were analyzed in three 2-year wave pairs across 2013-2019 to assess product transitions among people who exclusively smoked tobacco. Generalized estimating equations examined demographics, smoking characteristics, perceptions, and messaging exposure as predictors of transitions from cigarette smoking.

Results: Ages 18-44 years (ref = 65+; aORs = 3.79-5.92), males (aOR = 1.18, 95% CI [1.01, 1.37]), and perceiving NCs as less harmful than smoking (ref = not; aOR = 1.47, 95% CI [1.28, 1.69]) were positively associated with switching to NCs versus continued smoking, while being Black (ref = White; aOR = 0.36, 95% CI [0.26, 0.48]) or Hispanic (ref = non-Hispanic; aOR = 0.59, 95% CI [0.45, 0.78]) were negatively associated. Ages 18-64 years (aORs = 2.49-5.89), noticing promotional ads (ref = not; aOR = 1.34, 95% CI [1.14, 1.58]), daily light or heavy smoking (ref = nondaily; aORs = 2.33-3.72), and smoking within 30 minutes of waking (ref=>30 minutes; aOR = 1.47, 95% CI [1.18, 1.85]) were positively associated with switching to NCs versus cessation, while being Black (aOR = 0.55, 95% CI [0.38, 0.74]) or Hispanic (aOR = 0.52, 95% CI [0.38, 0.71]) were negatively associated. Incomes of $10 000-≥$100 000 (ref ≤ $10 000; aORs = 2.08-3.13) and daily heavy smoking (aOR = 1.96, 95% CI [1.11, 3.48]) were positively associated with switching to NCs versus dual use, while being male (aOR = 0.44, 95% CI [0.29, 0.65]) was negatively associated.

Conclusions: Transitioning to NCs was unequally distributed among sociodemographic groups and smoking characteristics. The mere availability of NCs may not promote health equity. Continued market and regulatory efforts that promote both smoking cessation and transitioning to NCs among various populations may promote public health gains.

Implications: This study examines factors associated with transitioning from smoking to noncombustible tobacco product use. We examined three different product use scenarios that may be associated with varied levels of exposure to harm. We observed that younger ages and perceiving NCs as less harmful than cigarettes were more likely to transition to NCs as compared to continued smoking and cessation, while Black or Hispanic individuals were less likely to transition to NCs. This highlights the need for more focused harm reduction efforts for racial and ethnic minority populations as a complementary strategy to cessation to reduce health disparities from smoking.

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来源期刊
Nicotine & Tobacco Research
Nicotine & Tobacco Research 医学-公共卫生、环境卫生与职业卫生
CiteScore
8.10
自引率
10.60%
发文量
268
审稿时长
3-8 weeks
期刊介绍: Nicotine & Tobacco Research is one of the world''s few peer-reviewed journals devoted exclusively to the study of nicotine and tobacco. It aims to provide a forum for empirical findings, critical reviews, and conceptual papers on the many aspects of nicotine and tobacco, including research from the biobehavioral, neurobiological, molecular biologic, epidemiological, prevention, and treatment arenas. Along with manuscripts from each of the areas mentioned above, the editors encourage submissions that are integrative in nature and that cross traditional disciplinary boundaries. The journal is sponsored by the Society for Research on Nicotine and Tobacco (SRNT). It publishes twelve times a year.
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