Expenditure on smoking and alternative nicotine delivery products: a population survey in England
Expenditure on smoking and alternative nicotine delivery products: a population survey in England
复制标题
DOI：
10.1111/add.14709
复制
发表时间：
2019-11-01
期刊：
影响因子：
6
通讯作者：
Brown, Jamie
中科院分区：
文献类型：
--
作者：
Jackson, Sarah E.;Shahab, Lion;Brown, Jamie
背景和目标使用不可燃尼古丁产品作为吸烟替代品的相关费用可能会阻碍减少吸烟或戒烟。这项研究旨在估计（i）英国成年人每周在吸烟和替代尼古丁产品上花费多少，以及（ii）通过从吸烟转向使用替代尼古丁输送产品可以实现的潜在成本节约。设计和设置数据来自2018年9月至11月的吸烟工具包研究浪潮，这是一系列针对英格兰成年人口的全国家庭调查。共有859名成年人（年龄≥ 16岁）报告目前吸烟或目前使用替代尼古丁产品。参与者报告了他们在吸烟和替代尼古丁产品[尼古丁替代疗法（NRT）或电子烟]上的平均每周支出。调查结果未使用任何替代尼古丁输送产品的当前吸烟者（n = 602）报告每周平均吸烟支出为23.09英镑[95%置信区间（CI）= 21.64 - 24.54]英镑。使用替代尼古丁产品的前吸烟者（n = 91）报告每周平均花费8.59磅（95% CI = 6.80 - 10.39）磅用于这些产品; 8.03磅（95% CI = 6.03 - 10.03）磅用于电子烟，10.05磅（95% CI = 5.62 - 14.47）磅用于NRT。吸烟和使用替代尼古丁产品的人（双重使用者，n = 166）每周平均花费24.54磅（95% CI = 21.78 - 27.29）磅用于吸烟，7.49磅（95% CI = 6.00 - 8.99）磅用于替代尼古丁产品。吸烟支出在体重较重、烟瘾较大的吸烟者中较高，而在常规/体力劳动者、非每日吸烟者和自己卷烟的吸烟者中较低。男性、英格兰中部和南部的使用者以及过去一年试图戒烟的吸烟者的电子烟支出较高，而目前的吸烟者则较低。在自己卷烟的烟草使用者中，NRT的支出较低。在英国，电子烟和尼古丁替代疗法使用者的支出约为吸烟者支出的三分之一。平均吸烟者可以通过完全转换为电子烟每周节省15.06磅，或者通过转换为尼古丁替代疗法每周节省13.04磅，尽管这可能因个人使用模式而异。
Background and Aims The expense associated with using non-combustible nicotine products as an alternative to smoking may deter smoking reduction or cessation. This study aimed to estimate (i) how much adults in England spend each week on smoking and alternative nicotine products and (ii) the potential cost saving that could be achieved by switching from smoking to using an alternative nicotine delivery product. Design and Setting Data came from September to November 2018 waves of the Smoking Toolkit Study, a series of national household surveys of the adult population in England. Participants A total of 859 adults (aged >= 16 years) who reported current smoking or current use of an alternative nicotine product. Measurements Participants reported their average weekly expenditure on smoking and alternative nicotine products [nicotine replacement therapy (NRT) or e-cigarettes]. Findings Current smokers who did not use any alternative nicotine delivery products (n = 602) reported spending on average 23.09 pound [95% confidence interval (CI) = 21.64-24.54] pound on smoking each week. Ex-smokers who used alternative nicotine products (n = 91) reported spending on average 8.59 pound (95% CI = 6.80-10.39) pound on these products each week; 8.03 pound (95% CI = 6.03-10.03) pound on e-cigarettes and 10.05 pound (95% CI = 5.62-14.47) pound on NRT. People who both smoked and used alternative nicotine products (dual users, n = 166) spent on average 24.54 pound (95% CI = 21.78-27.29) pound on smoking and 7.49 pound (95% CI = 6.00-8.99) pound on alternative nicotine products each week. Expenditure on smoking was higher among heavier, more addicted smokers and lower among those with routine/manual occupations, non-daily smokers and roll-your-own tobacco users. Expenditure on e-cigarettes was higher among men, users from central and southern versus northern England and smokers who had tried to quit in the past year, and lower among current smokers. Expenditure on NRT was lower among roll-your-own tobacco users. Conclusions In England, expenditure among e-cigarette and nicotine replacement therapy users is approximately one-third of the expenditure of smokers. The average smoker may save an estimated 15.06 pound per week by switching completely to e-cigarettes or 13.04 pound per week by switching to nicotine replacement therapy, although this is likely to differ according to individual usage patterns.