E-cigarettes Associated With Depressed Smoking Cessation: A Cross-sectional Study of 28 European Union Countries
E-cigarettes Associated With Depressed Smoking Cessation: A Cross-sectional Study of 28 European Union Countries
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DOI:
10.1016/j.amepre.2017.12.017
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发表时间:
2018-04-01
影响因子:
5.5
通讯作者:
Glantz, Stanton A.
中科院分区:
文献类型:
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作者:
Kulik, Margarete C.;Lisha, Nadra E.;Glantz, Stanton A.
Introduction: Electronic cigarettes (e-cigarettes) are often promoted to assist with cigarette smoking cessation. In 2016-2017, the relationship between e-cigarette use and having stopped smoking among ever (current and former) smokers was assessed in the European Union and Great Britain by itself.Methods: Cross-sectional logistic regression of the association between being a former smoker and e-cigarette use was applied to the 2014 Eurobarometer survey of 28 European Union countries controlling for demographics.Results: Among all ever smokers, any regular ever use of nicotine e-cigarettes was associated with lower odds of being a former smoker (unadjusted OR = 0.34, 95% CI = 0.26, 0.43, AOR = 0.43, 95% CI = 0.32, 0.58) compared with smokers who had never used e-cigarettes. In unadjusted models, daily use (OR = 0.42, 95% CI = 0.31, 0.56); occasional use (OR = 0.25, 95% CI = 0.18, 0.35); and experimentation (OR = 0.24, 95% CI = 0.19, 0.30) of nicotine e-cigarettes were associated with lower odds of being a former smoker compared with having never used nicotine-containing e-cigarettes. Comparable results were found in adjusted models. Results were similar in Great Britain alone. Among current smokers, daily cigarette consumption was 15.6 cigarettes/day (95% CI = 14.5, 16.7) among those who also used e-cigarettes versus 14.4 cigarettes/day (95% CI = 13.4, 15.4) for those who did not use them (p