Program in Public Health, College of Health Sciences, University of California, Irvine, 100 Theory, Suite 100, Irvine, CA 92697-7555, USA.
Prev Med. 2009 Aug-Sep;49(2-3):229-32. doi: 10.1016/j.ypmed.2009.07.012. Epub 2009 Jul 23.
Few studies have addressed the feasibility of promoting smokeless tobacco as an alternative for smokers. This study was intended to assess the characteristics and degree to which smokers from California are receptive to using the substitute for harm reduction.
Daily cigarette smokers (n=2995) were selected from the 2005 California Tobacco Survey. Using ordinal logistic regression, four sets of variables (demographics, tobacco use, motivations and intentions to quit smoking) were examined as predictors of the outcome, willingness to use a form of smokeless tobacco perceived to be less harmful than cigarettes.
A majority of smokers (75.6%) expressed no interest in the tobacco substitute. Contrary to expectation, few of the measures for demographics, tobacco use and motivations to quit smoking were significantly correlated with the outcome. Irrespective of prior use of nicotine replacement therapy, smokers were more receptive if they had previously attempted to quit, or were currently attempting to reduce their consumption of cigarettes.
Smokeless tobacco is an unacceptable alternative for most California smokers. But, the expected correlates, notably gender, accounted for minimal variability in SLT receptiveness, an observation that challenges concerns about the product's limited appeal to any one group.
鲜有研究探讨推广无烟烟草作为吸烟者替代品的可行性。本研究旨在评估加利福尼亚州吸烟者对使用替代品以减少危害的接受程度和特点。
从 2005 年加利福尼亚烟草调查中选择每日吸烟（n=2995）者。使用有序逻辑回归，将四组变量（人口统计学、烟草使用、戒烟动机和意图）作为预测结果的指标，即使用一种被认为比香烟危害小的无烟烟草形式的意愿。
大多数吸烟者（75.6%）对烟草替代品不感兴趣。与预期相反，人口统计学、烟草使用和戒烟动机的措施与结果相关性不大。无论是否曾使用尼古丁替代疗法，以前尝试过戒烟或目前正在尝试减少吸烟量的吸烟者更愿意接受。
对于大多数加利福尼亚州吸烟者来说，无烟烟草是不可接受的替代品。但是，预期的相关性，特别是性别，仅能解释 SLT 接受程度的最小变化，这一观察结果对产品对任何一个群体的吸引力有限表示质疑。
