A Mixed-Methods Study on Use of Different Tobacco Products among Younger and Older Adults with Lower and Higher Levels of Nicotine Exposure in California in 2019-2020.

A Mixed-Methods Study on Use of Different Tobacco Products among Younger and Older Adults with Lower and Higher Levels of Nicotine Exposure in California in 2019-2020.
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DOI:
10.3390/ijerph19095563
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发表时间:
2022-05-03
影响因子:
--
通讯作者:
Ling, Pamela M.
Ling, Pamela M.
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Harvanko, Arit;Koester, Kimberly A.;Helen, Gideon St.;Olson, Sarah;Kim, Hyunjin Cindy;Ling, Pamela M.

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越来越多的烟草产品正在进入市场,为获得所需的尼古丁摄入量提供了各种选择。然而,人们对这种多样化的市场对烟草使用者的体验和尼古丁暴露的影响知之甚少。一项混合方法研究调查了尼古丁暴露生物标志物水平相对较低或较高的个人接触烟草产品的经历。对年轻人和老年人进行了半结构化访谈,以检查烟草使用行为、烟草产品成瘾和尼古丁影响。年轻人和老年人对成瘾和尼古丁的影响提供了类似的描述,各年龄组、产品类型(即末端、可燃香烟或口服烟草产品)以及尼古丁暴露程度较低或较高的情况都相似。一些尼古丁暴露程度较高的人,从可燃香烟转向另一种产品(例如,烟头),发现他们对尼古丁的接触相似或更多,并感觉到对尼古丁上瘾。尼古丁暴露水平较高和较低的成年人提供的叙述与尼古丁成瘾的特征一致,无论年龄和使用的产品。多种烟草产品的可获得性可能与更多地获得和接触尼古丁有关。上瘾可能发生在低水平的使用和非香烟产品。
An increasing number of tobacco products are entering the market, offering a variety of options to attain desired nicotine intake. However, little is known about the effect of this diverse marketplace on the experiences and nicotine exposure among tobacco users. A mixed-methods study examined experiences with tobacco products among individuals with relatively lower or higher levels of biomarkers of nicotine exposure. Semi-structured interviews were conducted with younger and older adults to examine tobacco use behaviors, addiction to tobacco products, and nicotine effects. Younger and older adults provided similar narratives about addiction and nicotine effects, which were similar across age groups, product types (i.e., ENDS, combustible cigarettes, or oral tobacco products), and having lower or higher nicotine exposure. Some individuals with higher nicotine exposure who switched from combustible cigarettes to another product (e.g., ENDS) found similar or greater access and perceived addiction to nicotine. Adults with higher and lower levels of nicotine exposure provided narratives consistent with features of nicotine addiction, regardless of age and products used. Availability of multiple tobacco products may be associated with greater access and exposure to nicotine. Addiction may occur at low levels of use and with non-cigarette products.
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