Sources of awareness, perceptions, and use of JUUL e-cigarettes among adult cigarette smokers
Sources of awareness, perceptions, and use of JUUL e-cigarettes among adult cigarette smokers
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DOI：
10.1371/journal.pone.0238377
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发表时间：
2020-09-01
期刊：
影响因子：
3.7
通讯作者：
Choi, Kelvin
中科院分区：
文献类型：
--
作者：
Chen-Sankey, Julia Cen;Tan, Andy S. L.;Choi, Kelvin
鉴于JUUL电子烟的戒烟潜力及其在美国的销量急剧增加，需要更多的证据来了解成年吸烟者使用JUUL的原因。本研究评估了意识来源、对使用JUUL的看法和JUUL使用行为之间的关系。方法在一项对了解JUUL电子烟的成年吸烟者（n = 341）进行的在线研究中，受访者报告了他们了解JUUL的来源、使用JUUL与Vuse（竞争对手品牌）的看法，以及曾经和过去30天（目前）使用JUUL的情况。使用多变量逻辑回归来检查意识来源、感知和JUUL使用之间的关联，并对协变量进行调整。结果与Vuse相比，通过网络广告了解JUUL与对JUUL的积极看法相关，包括JUUL使用起来更有趣（AOR = 2.04, 95% CI = 1.21, 3.42）和更美味（AOR = 1.96, 95% CI = 1.19, 3.22）。认为JUUL比Vuse更美味（AOR = 2.07, 95% CI = 1.23, 3.49），更有助于戒烟（AOR = 2.07, 95% CI = 1.22, 3.53），更凉爽（AOR = 2.07, 95% CI = 1.21, 3.56）与曾经使用JUUL相关。仅认为JUUL比Vuse更美味（AOR = 1.98, 95% CI = 1.10, 3.59）与当前使用JUUL相关。成年吸烟者可能更关注使用JUUL的感官和社会体验，而不是JUUL的戒烟益处。这些积极的看法很可能是受到互联网广告的影响，而不是JUUL的官方营销渠道。他们也更有可能继续使用JUUL，而不是JUUL的戒烟效果。
Introduction Given JUUL e-cigarettes' potential for smoking cessation and its drastically increased sales in the U.S., more evidence is needed to understand the antecedents of JUUL use among adult cigarette smokers. This study assessed the relationships between awareness sources, perceptions about using JUUL, and JUUL use behavior. Methods In an online study with adult smokers who were aware of JUUL e-cigarettes (n = 341), respondents reported their sources for learning about JUUL, perceptions of using JUUL versus Vuse (a competitor brand), and ever and past-30-day (current) JUUL use. Multivariable logistic regressions were used to examine the associations between awareness sources, perceptions, and JUUL use, adjusting for covariates. Results Learning about JUUL through internet ads was associated with positive perceptions about JUUL compared to Vuse, including JUUL was more fun to use (AOR = 2.04, 95% CI = 1.21, 3.42) and tastier (AOR = 1.96, 95% CI = 1.19, 3.22). Perceiving JUUL as being tastier (AOR = 2.07, 95% CI = 1.23, 3.49), more helpful for quitting smoking (AOR = 2.07, 95% CI = 1.22, 3.53), and cooler (AOR = 2.07, 95% CI = 1.21, 3.56) than Vuse was associated with ever using JUUL. Only perceiving JUUL as being tastier (AOR = 1.98, 95% CI = 1.10, 3.59) than Vuse was associated with current use of JUUL. Discussion Adult smokers may be more likely to focus on the sensory and social experience of using JUUL rather than JUUL's smoking cessation benefits. These positive perceptions are likely to be influenced by internet ads in general instead of JUUL's official marketing outlets. They are also more likely to sustain JUUL use than JUUL's perceived smoking cessation benefits.