Switching people who smoke to unfiltered cigarettes: perceptions, addiction and behavioural effects in a cross-over randomised controlled trial.
Switching people who smoke to unfiltered cigarettes: perceptions, addiction and behavioural effects in a cross-over randomised controlled trial.
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将吸烟者改用未过滤嘴香烟：交叉随机对照试验中的认知、成瘾和行为影响。
DOI：
10.1136/tobaccocontrol-2021-056815
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发表时间：
2023
期刊：
影响因子：
5.2
通讯作者：
Oren,Eyal
中科院分区：
文献类型：
--
作者：
Pulvers,Kim;Tracy,LaRee;Novotny,ThomasE;Satybaldiyeva,Nora;Hunn,Adam;Romero,DevanR;Dodder,NathanG;Magraner,Jose;Oren,Eyal
背景行为研究需要为禁止销售过滤香烟提供信息，因为过滤香烟可以减少由于丢弃的滤嘴而产生的塑料垃圾。这项研究报告了在过滤和未过滤香烟的交叉随机试验中，参与者在感知、尼古丁依赖和行为方面的差异。方法这项概念验证研究涉及43名吸食过滤香烟的人(41.9%的 女性，平均年龄36.7岁)。参与者被提供2 周的过滤香烟供应，2 周的相同品牌的未过滤香烟，并随机分配到开始条件。措施包括修改后的香烟评估问卷；单项香烟感知问题；尼古丁依赖的Fagerström测试；7天香烟消费量、尿可替宁和戒烟意向。分析包括线性和顺序重复测量混合效应模型和配对t检验。结果与未过滤的香烟相比，过滤后的香烟被认为味道更好，更令人满意，更享受，更少的厌恶，更少的刺激性，更弱的效力和更少的负面强化。在试验期间，过滤香烟的吸烟率高于未过滤香烟(p<；0.05)。过滤香烟和未过滤香烟在可替宁、依赖性或戒烟意向方面没有差异(p>；0.05)。结论吸烟的人认为未过滤香烟比过滤香烟有更大的尼古丁影响和更差的感官影响，而且他们在试验期间吸的这些香烟更少。尽管在这项小规模试验中，吸食未过滤和过滤香烟的可替宁、依赖性和戒烟意图相似，但结果表明，禁止销售过滤香烟可能会降低吸烟对吸烟者的整体吸引力。试验注册编号NCT03749876。
BackgroundBehavioural research is needed to inform a ban on sales of filtered cigarettes that could reduce plastic waste due to discarded filters. This study reports on differences in perceptions, nicotine dependence and behaviour among participants in a cross-over randomised trial of filtered compared with unfiltered cigarettes.MethodThis proof-of-concept study involved 43 people who smoke filtered cigarettes (41.9% women, mean age 36.7 years). Participants were provided 2 weeks’ supply of filtered cigarettes, 2 weeks of the same brand of unfiltered cigarettes and randomly assigned to starting conditions. Measures included the Modified Cigarette Evaluation Questionnaire; single-item cigarette perception questions; Fagerström Test of Nicotine Dependence; 7-day cigarette consumption, urinary cotinine and intention to quit. Analyses included linear and ordinal repeated measures mixed-effects models and paired t-tests.ResultsFiltered cigarettes were perceived as better tasting, more satisfying, more enjoyable, less aversive, less harsh, less potent and less negatively reinforcing than unfiltered cigarettes. Filtered cigarettes were smoked at a higher rate during the trial than unfiltered cigarettes (p<0.05). There was no difference in cotinine, dependence or intention to quit between filtered versus unfiltered cigarette conditions (p>0.05).ConclusionPeople who smoke perceived unfiltered cigarettes as having greater nicotine effects and less desirable sensory effects than filtered cigarettes, and they smoked fewer of these during the trial. Although cotinine, dependence and intention to quit were similar for smoking unfiltered and filtered cigarettes in this small trial, results suggest that banning the sale of filtered cigarettes might make smoking less attractive overall to people who smoke.Trial registration numberNCT03749876.
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