Heated tobacco products do not help smokers quit or prevent relapse: a longitudinal study in Japan
Heated tobacco products do not help smokers quit or prevent relapse: a longitudinal study in Japan
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加热烟草产品不能帮助吸烟者戒烟或防止复吸：日本的一项纵向研究
DOI：
10.1136/tc-2022-057613
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发表时间：
2023
期刊：
影响因子：
5.2
通讯作者：
Tabuchi Takahiro
中科院分区：
文献类型：
--
作者：
Odani Satomi;Tsuno Kanami;Agaku Israel T;Tabuchi Takahiro
背景加热烟草产品（HTPs）通常作为帮助吸烟者戒烟的更安全的替代品销售。方法在2019年至2021年的3个阶段（2019-2021年），通过互联网对7044名≥20岁的成年人进行纵向调查，并将其分为当前吸烟者（过去30 d）、既往吸烟者和从未吸烟者。评估了1年随访时≥1个月和≥6个月的戒烟和吸烟复发与基线时当前HTP使用的相关性。广义估计方程模型进行加权，以考虑HTP用户和非用户之间的人口差异。调整后的患病率（APRs）内计算人口subgroup.ResultsAt基线，17.2%，9.1%和6.1%的受访者是目前的吸烟者，HTP用户和双重用户，分别。在目前已确定的吸烟者（经常吸烟，n=1910）中，在报告已使用循证戒烟措施（APR=0.61）、每天吸烟20支以上的人中，HTP的使用与戒烟≥1个月的可能性降低显着相关（APR=0.62），高中或以下教育程度（APR=0.73）和健康状况一般/较差（APR=0.59）。在20-29岁（APR=0.56）和全职工作者（APR=0.56）中，也观察到了≥6个月戒烟的负相关性。在既往吸烟者（n=2906）中，HTP使用与最后一次吸烟>1年的吸烟者的吸烟复发相关（平均年利率=1.54），妇女（APR=1.61），20-29岁（APR=2.09），报告高中或以下学历的人（APR=2.36），那些谁是失业/退休（AOR=3.31）和从未/非当前酒精用户（APR=2.10）。结论HTP的使用没有帮助吸烟者戒烟或防止前吸烟者复吸。不应推荐HTPs作为戒烟辅助药物。
BackgroundHeated tobacco products (HTPs) are often marketed as a safer alternative to help cigarette smokers quit. We investigated the link between HTP use and smoking cessation and relapse.Methods7044 adults (≥20 years old) with at least two observations over three waves (2019–2021) of a longitudinal, nationwide, internet-based survey were classified into current (past 30-day), former and never cigarette smokers. ≥1 month and ≥6 months smoking cessation and smoking relapse at 1-year follow-up were assessed in relation to current HTP use at baseline. Generalised estimating equation models were weighted to account for population differences between HTP users and non-users. Adjusted prevalence ratios (APRs) were computed within population subgroups.ResultsAt baseline, 17.2%, 9.1% and 6.1% of the respondents were current cigarette smokers, HTP users and dual users, respectively. Among current established smokers (having smoked regularly, n=1910), HTP use was significantly associated with a decreased likelihood of ≥1 month cessation within those who reported having used evidence-based cessation measures (APR=0.61), smoking 20+ cigarettes per day (APR=0.62), high school education or less (APR=0.73) and fair/poor health (APR=0.59). Negative associations were also seen for ≥6 months cessation among those aged 20–29 years (APR=0.56) and full-time workers (APR=0.56). Among former smokers (n=2906), HTP use was associated with smoking relapse within those who last smoked >1 year ago (APR=1.54), among women (APR=1.61), those aged 20–29 years (APR=2.09), those reporting high school education or less (APR=2.36), those who were unemployed/retired (AOR=3.31) and never/non-current alcohol users (APR=2.10).ConclusionHTP use did not help smokers quit or prevent former smokers from relapsing. HTPs should not be recommended as a cessation aid.