E-cigarette use in England 2014-17 as a function of socio-economic profile.
E-cigarette use in England 2014-17 as a function of socio-economic profile.
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DOI：
10.1111/add.14446
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发表时间：
2019-03
期刊：
影响因子：
--
通讯作者：
Brown J
中科院分区：
文献类型：
--
作者：
Kock L;Shahab L;West R;Brown J
电子烟有可能减少或加剧健康不平等，这取决于电子烟的使用和效果的社会经济差异。本文估计了社会经济地位(SES)和电子烟使用之间的关联，并检查了这些关联在2014至2017年间是否发生了变化。2014年1月至2017年12月期间对成年人(16岁以上)进行的每月重复的横向家庭调查。这段时间的选择是考虑到2013年底英国电子烟的普及率稳定下来。英格兰的普通人口。吸烟工具包研究的参与者，这是一项每月对英国成年人(n=81,063；平均年龄48.4岁，49%是女性)进行的吸烟和戒烟情况的家庭调查。亚组包括过去一年吸烟者(n=16,232；平均年龄42.8岁，46%女性)、尝试戒烟期间吸烟者(n=5305，平均年龄40.6岁，女性49%)和长期戒烟者(n=13562，平均年龄59.3岁，44%女性)。分析的结果衡量标准是目前电子烟的使用情况。我们还包括戒烟尝试期间的吸烟者，其中以最近一次戒烟尝试期间使用电子烟为结果衡量标准。以职业为基础的社会等级是SES的解释变量，使用全国读者调查分类系统AB(高级和中级管理、行政和专业人员)、C1(主管、文书和初级管理、行政和专业人员)、C2(熟练体力劳动者)、D(半熟练和非熟练体力劳动者)和E(国家养老金领取者、临时和最低级别的工人，仅享受国家福利的失业人员)。这些分析是按年份分层的，以评估这些关联随时间的变化。在过去一年的吸烟者中，较低的社会经济地位组与最高社会地位组AB相比，使用电子烟的总体几率较低(D：OR=0⋅53，95%CI 0⋅40-0⋅71；E：0⋅67，0⋅50-0⋅89)。随着时间的推移，电子烟使用方面的这些差异会缩小。在戒烟尝试期间使用电子烟没有显示出明确的时间或社会经济模式。在长期戒烟者中，所有组的电子烟使用量从2014年到2017年都有所增加，与AB组相比，C2组(2⋅03，1⋅08-3⋅96)和D组(2.29，1⋅13-4⋅70)使用电子烟的可能性更大。从2014-2017年间，在英国，与SES较低的吸烟者相比，高吸烟者使用电子烟的比例更高，但这种差异随着时间的推移而减弱。在退出尝试期间，各SES组的使用情况类似。在所有人群中，长期吸烟者的吸烟量随着时间的推移而增加，并且在SES较低的人群中一直更常见。资助：英国癌症研究(C1417/A22962)
E-cigarettes have the potential either to decrease or increase health inequalities depending on socioeconomic differences in their use and effectiveness. This paper estimated the associations between socioeconomic status (SES) and e-cigarette use and examined whether these associations changed between 2014 and 2017. A monthly repeat cross-sectional household survey of adults (16+) between January 2014 and December 2017. This time period was chosen given that the prevalence of e-cigarette use stabilised in England in late 2013. The general population in England. Participants in the Smoking Toolkit Study, a monthly household survey of smoking and smoking cessation among adults (n = 81,063; mean age 48.4 years, 49% were women) in England. Subsets included past year smokers (n = 16,232; mean age 42.8, 46% women), smokers during a quit attempt (n = 5305, mean age 40.6, 49% women), and long-term ex-smokers (n = 13,562, mean age 59.3, 44% women). The outcome measure for the analyses was current e-cigarette use. We also included smokers during a quit attempt where use of an e-cigarette during the most recent quit attempt was the outcome measure. Social grade based on occupation was the SES explanatory variable, using the National Readership Survey classification system of AB (Higher and intermediate managerial, administrative and professional), C1 (Supervisory, clerical and junior managerial, administrative and professional), C2 (Skilled manual workers), D (Semi-skilled and unskilled manual workers), and E (State pensioners, casual and lowest grade workers, unemployed with state benefits only). The analyses were stratified by year to assess the changes in these associations over time. Among past-year smokers, lower SES groups had lower overall odds of e-cigarette use compared with the highest SES group AB (D: OR=0⋅53, 95% CI 0⋅40-0⋅71; E: 0⋅67, 0⋅50-0⋅89). These differences in e-cigarette use reduced over time. The use of e-cigarettes during a quit attempt showed no clear temporal or socio-economic patterns. Among long-term ex-smokers, use of e-cigarettes increased from 2014-2017 among all groups and use was more likely in SES groups C2 (2⋅03, 1⋅08-3⋅96) and D (2.29, 1⋅13-4⋅70) compared with AB. From 2014-2017 in England, e-cigarette use was greater among smokers from higher compared with lower SES groups, but this difference attenuated over time. Use during a quit attempt was similar across SES groups. Use by long-term ex-smokers increased over time among all groups and was consistently more common in lower SES groups. Funding: Cancer Research UK (C1417/A22962)
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DOI：
10.1016/j.jadohealth.2017.11.301
发表时间：
2018-05
期刊：
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
影响因子：
--
作者：
East K;Hitchman SC;Bakolis I;Williams S;Cheeseman H;Arnott D;McNeill A
通讯作者：
McNeill A
影响因子：
3.7
作者：
Caponnetto P;Campagna D;Cibella F;Morjaria JB;Caruso M;Russo C;Polosa R
通讯作者：
Polosa R
影响因子：
4.7
作者：
Friedman, Abigail S.;Horn, Samantha J. L.
通讯作者：
Horn, Samantha J. L.
影响因子：
168.9
作者：
Bullen, Christopher;Howe, Colin;Walker, Natalie
通讯作者：
Walker, Natalie
影响因子：
4.5
作者：
Fidler, Jennifer A.;Shahab, Lion;West, Robert
通讯作者：
West, Robert