Factors influencing perceptions of electronic cigarette and nicotine replacement therapy use among French smokers experiencing socioeconomic disadvantage: A latent class analysis

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL Addictive behaviors Pub Date : 2025-02-19 DOI:10.1016/j.addbeh.2025.108290

Marie Noel Al Zayat , Maria Melchior , Judith van der Waerden , Sarah Mahdjoub , Gladys Ibanez , Fabienne El-Khoury

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Abstract

Background

Smokers experiencing socioeconomic disadvantage have higher smoking rates and lower quit success compared to the general population. While nicotine replacement therapy (NRT) and electronic cigarettes (e-cigarettes) are effective smoking cessation aids, their use in this population is limited. We examine perceptions of NRT and e-cigarettes among low-income smokers.

Methods

We analyzed baseline data from 167 low-income smokers interested in reducing or quitting smoking but not currently using e-cigarettes, enrolled in the French STOP trial, a randomized controlled trial evaluating a preference-based smoking cessation intervention. Baseline measures included demographics, smoking habits, mental health, and perceptions of NRT and e-cigarettes. Latent Class Analysis (LCA) identified subgroups based on perceptions, and multinomial logistic regression examined associations between subgroup membership and predictors.

Results

Three subgroups emerged: “adopters” (44 %) with positive views of both aids, “doubters of e-cigarettes” (35 %) who found the tools easy to use but questioned the effectiveness of e-cigarettes, and “resistors” (21 %) with negative perceptions of both aids. Older age, not receiving social benefits, and absence of depressive symptoms were linked to being a “doubter of e-cigarettes”, while heavy smoking was associated with being a “resistor”. Previous NRT use increased the probability of being a “doubter of e-cigarettes”, whereas prior e-cigarettes use decreased the likelihood of belonging to the “doubters of e-cigarettes” and “resistors” groups.

Conclusion

Low-income smokers hold diverse perceptions of NRT and e-cigarettes influenced by age, financial difficulties, mental health, and previous quit attempts. Tailored cessation interventions addressing these factors into account may improve quit rates in this population.

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背景与普通人群相比，处于社会经济劣势的吸烟者吸烟率更高，戒烟成功率更低。虽然尼古丁替代疗法（NRT）和电子烟（e-cigarettes）是有效的戒烟辅助工具，但它们在这一人群中的使用却很有限。我们分析了 167 名有意减少或戒烟但目前未使用电子烟的低收入吸烟者的基线数据，他们参加了法国 STOP 试验，这是一项评估基于偏好的戒烟干预的随机对照试验。基线测量包括人口统计学、吸烟习惯、心理健康以及对 NRT 和电子烟的看法。潜类分析（LCA）确定了基于认知的亚组，多项式逻辑回归检验了亚组成员与预测因素之间的关联："采用者"（44%）对这两种辅助工具持积极态度，"电子烟怀疑者"（35%）认为这些工具易于使用，但对电子烟的有效性表示怀疑，"抵制者"（21%）对这两种辅助工具持消极态度。年龄较大、未享受社会福利和无抑郁症状与 "电子烟质疑者 "有关，而大量吸烟与 "抵制者 "有关。曾经使用过 NRT 的人成为 "电子烟怀疑者 "的可能性增加，而曾经使用过电子烟的人成为 "电子烟怀疑者 "和 "抵制者 "的可能性降低。考虑到这些因素而量身定制的戒烟干预措施可能会提高这一人群的戒烟率。

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 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.