E-cigarette cessation interest and quit attempts among young adults reporting exclusive e-cigarette use or dual use with other tobacco products: How can we reach them?

E-cigarette cessation interest and quit attempts among young adults reporting exclusive e-cigarette use or dual use with other tobacco products: How can we reach them?
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DOI:
10.18332/tpc/172416
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发表时间:
2023
影响因子:
1.8
通讯作者:
Berg CJ
Berg CJ
中科院分区:
其他
文献类型:
--
作者:
Le D;Ciceron AC;Romm KF;Clausen ME;Abroms LC;Evans WD;Graham AL;Berg CJ

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有有限的证据来告知电子烟戒烟干预措施。这项混合方法的研究检查了:1)电子烟和其他烟草产品的看法和戒烟相关因素; 2)报告单独使用电子烟或与其他烟草产品双重使用的年轻人的潜在行为干预策略。我们分析了2020年秋季726名参与者的调查数据,这些参与者报告了过去6个月的电子烟使用情况。(平均年龄=24.15岁,51.1%为女性,38.5%为种族/少数民族)和2021年春季来自一个子集(n=40)的定性访谈数据,比较了报告单独使用与双重使用的烟草相关认知和戒烟相关因素。在调查参与者中(35.5%的人只使用电子烟,64.5%的人同时使用电子烟),报告同时使用电子烟的人表示,戒烟或尼古丁产品的重要性更大。(平均值=5.28,SD=3.44 vs平均值=4.65,SD=3.75,p=0.033),而那些报告完全使用电子烟的人表示对戒烟更有信心(平均值=7.59,SD=3.06 vs平均值=7.08,SD=3.01,p=0.029)和所有烟草和尼古丁产品(平均值=7.00,SD=3.16 vs平均值=6.31,SD=3.13,p=0.008),以及不太有利的看法香烟、雪茄和无烟烟草的健康危害和成瘾性更大,社会接受度更低(p<0.05)。受访者(50.0%单独使用电子烟; 50.0%双重使用)将之前失败的电子烟戒烟尝试归因于他们无法科普社会影响,压力和戒断症状。尽管大多数人表示对戒烟不感兴趣,因为他们认为最终会超过电子烟(在报告单独使用的人中)或不准备放弃尼古丁(在报告双重使用的人中),但许多人承认需要戒烟干预。青少年电子烟戒烟干预措施应针对风险认知,戒烟障碍和社会影响/支持。
There is limited evidence to inform e-cigarette quitting interventions. This mixed-methods study examined: 1) e-cigarette and other tobacco product perceptions and cessation-related factors; and 2) potential behavioral intervention strategies among young adults reporting exclusive e-cigarette use or dual use with other tobacco products. We analyzed Fall 2020 survey data from 726 participants reporting past 6-month e-cigarette use (mean age=24.15 years, 51.1% female, 38.5% racial/ethnic minority) from 6 US metropolitan areas and Spring 2021 qualitative interview data from a subset (n=40), comparing tobacco-related perceptions and cessation-related factors among those reporting exclusive use versus dual use. Among survey participants (35.5% exclusive e-cigarette use, 64.5% dual use), those reporting dual use indicated greater importance of quitting all tobacco or nicotine products (mean=5.28, SD=3.44 vs mean=4.65, SD=3.75, p=0.033), whereas those reporting exclusive use expressed greater confidence in quitting e-cigarettes (mean=7.59, SD=3.06 vs mean=7.08, SD=3.01, p=0.029) and all tobacco and nicotine products (mean=7.00, SD=3.16 vs mean=6.31, SD=3.13, p=0.008), as well as less favorable perceptions (i.e. more harmful to health and addictive, less socially acceptable) of cigarettes, cigars, and smokeless tobacco (p<0.05). Interview participants (50.0% exclusive e-cigarette use; 50.0% dual use) attributed previous failed e-cigarette quit attempts to their inability to cope with social influences, stress, and withdrawal symptoms. Although most expressed disinterest in quitting due to belief of eventually outgrowing e-cigarettes (among those reporting exclusive use) or unreadiness to abstain from nicotine (among those reporting dual use), many acknowledged the need for quitting interventions. Young adult e-cigarette cessation interventions should target risk perceptions, cessation barriers, and social influences/support.
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