Changes in smoking cessation assistance in the European Union between 2012 and 2017: pharmacotherapy versus counselling versus e-cigarettes.
Changes in smoking cessation assistance in the European Union between 2012 and 2017: pharmacotherapy versus counselling versus e-cigarettes.
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DOI：
10.1136/tobaccocontrol-2017-054117
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发表时间：
2019-01
期刊：
影响因子：
5.2
通讯作者：
Vardavas CI
中科院分区：
文献类型：
--
作者：
Filippidis FT;Laverty AA;Mons U;Jimenez-Ruiz C;Vardavas CI
最近欧洲的戒烟情况可能发生了变化。确定欧盟 (EU) 戒烟援助使用情况的变化以及与戒烟援助使用相关的因素。使用了欧洲晴雨表调查 2012 年 (n=9921) 和 2017 年 (n=9489) 波的数据。对曾经尝试戒烟的吸烟者和曾经吸烟者的自我报告的戒烟援助使用情况进行了评估。使用逻辑回归评估每种类型援助的使用变化。在当前和曾经的吸烟者中，曾在没有帮助的情况下尝试戒烟的人从 70.3%（2012 年）增加到 74.8%（2017 年）。与以前吸烟者相比，当前吸烟者更有可能使用任何帮助（P<0.001）。使用电子烟辅助戒烟的人数有所增加（3.7%至9.7%）%），而药物治疗（14.6%至11.1%）%）和戒烟服务（7.5%至5.0%）%）的使用则有所下降。年轻人更有可能报告使用电子烟来戒烟，但使用戒烟服务的可能性较小。生活在制定全面戒烟政策的国家的个人更有可能使用任何戒烟援助（调整后 OR (aOR)=1.78；95% CI 1.15 至 2.76）、药物治疗（aOR=3.44；95% CI 1.78 至 6.66）和戒烟服务（aOR=2.27；95% CI 1.27）至 4.06）与生活在戒烟政策薄弱国家的人相比。这些发现强调需要采取措施确保整个欧盟的吸烟者获得戒烟支持。应该仔细评估电子烟的可用性是否会取代其他方法的问题以及这种替代的影响。
The landscape of smoking cessation may have changed in Europe recently. To identify changes in use of smoking cessation assistance in the European Union (EU) and factors associated with use of cessation assistance. Data from the 2012 (n=9921) and 2017 (n=9489) waves of the Eurobarometer survey were used. Self-reported use of smoking cessation assistance was assessed among smokers who had ever tried to quit and former smokers. Changes in use of each type of assistance were assessed using logistic regression. Among current and former smokers, those who had ever attempted to quit without assistance increased from 70.3% (2012) to 74.8% (2017). Current smokers were more likely to have used any assistance compared with former smokers (P<0.001). Use of e-cigarettes for smoking cessation assistance increased (3.7% to 9.7%)%), while use of pharmacotherapy (14.6% to 11.1%)%) and smoking cessation services (7.5% to 5.0%)%) declined. Younger people were more likely to have reported e-cigarette use for smoking cessation but less likely to have used a cessation service. Individuals living in countries with comprehensive smoking cessation policies were more likely to have used any cessation assistance (adjusted OR (aOR)=1.78; 95% CI 1.15 to 2.76), pharmacotherapy (aOR=3.44; 95% CI 1.78 to 6.66) and smoking cessation services (aOR=2.27; 95% CI 1.27 to 4.06) compared with those living in countries with weak smoking cessation policies. These findings highlight the need for approaches that ensure that smokers get support to quit smoking across the EU. The question of whether the availability of e-cigarettes will displace other methods, and the impact of such a displacement, should be closely evaluated.
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