Electronic Cigarette Use Among Counseled Tobacco Users Hospitalized in 2015.
Electronic Cigarette Use Among Counseled Tobacco Users Hospitalized in 2015.
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DOI：
10.1097/adm.0000000000000344
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发表时间：
2017
影响因子：
5.5
通讯作者：
Davis EM
中科院分区：
文献类型：
--
作者：
De Genna NM;Ylioja T;Schulze AE;Manta C;Douaihy AB;Davis EM
很少有研究调查电子烟在住院人群中的流行程度，而不考虑患者的戒烟目标。这项研究的目的是调查在两家学术医院接受咨询的烟草使用者中电子烟的使用情况。对2015年1月1日至2015年12月31日期间住院并接受烟草治疗服务顾问床边戒烟咨询的成年烟草使用者的横断面数据进行了检查。使用卡方检验和独立t检验比较人口统计学和吸烟史项目对电子烟使用的影响。使用Logistic回归检验电子烟使用的独立关联性。在接受咨询的2194名住院烟草使用者中，22%的人使用过电子烟。这些患者中的大多数使用电子烟来戒烟或减少可燃香烟的使用。女性(男性患者的调整后优势比[AOR]0.60，95%可信区间[CI]0.47-0.76)、年轻患者(老年患者调整后的优势比(AOR)0.98，95%可信区间(95%CI)0.97-0.99)以及较早开始吸烟的个人(较晚开始吸烟的调整后优势比(AOR)0.97，95%可信区间(95%CI))较高。对住院吸烟者进行电子烟使用筛查提供了一个机会，为所有患者提供基于证据的戒烟辅助手段。年轻的女性患者最有可能使用电子烟，在戒烟咨询期间，关于电子烟使用和联邦药物管理局批准的戒烟方法的直接讨论可能会使他们受益最大。
Few studies have examined the prevalence of electronic cigarette use among the inpatient population regardless of the patients’ cessation goals. The objectives of this study were to examine the prevalence of electronic cigarette use among counseled tobacco users admitted to 2 academic hospitals. Cross-sectional data of hospitalized adult tobacco users who were admitted between January 1, 2015 and December 31, 2015 and who received bedside tobacco cessation counseling from a tobacco treatment service counselor were examined. Demographic and smoking history items were compared as a function of electronic cigarette use using chi-square and independent t tests. Logistic regression was used to test independent associations with electronic cigarette use. Of 2194 hospitalized tobacco users counseled, 22% had used an electronic cigarette. Most of these patients used electronic cigarettes to quit or reduce use of combustible cigarettes. Adjusted odds of electronic cigarette use were higher for females (adjusted odds ratio [AOR] 0.60 for male patients, 95% confidence interval [CI] 0.47–0.76), younger patients (AOR 0.98 for older patients, 95% CI 0.97–0.99), and individuals who initiated tobacco use earlier in life (AOR 0.97 for later smoking initiation, 95% CI 0.95–0.99). Screening hospitalized cigarette smokers for electronic cigarette use offers an opportunity to counsel all patients on evidence-based quit aids. Young, female patients are most likely to use electronic cigarettes and may benefit most from directed discussions about electronic cigarette use and Federal Drug Administration-approved cessation methods during smoking cessation counseling.