Understanding Nicotine Dependence and Addiction Among Young Adults Who Smoke Cigarillos: A Qualitative Study
Understanding Nicotine Dependence and Addiction Among Young Adults Who Smoke Cigarillos: A Qualitative Study
复制标题
DOI：
10.1093/ntr/ntx008
复制
发表时间：
2018-03-01
影响因子：
4.7
通讯作者：
Flocke, Susan
中科院分区：
文献类型：
--
作者：
Antognoli, Elizabeth;Cavallo, David;Flocke, Susan
特别是在年轻成年人中，大麻的使用正在增加。尼古丁依赖（ND）对于了解吸烟行为和戒烟很重要，但ND措施的发展几乎完全集中在吸烟者身上。我们检查了小雪茄使用者的吸烟模式、偏好和信仰，以更好地了解他们的成瘾经历和ND症状的表现。采用有目的抽样，我们在2015年6月至2016年1月期间对30名18-28岁的年轻人进行了深入采访，他们报告每周吸烟>= 1支小雪茄。访谈是基于一个半结构化的指南，旨在捕捉参与者的吸烟水平和模式，以及他们的吸烟和成瘾的经验。对访谈进行了录音和转录。研究者采用现象学方法进行分析，目的是确定新出现的主题。参与者的平均年龄为23岁，大多数是女性（56%）和非洲裔美国人（80%）。每周抽小雪茄的中位数为20支; 70%的人还抽香烟，43%的人还抽大麻。我们的分析强调了由于产品操作，共享和多种产品使用而测量雪茄使用的复杂性。参与者表示更喜欢在一个共享小雪茄的社会群体中吸烟，而不是独自一人时一次抽一整支小雪茄。大多数小雪茄使用者并不认为自己是上瘾的。小雪茄使用者表达了独特的吸烟习惯和信念，这意味着需要一个更具产品包容性的ND措施，并可以为制定针对小雪茄使用者的戒烟干预措施提供信息。年轻人中小雪茄使用的增加具有显着的公共卫生后果。解决这一问题需要准确衡量和有效治疗对小雪茄产品的依赖。这项研究的结果直接为ND的修订措施的发展提供了信息，并有助于对雪茄使用者进行戒烟干预的有效性。
Cigarillo use is increasing, particularly among young adults. Nicotine dependence (ND) is important for understanding smoking behavior and cessation, but the development of measures of ND has focused almost exclusively on cigarette smokers. We examined smoking patterns, preferences, and beliefs of cigarillo users to better understand their experience of addiction and expression of ND symptoms.Using purposive sampling, we conducted in-depth interviews between June 2015 and January 2016 with 30 young adults aged 18-28 who reported smoking >= 1 cigarillo per week. Interviews were based on a semi-structured guide designed to capture participants' smoking levels and patterns as well as their experiences of smoking and addiction. Interviews were audio-recorded and transcribed. Analysis was guided by a phenomenological approach designed to identify emergent themes.Participants had a mean age of 23, with a majority being female (56%) and African American (80%). The median number of cigarillos smoked per week was 20; 70% also smoked cigarettes, and 43% also smoked marijuana blunts. Our analysis highlighted the complexity of measuring cigarillo use due to product manipulation, sharing, and multiple product use. Participants expressed a preference for smoking in a social group where cigarillos were shared, and not smoking an entire cigarillo at once when alone. Most cigarillo users did not consider themselves to be addicted.Cigarillo users express unique smoking practices and beliefs that signify the need for a more product-inclusive measure of ND, and can inform the development of tobacco cessation interventions tailored to cigarillo users.The increasing use of cigarillos among young adults has significant public health consequences. Addressing this issue requires accurate measurement and effective treatment of dependence on cigarillo products. The results of this study directly inform the development of a revised measure of ND, and can contribute to the efficacy of cessation interventions for cigarillo users.