Abstinence rates among college cigarette smokers enrolled in a randomized clinical trial evaluating Quit and Win contests: The impact of concurrent hookah use.

Abstinence rates among college cigarette smokers enrolled in a randomized clinical trial evaluating Quit and Win contests: The impact of concurrent hookah use.
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参加一项随机临床试验的大学吸烟者的戒烟率,该试验评估“戒烟并获胜”竞赛:同时使用水烟的影响。

DOI:
10.1016/j.ypmed.2015.03.010
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发表时间:
2015
影响因子:
5.1
通讯作者:
Ahluwalia,JS
Ahluwalia,JS
中科院分区:
医学2区
文献类型:
--
作者:
Thomas,JL;Bengtson,JE;Wang,Q;Luo,X;Marigi,Erick;Ghidei,Winta;Ahluwalia,JS

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目的比较同时吸水烟和卷烟的大学生和不吸水烟的大学生,研究参加戒烟和成功戒烟试验的大学生的基线特征和生化验证的1、4和6个月戒烟率。方法对2010-2012年参加Quit and Win戒烟随机临床试验的1217名大学生的数据进行分析。多变量逻辑回归(MLR)分析了各组基线特征的差异,可替宁在1、4和6个月的随访中验证了30天的戒断,调整了基线共变量。结果参与者在28.5(±3.8)天/月中每天吸烟11.5(±8.1)支,22%在过去30天内吸烟水烟。水烟吸烟者(n = 270)更多是男性(p < 0.0001),更年轻(p < 0.0001),报告更多的酗酒(p < 0.0001),冲动得分更高(p < 0.001)。MLR结果表明,与非吸烟者相比,水烟使用者在4个月时自我报告的30天戒断率降低了36% (OR = 0.64, 95% CI = 0.45-0.93, p = 0.02),在6个月时经生化验证的持续戒断率降低了63% (OR = 0.37, CI = 0.14-0.99, p = 0.05)。结论同时使用水烟的大学生吸烟者存在多种健康危险因素,短期和长期戒烟率均较低。
ObjectiveTo examine baseline characteristics and biochemically verified 1-, 4-, and 6-month tobacco quit rates among college students enrolled in a Quit and Win cessation trial, comparing those who concurrently smoke both hookah and cigarettes with those who deny hookah use.MethodsAnalyses were conducted on data from 1217 college students enrolled in a Quit and Win tobacco cessation randomized clinical trial from 2010–2012. Multivariable logistic regression (MLR) analyses examined group differences in baseline characteristics and cotinine verified 30-day abstinence at 1, 4, and 6-month follow-up, adjusting for baseline covariates.ResultsParticipants smoked 11.5(± 8.1) cigarettes per day on 28.5(± 3.8) days/month, and 22% smoked hookah in the past 30 days. Hookah smokers (n = 270) were more likely to be male (p < 0.0001), younger (p < 0.0001), report more binge drinking (p < 0.0001) and score higher on impulsivity (p < 0.001). MLR results indicate that hookah users, when compared to non-users, had a 36% decrease in odds of self-reported 30-day abstinence at 4-months (OR = 0.64, 95% CI = 0.45–0.93, p = 0.02) and a 63% decrease in odds in biochemically verified continuous abstinence at 6-months (OR = 0.37, CI = 0.14–0.99, p = 0.05).ConclusionCollege cigarette smokers who concurrently use hookah display several health risk factors and demonstrate lower short and long-term tobacco abstinence rates.