How Does the Use of Flavored Nicotine Vaping Products Relate to Progression Toward Quitting Smoking? Findings From the 2016 and 2018 ITC 4CV Surveys
How Does the Use of Flavored Nicotine Vaping Products Relate to Progression Toward Quitting Smoking? Findings From the 2016 and 2018 ITC 4CV Surveys
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DOI：
10.1093/ntr/ntab033
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发表时间：
2021-02-25
影响因子：
4.7
通讯作者：
McNeill, Ann
中科院分区：
文献类型：
--
作者：
Li, Lin;Borland, Ron;McNeill, Ann
导言：关于尼古丁电子烟产品（NVPs）中香料与吸烟的关系的研究有限。我们研究了NVPs中香料使用模式与戒烟进展的关系。目的和方法：数据来自886名同时使用NVPs（至少每周一次）和香烟的用户，他们在2016年首次接受调查，然后在2018年成功重新联系，这是在澳大利亚、加拿大、英国和美国进行的ITC 4CV调查的一部分。参与者被问及他们的主要电子烟口味，分为：(1)烟草味或无味，(2)薄荷味或薄荷味，(3)“甜”味（如水果味或糖果味）。在调查期间，我们研究了口味是否与戒烟的进展有关。结果：总体而言，11.1%的基线同时吸烟者在2018年戒烟。与使用烟草香精的人相比，使用“甜味”香精的人更有可能戒烟（13.8% vs. 9.6%；调整优势比[aOR] = 1.61, 95%可信区间[CI] 1.01-2.58, p < 0.05），但使用薄荷香精的人戒烟的可能性不高（8.3% vs. 9.6%, aOR = 0.87, 95% CI 0.43-1.47, p= 0.69）。在2018年戒烟的人中，52.0%仍在吸电子烟，低于持续吸烟者的65.8% （aOR = 0.60, 95% CI 0.39-0.92, p = 0.02）。与烟草口味的使用者相比，甜味口味的使用者继续吸电子烟的可能性并不大，无论是那些继续吸烟的人还是那些在2018年戒烟的人。那些在随访中继续吸电子烟的人对烟草味的净转移。结论：使用水果和其他甜味电子烟油与吸烟者戒烟呈正相关。
Introduction: There is limited research on the role of flavors in nicotine vaping products (NVPs) in relation to smoking. We examined patterns of flavor use in NVPs in relation to progression toward quitting.Aims and Methods: Data come from 886 concurrent users of NVPs (at least weekly) and cigarettes who were first surveyed in 2016 and then successfully recontacted in 2018 as part of the ITC 4CV Surveys conducted in Australia, Canada, England, and the United States. Participants were asked about their main vaping flavor categorized as: (1) tobacco or unflavored, (2) menthol or mint flavored, and (3) "sweet" flavors (eg, fruit or candy). We examined whether flavor was associated with progression toward quitting smoking between survey years.Results: Overall, 11.1% of baseline concurrent users quit smoking by 2018. Compared with users of tobacco flavors, those vaping "sweet" flavors were more likely to quit smoking between surveys (13.8% vs. 9.6%; adjusted odds ratio [aOR] = 1.61, 95% confidence interval [CI] 1.01-2.58, p < .05), but those using menthol flavors were no more likely to quit smoking (8.3% vs. 9.6%, aOR = 0.87, 95% CI 0.43-1.47, p= .69). Among those who had quit smoking in 2018, 52.0% were still vaping, which was lower than the 65.8% among continuing smokers (aOR = 0.60, 95% CI 0.39-0.92, p = .02). Sweet flavor users were no more likely to continue vaping compared with tobacco flavor users, either for those continuing smoking or those having quit smoking by 2018.There was a net shift away from tobacco flavor among those who continued to vape at follow-up.Conclusions: Use of fruit and other sweet flavored e-liquids is positively related to smokers' transition away from cigarettes.