吸烟成年人使用电子烟的先验意图与使用模式之间的前瞻性关系。

IF 3.7 2区 医学 Q1 PSYCHOLOGY, CLINICAL Addictive behaviors Pub Date : 2024-05-26 DOI:10.1016/j.addbeh.2024.108067
Riley A. O’Neal , Matthew J. Carpenter , Amy E. Wahlquist , Eleanor L.S. Leavens , Tracy T. Smith , Margaret C. Fahey
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引用次数: 0

摘要

背景:根据电子烟的使用模式,电子烟可能有助于成年吸烟者戒烟。在不使用电子烟的吸烟者中,目前还不清楚使用电子烟的先验意图是否以及如何与使用模式相关。纵向研究主要集中在已经使用电子烟的人群或青少年人群:在一项全国范围的随机临床试验(N = 638)中,目前未使用电子烟的成年吸烟者被随机(2:1)分配到(或不分配)为期一个月的电子烟抽样调查中。对评估电子烟使用意向的 15 个项目进行了探索性因子分析(EFA),以确定潜在变量。在接受电子烟产品的人群中,回归模型检验了使用意向与下列因素之间的关系结果发现,在一个月的跟踪调查中,有两个因素出现在 EFA 中:1)电子烟使用意愿(是/否);2)电子烟使用频率(每周使用天数);3)电子烟使用量(每天吸食次数):从 EFA 中产生了两个因素:1)与香烟相关的意向(如戒烟、无味);2)电子烟的新颖吸引力(如口味)。剩下的三个项目作为单独的意向处理:"感觉像吸烟"、"好奇 "和 "负担得起"。在最终的多变量模型中,"感觉像吸烟 "预示着更频繁地使用电子烟(β = 0.187,SE = 0.086,p = 0.03);然而,五个因素/意向都与吸食量或使用量没有显著关联:结论:对于目前不使用电子烟的成年吸烟者来说,使用电子烟的先验意图可能无法预测未来是否使用或如何使用这些产品,这表明动机可能无法驱动使用行为。
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The prospective relationship between a-priori intentions for and patterns of e-cigarette use among adults who smoke cigarettes

Background

Electronic (e-)cigarettes may help adult cigarette smokers achieve cigarette cessation, depending on patterns of e-cigarette use. Among cigarette smokers who do not use e-cigarettes, it is unclear if and how a-priori intentions for use are related to uptake patterns. Longitudinal studies have focused on established e-cigarette users or adolescent and young adult populations exclusively.

Methods

Within a nationwide randomized clinical trial (N = 638), adult cigarette smokers not currently using e-cigarettes were randomized (2:1) to receive (or not) one-month sampling of e-cigarettes. An exploratory factor analysis (EFA) was performed on an established 15-item measure assessing a-priori intentions for e-cigarette use to identify latent variables. Among those receiving e-cigarette products, regression models examined relationships between intentions and: 1) uptake (yes/no), 2) frequency (number of days per week), and 3) amount (puffing episodes per day) of e-cigarette use at one-month follow-up.

Results

Two factors emerged from the EFA: 1) cigarette-related intentions (e.g., cigarette cessation, no smell) and 2) novel appeal of e-cigarettes (e.g., flavors). Three items remained and were treated as separate intentions: “feels like cigarette smoking”, “curiosity”, and “affordability“. In the final multivariable models, “feel like cigarette smoking” predicted more frequent e-cigarette use (β = 0.187, SE = 0.086, p = 0.03); however, none of the five factors/intentions were significantly associated with uptake or amount of use.

Conclusions

For adult cigarette smokers not currently using e-cigarettes, a-priori intentions for using e-cigarettes might not be predictive of if or how these products will be used in the future, suggesting that motives may not drive use behavior.

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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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