Device features and user behaviors as predictors of dependence among never-smoking electronic cigarette users: PATH Wave 4.

Device features and user behaviors as predictors of dependence among never-smoking electronic cigarette users: PATH Wave 4.
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DOI:
10.1016/j.addbeh.2021.107161
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发表时间:
2022-03
影响因子:
4.4
通讯作者:
Blank MD
Blank MD
中科院分区:
医学2区
文献类型:
--
作者:
Douglas AE;Childers MG;Romm KF;Felicione NJ;Ozga JE;Blank MD

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电子烟(ECIG)释放尼古丁的能力差异很大,这表明它们产生依赖性的能力也可能有所不同。这项研究检查了单独和组合的 ECIG 设备功能以及用户行为,作为从不吸烟的 ECIG 用户的依赖预测因素。数据收集自第 4 波烟草与健康人口评估 (PATH) 研究的 711 名现有 ECIG 用户,他们一生中吸过 <100 支香烟。在考虑人口统计变量后,多变量线性回归检查了个体(例如,含有尼古丁、使用罐、口味偏好)和组合(例如,可再填充罐、可再填充模组)设备特征和用户行为(例如,使用/天)作为依赖、戒断和渴望的预测因子。 ECIG 依赖性和渴望的结果显示出类似的模式;年龄较大、过去 30 天使用更频繁、使用含有尼古丁的 ECIG(与不含尼古丁的 ECIG 相比)以及使用不可再填充的烟弹或可再填充的罐式(与一次性的)时,观察到较高的水平。更高的戒断水平观察到较高的教育水平以及罐(与无罐)、烟弹(与无烟弹)、可再填充(与不可再填充)和“其他”口味偏好(与烟草口味)的个别设备特征。较低的戒断水平与对甜味/水果味(相对于烟草味)的偏好有关。无论是单独检查还是组合检查,很少有使用行为和设备功能可以预测与依赖性相关的结果。调查结果强调了当前市场上监管 ECIG 产品所面临的挑战,该市场充斥着无数的设备类型。
Electronic cigarettes (ECIGs) vary greatly in their ability to deliver nicotine, which suggests they may also vary in their ability to produce dependence. This study examined individual and combined ECIG device features, and also user behaviors, as predictors of dependence in never-smoking ECIG users. Data were collected from 711 current ECIG users who had smoked <100 cigarettes in their lifetime at Wave 4 of the Population Assessment of Tobacco and Health (PATH) Study. Multivariable linear regressions examined individual (e.g., contains nicotine, uses a tank, flavor preference) and combined (e.g., refillable tanks, refillable mods) device features, and user behaviors (e.g., uses/day) as predictors of dependence, withdrawal, and craving after accounting for demographic variables. Results for ECIG dependence and craving showed a similar pattern; higher levels were observed for older age, more frequent past 30-day use, using an ECIG containing nicotine (vs no nicotine), and using a non-refillable cartridge or refillable tank style (vs disposables). Higher withdrawal levels were observed for higher education levels and individual device features of tank (vs no tank), cartridge (vs no cartridge), refillable (vs non-refillable), and “other” flavor preference (vs tobacco flavor). Lower withdrawal levels were associated with a preference for sweet/fruit flavor(s) (vs tobacco flavor). Few use behaviors and device features, whether examined alone or in combination, predicted dependence-related outcomes. Findings underscore the challenge with regulating ECIG products in the current marketplace, which is inundated with a myriad of device types.
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