Longitudinal Analysis of Associations Between Reasons for Electronic Cigarette Use and Change in Smoking Status Among Adults in the Population Assessment of Tobacco and Health Study
Longitudinal Analysis of Associations Between Reasons for Electronic Cigarette Use and Change in Smoking Status Among Adults in the Population Assessment of Tobacco and Health Study
复制标题
DOI：
10.1093/ntr/ntz005
复制
发表时间：
2020-05-01
影响因子：
4.7
通讯作者：
Edwards, Kathryn C.
中科院分区：
文献类型：
--
作者：
Soule, Eric K.;Plunk, Andrew D.;Edwards, Kathryn C.
电子烟（ECIG）的使用和吸烟状况的变化可能受到使用电子烟的自述原因的影响。方法：我们使用2013-2015年烟草与健康研究的第1和第2波人口评估数据，分析了第1波和第2波同时也是当前或曾经使用ECIG的成年吸烟者和曾经吸烟者（n = 3044）。研究了在第一阶段报告使用ECIG的13个原因的流行率，并进行了加权logistic回归，预测吸烟状况从第一阶段到第二阶段的变化。结果：使用ECIG的原因从18.1%（媒体或公众人物使用）到82.5%（它们对周围人的危害可能比香烟小）不等。从第1波到第2波，27.2%的前吸烟者（n = 249）成为现吸烟者，11.6%的现吸烟者（n = 246）成为前吸烟者。在第1波前吸烟者中，使用ECIGs是因为有味道（AOR = 0.57, 95% CI = 0.39-0.85）或因为它们没有气味（AOR = 0.64, 95% CI = 0.42-0.97）与较低的复发几率相关，但使用ECIGs是因为使用它们有助于人们戒烟（AOR = 1.55, 95% CI = 1.01-2.38）与较高的复发几率相关。在第一波当前吸烟者中，使用ECIGs是因为它们可以在不允许吸烟的地方使用（AOR = 0.56, 95% CI = 0.38-0.85）与戒烟几率降低相关。结论：使用ECIG的一些原因与自我报告吸烟状况的改变有关。在评估ECIG使用与吸烟状态转变之间的关系时，研究人员应检查ECIG使用者的特征。
Introduction: Electronic cigarette (ECIG) use and changes in cigarette smoking status may be influenced by self-reported reasons for using ECIGs.Methods: We analyzed adult current and former cigarette smokers who were also current or former ECIG users at wave 1 (n = 3044) using wave 1 and wave 2 Population Assessment of Tobacco and Health Study data (2013-2015). Prevalence of reporting 13 reasons for ECIG use at wave 1 was examined and weighted logistic regressions were conducted predicting smoking status changes from wave 1 to wave 2.Results: Reasons for ECIG use ranged from 18.1% (people in the media or public figures use them) to 82.5% (they might be less harmful to people around me than cigarettes). From wave 1 to wave 2, 27.2% of former smokers (n = 249) became current smokers and 11.6% of current smokers (n = 246) became former smokers. Among wave 1 former smokers, using ECIGs because of the availability of flavors (AOR = 0.57, 95% CI = 0.39-0.85) or because they don't smell (AOR = 0.64, 95% CI = 0.42-0.97) was associated with lower odds of relapse to smoking, but using ECIGs because using them helps people quit smoking (AOR = 1.55, 95% CI = 1.01-2.38) was associated with greater odds of relapse. Among wave 1 current smokers, using ECIGs because they can be used where smoking is not allowed (AOR = 0.56, 95% CI = 0.38-0.85) was associated with reduced odds of quitting cigarettes.Conclusions: Some reasons for ECIG use are associated with changes in self-reported smoking status. Researchers should examine ECIG user characteristics when assessing associations between ECIG use and smoking status transitions.