E-cigarette initiation and associated changes in smoking cessation and reduction: the Population Assessment of Tobacco and Health Study, 2013-2015.
E-cigarette initiation and associated changes in smoking cessation and reduction: the Population Assessment of Tobacco and Health Study, 2013-2015.
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DOI：
10.1136/tobaccocontrol-2017-054108
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发表时间：
2019-01
期刊：
影响因子：
5.2
通讯作者：
Stokes A
中科院分区：
文献类型：
--
作者：
Berry KM;Reynolds LM;Collins JM;Siegel MB;Fetterman JL;Hamburg NM;Bhatnagar A;Benjamin EJ;Stokes A
电子烟在产品转型中的作用一直存在争议。我们使用了烟草与健康研究人群评估第1波（2013 - 2014）和第2波（2014 - 2015）的全国代表性数据，以调查美国电子烟开始与戒烟/减少之间的关联。我们将样本限制在25岁以上的吸烟者中，这些吸烟者在第一波时不是电子烟使用者。我们使用多变量logistic回归对30天戒烟和卷烟消费量的大幅减少作为调查之间电子烟开始的函数进行建模。在第一波和第二波之间，6.9%的吸烟者（目前不是电子烟使用者）转变为前吸烟者。在调整协变量后，在两波之间开始使用电子烟并报告在第2波每天使用电子烟的吸烟者与第2波非电子烟使用者相比，30天戒烟的几率为7.88倍（95%CI 4.45至13.95）。每天开始使用电子烟且未实现戒烟的吸烟者与电子烟非使用者相比，在第1波和第2波之间平均每日吸烟量减少至少50%的几率为5.70倍（95%CI 3.47至9.35）。与非使用者相比，每日电子烟发起者更有可能戒烟或减少使用。然而，电子烟使用频率较低与戒烟/减少无关。这些结果表明，将电子烟使用频率纳入其中对于更全面地了解电子烟使用与戒烟之间的关联非常重要。
The role of electronic cigarettes (e-cigarettes) in product transitions has been debated. We used nationally representative data from the Population Assessment of Tobacco and Health Study waves 1 (2013–2014) and 2 (2014–2015) to investigate the associations between e-cigarette initiation and cigarette cessation/reduction in the USA. We limited the sample to current cigarette smokers aged 25+ years who were not current e-cigarette users at wave 1. We modelled 30-day cigarette cessation and substantial reduction in cigarette consumption as a function of e-cigarette initiation between surveys using multivariable logistic regression. Between waves 1 and 2, 6.9% of cigarette smokers who were not current e-cigarette users transitioned to former smokers. After adjusting for covariates, cigarette smokers who initiated e-cigarette use between waves and reported they used e-cigarettes daily at wave 2 had 7.88 (95% CI 4.45 to 13.95) times the odds of 30-day cigarette cessation compared with non-users of e-cigarettes at wave 2. Cigarette smokers who began using e-cigarettes every day and did not achieve cessation had 5.70 (95% CI 3.47 to 9.35) times the odds of reducing their average daily cigarette use by at least 50% between waves 1 and 2 compared with e-cigarette non-users. Daily e-cigarette initiators were more likely to have quit smoking cigarettes or reduced use compared with non-users. However, less frequent e-cigarette use was not associated with cigarette cessation/reduction. These results suggest incorporating frequency of e-cigarette use is important for developing a more thorough understanding of the association between e-cigarette use and cigarette cessation.
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影响因子：
2.1
作者：
Farsalinos KE;Tsiapras D;Kyrzopoulos S;Savvopoulou M;Voudris V
通讯作者：
Voudris V
影响因子：
33.9
作者：
Babb, Stephen;Malarcher, Arm;Jamal, Ahmed
通讯作者：
Jamal, Ahmed
影响因子：
5.3
作者：
Antoniewicz, Lukasz;Bosson, Jenny A.;Lundback, Magnus
通讯作者：
Lundback, Magnus
影响因子：
4.7
作者：
Biener, Lois;Hargraves, J. Lee
通讯作者：
Hargraves, J. Lee
影响因子：
5.2
作者：
Coleman BN;Rostron B;Johnson SE;Ambrose BK;Pearson J;Stanton CA;Wang B;Delnevo C;Bansal-Travers M;Kimmel HL;Goniewicz ML;Niaura R;Abrams D;Conway KP;Borek N;Compton WM;Hyland A
通讯作者：
Hyland A