Motivations for E-cigarette use and associations with vaping frequency and smoking abstinence among adults who smoke cigarettes in the United States.
Motivations for E-cigarette use and associations with vaping frequency and smoking abstinence among adults who smoke cigarettes in the United States.
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DOI：
10.1016/j.drugalcdep.2022.109583
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发表时间：
2022-09-01
影响因子：
4.2
通讯作者：
Barrington-Trimis, Jessica L.
中科院分区：
文献类型：
--
作者：
Harlow, Alyssa F.;Cho, Junhan;Tackett, Alayna P.;McConnell, Rob S.;Leventhal, Adam M.;Stokes, Andrew C.;Barrington-Trimis, Jessica L.
在观察性研究中，每天吸电子烟与戒烟呈正相关，而非每天吸电子烟与戒烟较少有关（与不使用电子烟相比）。目前尚不清楚每天使用电子烟的吸烟者是否与非每天使用电子烟的吸烟者有不同的动机。使用潜在类别分析和10个自我报告的电子烟原因，我们在烟草与健康人口评估（2016 - 2018）的第4波中，根据1544名成人（≥ 18岁）电子烟和香烟双重使用者的电子烟动机确定了参与者的亚组。我们研究了动机亚组与第4波的电子烟频率以及随后的第5波戒烟率的相关性（2018 - 2019）。其他分析检查了在调整动机子组之前和之后，电子烟频率与戒烟的关联。电子烟用户出现了四个不同的亚组，其中54%的参与者是“电子烟爱好者”，20%的人是“方便和社会可接受性”，10%被归类为“实验者”，16%的人是“戒烟和减少伤害”。便利性和社会可接受性亚组不太可能比“电子烟爱好者”（AOR = 0.29，95%CI [0.20 - 0.42]）和“戒烟和减少伤害”（AOR = 0.41，95%CI [0.24 - 0.71]）类每天电子烟（与非每天）。亚组与一年后戒烟无关。动机子组的调整并没有削弱每日电子烟与戒烟的正相关性。为了方便和社会接受度而吸烟的吸烟者比那些有其他吸烟动机的人更少使用电子烟。吸烟动机与随后的戒烟无关。
In observational studies, vaping daily is positively associated with cigarette smoking abstinence, while non-daily vaping is associated with less smoking abstinence (versus no e-cigarette use). It remains unknown whether cigarette smokers who vape daily have different motivations for using e-cigarettes than those who vape non-daily. Using latent class analysis and 10 self-reported reasons for vaping, we identified sub-groups of participants based on vaping motivations among 1544 adult (≥18 y) dual users of e-cigarettes and cigarettes at wave 4 of the Population Assessment of Tobacco and Health (2016–2018). We examined the association of motivation sub-groups with vaping frequency at wave 4, and subsequent cigarette smoking abstinence at wave 5 (2018–2019). Additional analyses examined the association of vaping frequency with smoking abstinence before and after adjustment for motivation sub-groups. Four distinct sub-groups of e-cigarette users emerged, including 54 % of participants who were “Vaping Enthusiasts”, 20 % who vaped for “Convenience and Social Acceptability”, 10 % classified as “Experimenters” and 16 % who vaped for “Quitting Smoking and Harm Reduction.” The Convenience and Social Acceptability sub-group were less likely than “Vaping Enthusiasts” (AOR=0.29, 95 %CI[0.20–0.42]) and “Quitting Smoking and Harm Reduction” (AOR=0.41, 95 %CI[0.24–0.71]) classes to vape daily (versus non-daily). Sub-groups were not associated with smoking abstinence after one year. Adjustment for motivation sub-groups did not attenuate a positive association of daily vaping with smoking abstinence. Cigarette smokers who vaped for convenience and social acceptability were less frequent e-cigarette users than those with other vaping motivations. Vaping motivations were not associated with subsequent smoking abstinence.
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影响因子：
5.2
作者：
Hyland, Andrew;Ambrose, Bridget K.;Compton, Wilson M.
通讯作者：
Compton, Wilson M.
影响因子：
4.7
作者：
Biener, Lois;Hargraves, J. Lee
通讯作者：
Hargraves, J. Lee
影响因子：
4.4
作者：
Spears, Claire Adams;Jones, Dina M.;Eriksen, Michael P.
通讯作者：
Eriksen, Michael P.
影响因子：
2
作者：
Votaw, Victoria R.;McHugh, R. Kathryn;Witkiewitz, Katie
通讯作者：
Witkiewitz, Katie
影响因子：
6
作者：
Borland, Ron;Murray, Krista;Cummings, K. Michael
通讯作者：
Cummings, K. Michael