Cumulative cigarette discount coupon exposure and trajectories of cigarette smoking: a longitudinal analysis in US adults.
Cumulative cigarette discount coupon exposure and trajectories of cigarette smoking: a longitudinal analysis in US adults.
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累积香烟折扣券曝光和吸烟轨迹：美国成年人的纵向分析。
DOI：
10.1136/tc-2022-057801
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发表时间：
2023
期刊：
影响因子：
5.2
通讯作者：
Choi,Kelvin
中科院分区：
文献类型：
--
作者：
Hamilton-Moseley,KristenR;McNeel,TimothyS;Choi,Kelvin
暴露于香烟折扣券与吸烟的短期增加有关；然而，长期影响尚不清楚。这项研究考察了美国成年人累积接触香烟优惠券与吸烟轨迹的关系。方法数据来自美国人口烟草与健康研究成人调查(n=19 824；第2-5波)。采用加权Logistic多变量回归模型，对第2波人口统计学数据进行调整，并按第2波吸烟情况进行分层。结果在从不吸烟的第2波成年人中，每次接触香烟折扣券的次数增加与第5波现在吸烟的几率增加相关(调整后OR(AOR)=2.09，95%CI 1.24-3.52)。在第二波每天吸烟的成年人中，每一波优惠券暴露与第五波戒烟的较低几率相关(AOR=0.67，95%CI 0.62-0.73)。在已经戒烟的第二波成年人中，每增加一波暴露与第五波当前吸烟的几率增加相关(AOR=1.61，95%CI 1.41-1.85)。此外，女性(与男性相比)和社会经济地位(SES)较低的成年人(SES较高)接触香烟优惠券的次数更多(p<；0.05)。讨论随着时间的推移，接触香烟优惠券与吸烟行为的变化显示出剂量-反应关系，促进吸烟进展并阻碍戒烟，特别是在女性和SES较低的人中。禁止这些优惠券可能是一项重要的烟草控制策略。
IntroductionExposure to cigarette discount coupons is associated with short-term increase in cigarette smoking; however, long-term impact is unclear. This study examined associations of cumulative exposure to cigarette coupons with trajectories of cigarette smoking in US adults.MethodsData were from the US Population Assessment of Tobacco and Health Study Adult Surveys (n=19 824; waves 2–5). We examined the number of waves participants received cigarette discount coupons/promotions during waves 2–4 and smoking behaviours at wave 5. Weighted logistic multivariable regression models were used, adjusting for wave 2 demographics and stratified by wave 2 smoking status.ResultsAmong wave 2 adults who never smoked, each increment wave of exposure to cigarette discount coupons was associated with greater odds of wave 5 current smoking (adjusted OR (aOR)=2.09, 95% CI 1.24–3.52). Among wave 2 adults who smoked daily, each wave of coupon exposure was associated with lower odds of quitting smoking at wave 5 (aOR=0.67, 95% CI 0.62—0.73). Among wave 2 adults who had quit smoking, each increment wave of exposure was associated with greater odds of wave 5 current smoking (aOR=1.61, 95% CI 1.41—1.85). Additionally, women (vs men) and adults with lower socioeconomic status (SES) (vs higher SES) were more frequently exposed to cigarette coupons for a higher number of waves (p<0.05).DiscussionExposure to cigarette coupons exhibited a dose–response relationship with changes in cigarette smoking behaviours over time, promoting smoking progression and hindering smoking cessation especially among women and people with lower SES. Prohibiting these coupons can be an important tobacco control strategy.