Efficacy of a group-based brief tobacco intervention among young adults aged 18-20 years in the US Air Force.

Efficacy of a group-based brief tobacco intervention among young adults aged 18-20 years in the US Air Force.
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DOI:
10.18332/tid/143282
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发表时间:
2021
影响因子:
3.7
通讯作者:
Talcott GW
Talcott GW
中科院分区:
医学4区
文献类型:
--
作者:
Little MA;Wang XQ;Fahey MC;Wiseman KP;Pebley K;Klesges RC;Talcott GW

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大多数吸烟者开始在25岁之前使用烟草,因此在青少年和成年早期减少烟草使用非常重要。军事人员的使用率历来较高。虽然“烟草21”规定美国零售商向21岁以下的人出售烟草是非法的,但该政策并没有解决当前青年和年轻成年烟草使用者的戒烟问题。此外,关于21岁以下年轻人戒烟干预措施的研究有限。目前的研究评估了基于小组的简短烟草干预(BTI)在美国空军学员中的有效性,这些学员主要年龄在18-20岁之间,直接受到烟草21立法的影响。参与者是2017年4月至2018年1月的2969名美国空军学员,随机分为三种情况:1)BTI +飞行员保持无烟指南(AG),2)单独AG,3)国家癌症研究所的清洁空气(CTA)小册子。为了评估干预措施在18-20岁人群中的有效性,对多项logistic回归模型进行了领域分析(<21岁,n=2117; ≥21岁,n=852)。接受BTI+AG治疗的基线时年龄<21岁的单一烟草使用者在3个月时戒烟的几率较高(OR=2.13; 95%CI:1.02-4.46)。接受BTI+AG干预的基线年龄<21岁的双重和多重使用者在3个月时减少烟草制品使用数量的几率更高(OR=2.94; 95%CI:1.03-8.37)。BTI对18-20岁的人有效。目前的研究提供了深入了解干预措施的组成部分,这些干预措施可能成功地帮助这个年龄组减少烟草使用。
Most smokers begin using tobacco before the age of 25 years, making it important to reduce tobacco use during adolescence and early adulthood. Rates of use are historically higher among military personnel. While ‘Tobacco 21’ made it illegal for US retailers to sell tobacco to those aged <21 years, the policy did not address cessation for current youth and young adult tobacco users. Additionally, there is limited research on cessation interventions among young adults under 21 years. The current study evaluated the efficacy of a group-based Brief Tobacco Intervention (BTI) among US Air Force trainees, who are predominantly aged 18–20 years and directly impacted by Tobacco 21 legislation. Participants were 2969 US Air Force Trainees from April 2017 through January 2018 cluster randomized to three conditions: 1) BTI + Airman’s Guide to Remaining Tobacco Free (AG), 2) AG alone, and 3) the National Cancer Institute’s Clearing the Air (CTA) pamphlet. To assess the efficacy of the interventions among people aged 18–20 years, a domain analysis (<21 years, n=2117; and ≥21 years, n=852) of a multinomial logistic regression model was run. Mono tobacco users aged <21 years at baseline who received the BTI+AG had higher odds of quitting tobacco at 3 months (OR=2.13; 95% CI: 1.02–4.46). Dual and poly users aged <21 years at baseline who received the BTI+AG intervention had higher odds of reducing the number of tobacco products used at 3 months (OR=2.94; 95% CI: 1.03–8.37). The BTI was effective for people aged 18–20 years. The current study offers insight into components of interventions that might be successful in helping this age group decrease tobacco use.
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发表时间: 2019-02-15
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