E-cigarette use and beliefs among adult smokers with substance use disorders.
E-cigarette use and beliefs among adult smokers with substance use disorders.
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DOI：
10.1016/j.abrep.2020.100329
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发表时间：
2021-06
影响因子：
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通讯作者：
Tofighi B
中科院分区：
文献类型：
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作者：
El-Shahawy O;Schatz D;Sherman S;Shelley D;Lee JD;Tofighi B
我们估计了有物质使用障碍的吸烟者中电子烟双重使用的流行率。在过去的一年里，双重电子烟使用者更有可能试图戒烟。总体而言，与尼古丁贴片/口香糖相比，参与者更喜欢使用电子烟。电子烟似乎对有物质使用障碍的患者很有吸引力。在成瘾治疗中，电子烟的使用可能有效地减少患者的伤害。我们探索了因阿片类药物和/或酒精使用障碍而需要住院戒毒的吸烟者的特征和与电子烟使用模式相关的信念(S)。2015年，纽约市一家安全网第三转诊中心对因酒精和/或阿片类药物使用障碍而住院戒毒的成年吸烟者(≥18岁)(S)进行了调查(n=1580)。描述性统计(比例)被用来评估人口统计学、临床诊断、吸烟模式(电子烟的单独使用和双重使用)。采用卡方检验、t检验和Logistic回归模型。在我们的可燃香烟使用者样本中，13.9%(n=522)报告了电子烟的双重用途。双重用途在人口统计学或临床变量上没有不同。与单纯吸烟者相比，双重吸烟者在过去一年试图戒烟的可能性更大(调整后的赔率比=8.59；CI：2.5828.35；P<；=0.001)。双重吸烟者对电子烟可以帮助人们戒烟的平均评分显著高于完全吸烟者(M=3.7SD=±1.4vs.M=2.7SD=±1.5，P=0.002)。在戒烟方面，双重使用者也更喜欢电子烟，而不是尼古丁贴片/口香糖(M=3.7SD=±1.7vs.M=2.6SD=±1.6，P=0.005)。电子烟的使用似乎吸引了一小部分患有SUD的吸烟者。尽管双重吸烟者似乎把电子烟作为戒烟的前提，但他们似乎并没有积极寻求戒烟。电子烟可能提供了一种更有效的减少危害的方法，需要进一步评估将其纳入成瘾治疗患者的戒烟方案。
We estimated prevalence of e-cigarette dual use among smokers with substance use disorders. Dual e-cigarette users were more likely to have tried to quit in the past year. Overall, participants preferred to use e-cigarettes in comparison to nicotine patches/gum. E-cigarettes seem appealing to patients with substance use disorders. E-cigarette use may be effective for harm reduction among patients in addiction treatment. We explored characteristics and beliefs associated with e-cigarette use patterns among cigarette smokers requiring inpatient detoxification for opioid and/or alcohol use disorder(s). Adult cigarette smokers (≥18 years), admitted to inpatient detoxification for alcohol and/or opioid use disorder(s) in a safety-net tertiary referral center in New York City were surveyed in 2015 (n = 158). Descriptive statistics (proportions) were used to assess for demographic, clinical diagnosis, cigarette smoking patterns (exclusive and dual use of e-cigarettes). Chi-square, t-test statistics, and logistic regression models were used. Among our sample of combustible cigarette users, 13.9% (n = 22) reported dual use with electronic cigarettes. Dual use did not differ by demographic or clinical variables. Compared to exclusive smokers, dual users were more likely to have tried to quit in the past year (Adjusted Odds ratio = 8.59; CI: 2.58, 28.35; p < 0.001). Dual smokers had significantly higher mean ratings perceiving that e-cigarettes can help people quit smoking compared to exclusive smokers (M = 3.7, SD= ±1.4 vs. M = 2.7, SD= ±1.5, p = 0.002) respectively. Dual users also preferred e-cigarettes over nicotine patches /gum for quitting (M = 3.7, SD= ±1.7 vs. M = 2.6, SD= ±1.6, p = 0.005). E-cigarette use seems to be appealing to a small proportion of cigarette smokers with SUD. Although, dual smokers seem to use e-cigarettes for its cessation premise, they don’t appear to be actively seeking to quit. E-cigarettes may offer a more effective method for harm reduction, further evaluation of incorporating it within smoking cessation protocols among patients in addiction treatment is needed.