Prevalence of Use and Perceptions of Electronic Smoking Devices in a US Army Infantry Division

Prevalence of Use and Perceptions of Electronic Smoking Devices in a US Army Infantry Division
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DOI:
10.1093/milmed/usx024
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发表时间:
2018-01-01
期刊:
影响因子:
1.2
通讯作者:
Pflipsen, Matthew
Pflipsen, Matthew
中科院分区:
医学4区
文献类型:
--
作者:
Chin, Joseph;Lustik, Michael B.;Pflipsen, Matthew

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简介:消费者对电子吸烟设备(ESD)的兴趣越来越大,这表明ESD有望成为吸烟和戒烟的一种危害较小的替代品。关于军队中ESD使用率的数据有限,关于现役军人对ESD使用的看法的数据尚未公布。本研究的主要结果是确定ESD使用在美国陆军师的流行率。研究方法:2015年底,我们调查了来自HI斯科菲尔德军营第25步兵师的1,288名军人(回复率95%,n = 1,225)的吸烟习惯,ESD使用情况以及对ESD的看法。卡方检验和Fisher精确检验用于评估吸烟状况、ESD使用、社会人口因素、戒烟策略和对ESD的看法之间的分类关联。结果:目前使用ESD的流行率为20%,而曾经使用ESD的流行率为61%。参与者的每日吸烟率为23%。受教育程度较低的人、目前吸烟者和戒烟者最有可能使用ESD。目前吸烟者和ESD使用者对ESD的效用和健康有效性有更好的看法。结论:目前和曾经使用ESD的美国陆军步兵师现役军人中有很高的患病率。类似研究的数据表明,这一比率正在上升。在继续研究这些器械的临床效用时,应继续监测军事人群中ESD的使用率。
Introduction: The increasing interest in electronic smoking devices (ESDs) among consumers shows promise for ESDs as a less harmful alternative for smoking and possibly for smoking cessation. Limited data on prevalence of ESD use in the military are available and data on perceptions of ESD use have not yet been published within an active duty, military-specific population. The primary outcome of this study was to define the prevalence of ESD use in a US Army division. Methods: We surveyed 1,288 military service members (response rate 95%, n = 1,225) from the 25th Infantry Division, Schofield Barracks, HI, in late 2015, on smoking habits, ESD usage, and perceptions surrounding ESDs. Chi-squared and Fisher's exact tests were used to assess categorical associations between smoking status, ESD usage, socio-demographic factors, cessation strategies, and perceptions regarding ESDs. Results: The prevalence of current ESD use was 20%, whereas the prevalence of having ever used an ESD was 61%. The daily smoking rate of participants was 23%. Those with lower education, current smokers, and ex-smokers were the most likely to be using an ESD. Current smokers and ESD users had a more favorable perception of ESDs with regard to their utility and health effectiveness. Conclusions: There is a high prevalence of current and ever use ESD among active duty service members assigned to a US Army Infantry Division. Data from similar studies suggest that this rate is growing. The rates of ESD use in military populations should continue to be monitored as the clinical utility of these devices continues to be investigated.