Lisbeth Lund, Christian Ritz, Lotus Sofie Bast, Marie Pil Jensen, Susan Andersen
{"title":"防止年轻人过渡使用多种烟草：减少吸烟干预试验的潜在转变分析。","authors":"Lisbeth Lund, Christian Ritz, Lotus Sofie Bast, Marie Pil Jensen, Susan Andersen","doi":"10.1016/j.addbeh.2024.108195","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>The escalating trends in poly-tobacco use among young people are worrying due to the heightened health consequences associated with use. This study aims to re-analyze data from a smoking reduction intervention applying latent transition analysis (LTA) to explore the effect of a smoking reduction intervention on the transition between tobacco and nicotine use behavior patterns, particularly poly-tobacco use, over time. Additionally, the effect of sociodemographic variables on transition patterns was explored.</div></div><div><h3>Methods</h3><div>From 2018 to 2020, a two-armed randomized controlled trial was conducted to evaluate a smoking reduction intervention focusing on a comprehensive school tobacco policy across 14 vocational schools in Denmark. Baseline and five-month follow-up surveys assessed self-reported use of cigarettes, e-cigarettes, smokeless tobacco, and waterpipe. This study was a secondary data analysis using latent transition analysis (LTA). The primary analysis of the trial did not find a significant overall effect of the intervention on tobacco use.</div></div><div><h3>Results</h3><div>A total of 2,158 students completed the baseline and/or follow-up surveys (mean age: 20.8 years, 49.5 % female). At both time points, three latent classes of tobacco and nicotine use behavior emerged (<em>non-users</em>, <em>cigarette users</em>, and <em>poly-tobacco users</em>). Intervention school students had 36 % lower odds of transitioning from cigarette use at baseline to poly-tobacco use at follow-up (OR = 0.64; 95 % CI 0.41,0.99, p = 0.047) compared to control school students. Males and younger students had increased odds of transitioning from cigarette use to poly-tobacco. In contrast, students of non-Danish origins had increased odds of transitioning from poly-tobacco use to non-use.</div></div><div><h3>Conclusions</h3><div>This study demonstrates the effectiveness of a smoking reduction intervention in reducing the progression toward poly-tobacco use among vocational school students.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"161 ","pages":"Article 108195"},"PeriodicalIF":3.7000,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Preventing the transitions in poly-tobacco use among young adults: A latent transition analysis of a smoking reduction intervention trial\",\"authors\":\"Lisbeth Lund, Christian Ritz, Lotus Sofie Bast, Marie Pil Jensen, Susan Andersen\",\"doi\":\"10.1016/j.addbeh.2024.108195\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>The escalating trends in poly-tobacco use among young people are worrying due to the heightened health consequences associated with use. This study aims to re-analyze data from a smoking reduction intervention applying latent transition analysis (LTA) to explore the effect of a smoking reduction intervention on the transition between tobacco and nicotine use behavior patterns, particularly poly-tobacco use, over time. Additionally, the effect of sociodemographic variables on transition patterns was explored.</div></div><div><h3>Methods</h3><div>From 2018 to 2020, a two-armed randomized controlled trial was conducted to evaluate a smoking reduction intervention focusing on a comprehensive school tobacco policy across 14 vocational schools in Denmark. Baseline and five-month follow-up surveys assessed self-reported use of cigarettes, e-cigarettes, smokeless tobacco, and waterpipe. This study was a secondary data analysis using latent transition analysis (LTA). The primary analysis of the trial did not find a significant overall effect of the intervention on tobacco use.</div></div><div><h3>Results</h3><div>A total of 2,158 students completed the baseline and/or follow-up surveys (mean age: 20.8 years, 49.5 % female). At both time points, three latent classes of tobacco and nicotine use behavior emerged (<em>non-users</em>, <em>cigarette users</em>, and <em>poly-tobacco users</em>). Intervention school students had 36 % lower odds of transitioning from cigarette use at baseline to poly-tobacco use at follow-up (OR = 0.64; 95 % CI 0.41,0.99, p = 0.047) compared to control school students. Males and younger students had increased odds of transitioning from cigarette use to poly-tobacco. In contrast, students of non-Danish origins had increased odds of transitioning from poly-tobacco use to non-use.</div></div><div><h3>Conclusions</h3><div>This study demonstrates the effectiveness of a smoking reduction intervention in reducing the progression toward poly-tobacco use among vocational school students.</div></div>\",\"PeriodicalId\":7155,\"journal\":{\"name\":\"Addictive behaviors\",\"volume\":\"161 \",\"pages\":\"Article 108195\"},\"PeriodicalIF\":3.7000,\"publicationDate\":\"2024-11-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Addictive behaviors\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0306460324002442\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Addictive behaviors","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0306460324002442","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
Preventing the transitions in poly-tobacco use among young adults: A latent transition analysis of a smoking reduction intervention trial
Objective
The escalating trends in poly-tobacco use among young people are worrying due to the heightened health consequences associated with use. This study aims to re-analyze data from a smoking reduction intervention applying latent transition analysis (LTA) to explore the effect of a smoking reduction intervention on the transition between tobacco and nicotine use behavior patterns, particularly poly-tobacco use, over time. Additionally, the effect of sociodemographic variables on transition patterns was explored.
Methods
From 2018 to 2020, a two-armed randomized controlled trial was conducted to evaluate a smoking reduction intervention focusing on a comprehensive school tobacco policy across 14 vocational schools in Denmark. Baseline and five-month follow-up surveys assessed self-reported use of cigarettes, e-cigarettes, smokeless tobacco, and waterpipe. This study was a secondary data analysis using latent transition analysis (LTA). The primary analysis of the trial did not find a significant overall effect of the intervention on tobacco use.
Results
A total of 2,158 students completed the baseline and/or follow-up surveys (mean age: 20.8 years, 49.5 % female). At both time points, three latent classes of tobacco and nicotine use behavior emerged (non-users, cigarette users, and poly-tobacco users). Intervention school students had 36 % lower odds of transitioning from cigarette use at baseline to poly-tobacco use at follow-up (OR = 0.64; 95 % CI 0.41,0.99, p = 0.047) compared to control school students. Males and younger students had increased odds of transitioning from cigarette use to poly-tobacco. In contrast, students of non-Danish origins had increased odds of transitioning from poly-tobacco use to non-use.
Conclusions
This study demonstrates the effectiveness of a smoking reduction intervention in reducing the progression toward poly-tobacco use among vocational school students.
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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