2015-2023年爱尔兰尼古丁产品使用的演变及其与戒烟意图和尝试的关联：对全国代表性重复横断面调查的分析

IF 13 Q1 HEALTH CARE SCIENCES & SERVICES

Lancet Regional Health-Europe Pub Date : 2025-06-26 DOI:10.1016/j.lanepe.2025.101352

Margaret M. Brennan , Andrea K. Bowe , Aishling Sheridan , Frank Doyle , Fiona Boland , Paul Kavanagh

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引用次数: 0

摘要

尼古丁产品使用(NPU；（包括可燃烟草制品和/或电子烟）正在世界范围内迅速变化。本研究旨在为灵活的政策反应提供信息，研究了NPU趋势及其与戒烟意图和尝试的关联。方法使用全国代表性健康爱尔兰调查的七波（合计N = 52167），估算了2015年至2023年（不包括2020年和2021年）NPU（烟草和/或电子烟）、烟草、电子烟和双重（烟草和电子烟）使用的调查加权患病率。使用2015年和2023年的调查加权回归，研究了社会人口因素与NPU之间的关系，以及NPU与戒烟意图和尝试之间的关系。结果2015 - 2023年，NPU下降幅度无统计学意义（24.6%（1846/7502）至22.9% (1688/7356),ptrend = 0.120），烟草使用下降（22.8%（1713/7502）至17.7% (1303/7356),ptrend = 0.012），电子烟使用增加（3.1%（230/7502）至8.4% (614/7356),ptrend = 0.001），双重使用增加（1.3%（97/7502）至3.1% (230/7356),ptrend = 0.006）。在15-24岁的人群中，NPU从2015年的19.6%（214/1095）增加到2023年的30.0%（345/1149）。2015年，与只使用烟草相比，双重用途与戒烟意图和尝试戒烟的几率更高密切相关，但到2023年情况不再如此。在爱尔兰，电子烟和双重用途的数量增加了一倍多，而烟草的下降速度有所放缓。最显著的变化发生在15 - 24岁的人群中。同时，双重使用与戒烟意图和尝试之间的联系减弱了。这些发现强调了加强电子烟监管和重新制定政策的必要性，以实现爱尔兰的烟草终结。

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Evolution of nicotine product use in Ireland 2015–2023, and associations with quit intentions and attempts: an analysis of nationally representative repeated cross-sectional surveys

Background

Nicotine product use (NPU; including combustible tobacco products and/or e-cigarettes) is changing rapidly worldwide. Aiming to inform an agile policy response, this study examined NPU trends, and associations with intentions and attempts to quit tobacco.

Methods

Survey-weighted prevalences of NPU (tobacco and/or e-cigarette), tobacco, e-cigarette, and dual (tobacco and e-cigarette) use were estimated from 2015 to 2023 (excluding 2020 and 2021) using seven waves of the nationally representative Healthy Ireland survey (combined N = 52,167). Associations between sociodemographic factors and NPU, as well as between NPU and quit intentions and attempts, were examined using survey-weighted regression in the 2015 and 2023 waves.

Findings

Between 2015 and 2023, decreases in NPU were non-significant (24·6% (1846/7502) to 22·9% (1688/7356), p_trend = 0·120), while tobacco use decreased (22·8% (1713/7502) to 17·7% (1303/7356), p_trend = 0·012), e-cigarette use increased (3·1% (230/7502) to 8·4% (614/7356), p_trend = 0·001) and dual use increased (1·3% (97/7502) to 3·1% (230/7356), p_trend = 0·006). Among those aged 15–24, NPU increased from 19·6% (214/1095) in 2015 to 30·0% (345/1149) in 2023. In 2015, dual use was strongly associated with higher odds of quit intentions and attempts to quit tobacco, compared to tobacco-only, but this was no longer the case in 2023.

Interpretation

E-cigarette and dual use have more than doubled in Ireland, while tobacco declines have slowed. The most substantial changes occurred among 15–24-year-olds. Concurrently, the link between dual use and quit intentions and attempts attenuated. These findings underscore the need for stronger e-cigarette regulation and renewed policy efforts to achieve tobacco endgame in Ireland.

Funding

None.

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来源期刊

Lancet Regional Health-Europe Multiple-

CiteScore

19.90

自引率

1.40%

发文量

260

审稿时长

9 weeks

期刊介绍： The Lancet Regional Health – Europe, a gold open access journal, is part of The Lancet's global effort to promote healthcare quality and accessibility worldwide. It focuses on advancing clinical practice and health policy in the European region to enhance health outcomes. The journal publishes high-quality original research advocating changes in clinical practice and health policy. It also includes reviews, commentaries, and opinion pieces on regional health topics, such as infection and disease prevention, healthy aging, and reducing health disparities.