Informing the development of adolescent e-cigarette cessation interventions: A qualitative study.

Informing the development of adolescent e-cigarette cessation interventions: A qualitative study.
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为青少年电子烟戒烟干预措施的发展提供信息:一项定性研究

DOI:
10.1016/j.addbeh.2020.106720
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发表时间:
2021-03
影响因子:
4.4
通讯作者:
Krishnan-Sarin S
Krishnan-Sarin S
中科院分区:
医学2区
文献类型:
--
作者:
Kong G;Bold KW;Cavallo DA;Davis DR;Jackson A;Krishnan-Sarin S

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青少年使用电子烟的比例很高,但有关如何帮助他们戒烟的信息有限。我们的目的是通过了解青少年使用和不喜欢电子烟的原因以及他们的戒烟经历,为戒烟干预措施提供信息。 2019 年秋季在康涅狄格州 (N=62) 开展了 6 个针对当前用户(即过去一个月的使用情况)的焦点小组和 2 个针对过去用户(即过去一个月没有使用过的情况)的焦点小组。我们使用焦点小组指南和迭代方法来确定主题。青少年出于社会原因和缓解压力而使用电子烟,并报告称由于成本、负面健康影响和成瘾而不喜欢电子烟。他们报告了有意和无意的戒烟经历。无意戒烟的原因包括无法接触电子烟。有意戒烟的原因包括短期“耐受中断”和健康问题。在那些试图戒烟的人中,常见的戒烟方法是“冷火鸡”,放弃他们的设备,并限制与同伴用户的互动。最常见的戒断症状是消极情绪。戒烟的显着障碍包括在学校受到社会影响、容易接触电子烟以及缺乏戒烟动力。我们的定性证据表明,戒烟干预措施需要激励年轻人戒烟,并教会他们管理社会影响、压力和其他负面情绪以及戒断症状。解决与在学校使用电子烟相关的社会规范并减少与电子烟使用相关的线索的干预措施也可能是有益的。
Adolescents are using e-cigarettes at high rates and there is limited information on how to help them quit. We aimed to inform e-cigarette cessation interventions by understanding why adolescents use and dislike e-cigarettes and their quit experiences. Six focus groups with current users (i.e., past-month use) and 2 focus groups with past users (i.e., no past-month use) were conducted in Fall 2019 in Connecticut (N=62). We used a focus group guide and an iterative approach to identify themes. Adolescents used e-cigarettes because of social reasons and to relieve stress and reported disliking e-cigarettes due to the cost, negative health effects, and addiction. They reported both intentional and unintentional experiences with quitting e-cigarettes. Reasons for unintentional quitting included lack of access to e-cigarettes. Reasons for intentional quitting included short-term “tolerance breaks” and health concerns. Of those who tried to quit, common quitting methods were “cold turkey,” giving away their device, and limiting interactions with peer users. The most common withdrawal symptom was negative mood. Notable barriers to quitting included exposure to social influences at school, easy access to e-cigarettes, and lack of motivation to quit. Our qualitative evidence suggests that e-cigarette cessation interventions need to motivate youth to quit, and teach them to manage social influences, stress and other negative mood, and withdrawal symptoms. Interventions that address social norms related to use of e-cigarettes in school and reduce cues related to e-cigarette use may also be beneficial.
DOI: 10.1093/ntr/ntu257
发表时间: 2015-07-01
影响因子: 4.7
作者:
Kong, Grace;Morean, Meghan E.;Krishnan-Sarin, Suchitra
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发表时间: 2016-06
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发表时间: 2017-01-01
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