E-cigarettes and Smoking Cessation in the United States According to Frequency of E-cigarette Use and Quitting Duration: Analysis of the 2016 and 2017 National Health Interview Surveys
E-cigarettes and Smoking Cessation in the United States According to Frequency of E-cigarette Use and Quitting Duration: Analysis of the 2016 and 2017 National Health Interview Surveys
复制标题
DOI：
10.1093/ntr/ntz025
复制
发表时间：
2020-05-01
影响因子：
4.7
通讯作者：
Niaura, Raymond
中科院分区：
文献类型：
--
作者：
Farsalinos, Konstantinos E.;Niaura, Raymond
简介：这项研究的目的是检查美国成年人使用电子烟（电子烟）与戒烟之间的关系。戒烟的持续时间被考虑在内，因为在2010年之前，美国对电子烟的认识和使用都很低。方法：对2016年和2017年对当前（N = 9935）和既往吸烟者（N = 14 754）进行的国家健康访谈调查进行了汇总分析。调整后的患病率（aPR），为社会人口因素，counted.Findings：目前电子烟的使用被报告由10.5%（95%CI = 9.8%至11.3%）的当前吸烟者和4.5%（95%CI = 4.0%至5.0%）的前吸烟者。患病率高的前吸烟者不到1年（16.8%，95% CI = 13.9%-20.2%），1-3年（15.0%，95% CI = 13.0%-17.3%），4-6年（10.5%，95% CI = 8.6%至12.7%），6年以上的既往吸烟者中非常低（0.7%，95% CI = 0.5%至0.9%）。每天使用电子烟也观察到类似的模式。当忽略戒烟持续时间时，目前使用电子烟与以前吸烟者呈负相关（aPR = 0.64，95% CI = 0.59至0.69），但与吸烟时间小于1年呈正相关（aPR = 1.44，95%CI = 1.12 - 1.84）和1-3年（aPR = 1.21，95%CI = 1.03 - 1.42）。当戒烟时间被忽略时，每天使用电子烟与成为前吸烟者无关，但与成为前吸烟者少于1年呈正相关（aPR = 3.44，95% CI = 2.63 - 4.49），1-3年（aPR = 2.51，95% CI = 2.13 - 2.95），4-6年（aPR = 1.84，95%CI = 1.49至2.26）。结论：每日电子烟使用与近期戒烟密切相关（
Introduction: The purpose of this study was to examine the association between electronic cigarette (e-cigarette) use and smoking cessation among US adults. Duration of smoking cessation was taken into consideration because e-cigarette awareness and use were low in the United States before 2010.Methods: A pooled analysis of the 2016 and 2017 National Health Interview Surveys on current (N = 9935) and former smokers (N = 14 754) was performed. Adjusted prevalence ratios (aPRs), for sociodemographic factors, were calculated.Findings: Current e-cigarette use was reported by 10.5% (95% CI = 9.8% to 11.3%) of current smokers and 4.5% (95% CI = 4.0% to 5.0%) of former smokers. Prevalence was high in former smokers of less than 1 year (16.8%, 95% CI = 13.9% to 20.2%), 1-3 years (15.0%, 95% CI = 13.0% to 17.3%), and 4-6 years (10.5%, 95% CI = 8.6% to 12.7%), and very low in former smokers of more than 6 years (0.7%, 95% CI = 0.5% to 0.9%). Similar patterns were observed for daily e-cigarette use. Current e-cigarette use was negatively associated with being a former smoker when quit duration was ignored (aPR = 0.64, 95% CI = 0.59 to 0.69) but was positively associated with being a former smoker of less than 1 year (aPR = 1.44, 95% CI = 1.12 to 1.84) and 1-3 years (aPR = 1.21, 95% CI = 1.03 to 1.42). Daily e-cigarette use was not associated with being a former smoker when quit duration was ignored but was positively associated with being a former smoker of less than 1 year (aPR = 3.44, 95% CI = 2.63 to 4.49), 1-3 years (aPR = 2.51, 95% CI = 2.13 to 2.95), and 4-6 years (aPR = 1.84, 95% CI = 1.49 to 2.26).Conclusions: Daily e-cigarette use is strongly associated with recent smoking cessation (