Longitudinal examination of ENDS characteristics, flavors, and nicotine content for cigarette cessation: Findings from PATH waves 5–6

IF 3.7 2区 医学 Q1 PSYCHOLOGY, CLINICAL Addictive behaviors Pub Date : 2024-06-28 DOI:10.1016/j.addbeh.2024.108097
Olufemi Erinoso , Olatokunbo Osibogun , Wei Li , Mohammad Ebrahimi Kalan
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Abstract

Background

A subpopulation of adults who smoke cigarettes use electronic nicotine device systems (ENDS) for cigarette cessation. This study examined the relationship between ENDS flavors, device types, and nicotine concentration with past month cigarette abstinence among adults using ENDS for cigarette cessation.

Methods

We used the Population Assessment of Tobacco and Health (PATH) Study (waves 5 and 6) to identify adults who self-reported using ENDS to quit cigarettes at baseline (wave 5) and investigated their cigarette abstinence at follow-up (wave 6) [n = 1252]. Measures assessed include ENDS features (flavors, device types, nicotine concentration) at baseline and past-month abstinence from cigarette smoking at follow-up. Weighted descriptive analysis was used, and multivariable logistic regression models examined ENDS features associated with past-month cigarette abstinence, adjusting for demographic factors and tobacco dependence at baseline.

Results

Most participants used disposable devices (37.2 %; 95 % CI:33.2–41.5), followed by refillable tanks (30.2 %; 95 % CI:26.2–34.5). Additionally, fruit (41.3 %; 95 % CI:37.3–45.5), followed by menthol (19.1 %; 95 % CI:16.2–22.4), and tobacco (18.5 %; 95 % CI:15.5–22.1) were the most common flavors. The most common nicotine concentration used was 1–6 mg/ml (38.8 %; 95 % CI:34.6–43.2). Furthermore, in the adjusted model, daily ENDS users at baseline had 86 % (95 % CI:1.08–3.18) higher odds of past month cigarette abstinence at follow-up, than individuals who indicated ‘not at all’ to the current use of ENDS at baseline. There were no significant differences by preferred flavors, device type and nicotine concentrations (p-values > 0.05).

Conclusions

Daily ENDS users had higher odds of quitting cigarettes compared to those who stopped using ENDS. However, the type of device, flavoring, and nicotine concentration used by ENDS users were not associated with past-month cigarette abstinence at follow-up two years later.

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纵向研究用于戒烟的 ENDS 特性、口味和尼古丁含量:PATH 第 5-6 波的研究结果。
背景:吸烟成人中有一部分人使用电子尼古丁装置(ENDS)戒烟。本研究调查了使用ENDS戒烟的成年人中ENDS口味、装置类型和尼古丁浓度与过去一个月戒烟的关系:我们利用烟草与健康人群评估(PATH)研究(第 5 波和第 6 波)来识别基线(第 5 波)时自我报告使用 ENDS 戒烟的成年人,并在随访(第 6 波)时调查他们的戒烟情况[n = 1252]。评估指标包括基线时ENDS的特征(口味、装置类型、尼古丁浓度)和随访时过去一个月的戒烟情况。采用加权描述性分析和多变量逻辑回归模型研究了ENDS特征与上月戒烟的相关性,并对基线时的人口统计学因素和烟草依赖性进行了调整:大多数参与者使用一次性装置(37.2%;95% CI:33.2-41.5),其次是可充装烟盒(30.2%;95% CI:26.2-34.5)。此外,水果味(41.3%;95 % CI:37.3-45.5)、薄荷味(19.1%;95 % CI:16.2-22.4)和烟草味(18.5%;95 % CI:15.5-22.1)是最常见的口味。最常用的尼古丁浓度为 1-6 毫克/毫升(38.8%;95% CI:34.6-43.2)。此外,在调整模型中,与基线时表示 "完全不 "使用ENDS的人相比,基线时每天使用ENDS的人在随访时上月戒烟的几率要高86%(95% CI:1.08-3.18)。不同口味、设备类型和尼古丁浓度之间没有明显差异(P值>0.05):结论:与停止使用ENDS的人相比,每天使用ENDS的人戒烟几率更高。结论:与停止使用ENDS的人相比,每天使用ENDS的人戒烟几率更高,但ENDS使用者使用的设备类型、口味和尼古丁浓度与两年后随访的上月戒烟率无关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Addictive behaviors
Addictive behaviors 医学-药物滥用
CiteScore
8.40
自引率
4.50%
发文量
283
审稿时长
46 days
期刊介绍: Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.
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