Effects of menthol use and transitions in use on short-term and long-term cessation from cigarettes among US smokers.
Effects of menthol use and transitions in use on short-term and long-term cessation from cigarettes among US smokers.
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DOI：
10.1136/tobaccocontrol-2021-056596
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发表时间：
2023-04
期刊：
影响因子：
5.2
通讯作者：
Pierce JP
中科院分区：
文献类型：
--
作者：
Leas EC;Benmarhnia T;Strong DR;Pierce JP
评估薄荷醇的使用和使用中的转换（转向或不再使用薄荷醇）对短期和长期戒烟的影响，以及这是否在人口统计学群体（年龄、性别、种族）之间存在差异。我们通过烟草使用与健康人口评估（波1-波3 &波2-波4；n=5759），治疗加权逆概率和调整风险比（aRRs），比较了薄荷醇使用状态下戒烟30天以上和12个月的概率。在尝试戒烟前使用薄荷醇（与非薄荷醇相比）可使戒烟30天以上的可能性降低28% (aRR =0.78; 95%CI: 0.67-0.91)，使戒烟12个月的可能性降低53% （aRR =0.65; 95%CI: 0.47-0.88）。此外，戒掉薄荷醇（相对于继续使用薄荷醇）使戒除30天以上的可能性增加58% (aRR = 1.58; 95% CI: 1.00-2.50)，使戒除12个月的可能性增加97% （aRR = 1.86; 95% CI: 0.92-3.74）。改用薄荷醇（相对于继续使用非薄荷醇）与30+天（aRR = 0.70; 95% CI: 0.42-1.16）和12个月戒断（aRR = 0.64; 95% CI: 0.30-1.36）的可能性较低相关，但这些关联并不精确。在非西班牙裔黑人吸烟者中，薄荷醇对戒烟障碍的影响略大，但在其他人口统计学群体中没有差异。这些结果表明，薄荷醇削弱了薄荷吸烟者戒烟的努力，但从薄荷醇中转换则提高了戒烟的成功率。这表明，去除薄荷醇可能会提高薄荷吸烟者戒烟的成功率。
To estimate the effect of menthol use and transitions in use (switching to or from menthol) on short- and long-term cessation from cigarette smoking and whether this differed across demographic groups (age, sex, race). We compared the probability of 30+ day and 12-month abstinence from cigarette smoking by menthol use status using two cohorts of US adult cigarette smokers who attempted to quit smoking in the Population Assessment of Tobacco Use and Health (wave 1-wave 3 & wave 2-wave 4; n=5759), inverse probability of treatment weighting and adjusted risk ratios (aRRs). Using menthol (vs. non-menthol) prior to a quit attempt decreased the probability of 30+ day abstinence by 28% (aRR =0.78; 95%CI: 0.67–0.91) and the probability of 12-month abstinence by 53% (aRR =0.65; 95%CI: 0.47–0.88). Additionally, switching from menthol (vs. maintaining menthol use) increased the probability of 30+ day abstinence by 58% (aRR = 1.58; 95% CI: 1.00–2.50) and the probability of 12-month abstinence by 97% (aRR = 1.86; 95% CI: 0.92–3.74). Switching to menthol (vs. maintaining non-menthol use) was associated with a lower probability of 30+ day (aRR = 0.70; 95% CI: 0.42–1.16) and 12-month abstinence (aRR = 0.64; 95% CI: 0.30–1.36), but these associations were imprecise. The effects of menthol use on impaired quitting were slightly larger for non-Hispanic Black smokers, but not differ for other demographic groups. These results demonstrate that menthol impaired menthol smokers’ attempts to quit smoking but switching from menthol improved success. This suggests that removing menthol may improve menthol smokers’ success during quit attempts.
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