Electronic nicotine delivery system dual use and intention to quit smoking: Will the socioeconomic gap in smoking get greater?
Electronic nicotine delivery system dual use and intention to quit smoking: Will the socioeconomic gap in smoking get greater?
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DOI：
10.1016/j.addbeh.2016.05.020
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发表时间：
2016-10-01
影响因子：
4.4
通讯作者：
Eriksen, Michael P.
中科院分区：
文献类型：
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作者：
Nayak, Pratibha;Pechacek, Terry F.;Eriksen, Michael P.
电子尼古丁输送系统（ENDS）在吸烟者中很受欢迎；然而，目前尚不清楚使用ENDS是否有助于或延迟戒烟，特别是在某些重点人群中。我们研究了重点人群中戒烟意向的预测因素以及ENDS和传统香烟的双重使用模式。方法：本研究使用了2014年对5717名美国成年人的全国概率样本调查的数据。描述性统计用于检验当前吸烟者（n = 1014）和双重吸烟者（n = 248）的戒烟意图差异。对双重使用者的总体样本和子样本进行多变量logistic回归分析，以确定双重使用（相对于仅使用香烟）和人口统计学特征是否预测自我报告的戒烟意图和在过去一年中曾尝试戒烟。p < 0.05为显著性。结果：与吸烟者相比，双重使用者受教育程度略高（p < 0.05），更有可能戒烟（调整优势比[AOR] = 1.8, p = 0.001），更有可能在过去一年中尝试戒烟（AOR = 1.7, p = 0.003）。黑人报告的戒烟意向高于白人（AOR = 1.8, p = 0.003）。与高中及以下学历相比，拥有大专以上学历（AOR = 1.5, p = 0.007）或大专学历（AOR = 2.5, p = 0.007）的双重用户
Introduction: Electronic nicotine delivery systems (ENDS) are popular among cigarette smokers; however, it is not known whether the use of ENDS assists or delays quitting cigarettes, especially among certain priority populations. We examined predictors of intention to quit smoking and patterns of dual use of ENDS and traditional cigarettes among priority populations.Methods: This study used data from a 2014 survey of a national probability sample of 5717 USA adults. Descriptive statistics were used to examine differences in intention to quit cigarette use among current cigarette smokers (n = 1014) and dual users of cigarettes and ENDS (n = 248). Multivariable logistic regression analysis was conducted on the overall sample and the subsample of dual users to determine whether dual use (versus cigarette only use) and demographic characteristics predict self-reported intention to quit and having attempted to quit in the past year. Significance was set at p < 0.05.Results: Compared to cigarette smokers, dual users were slightly more educated (p < 0.05), more likely to intend to quit smoking (adjusted odds ratio [AOR] = 1.8, p = 0.001), and more likely to have attempted to quit smoking in the past year (AOR = 1.7, p = 0.003). Blacks reported higher intention to quit than Whites (AOR = 1.8, p = 0.003). Compared with high school education or less, dual users with some college (AOR = 1.5, p = 0.007) or a college degree (AOR = 2.5, p