Office on Smoking and Health, Centers for Disease Control and Prevention, 4770 Buford Highway, Mailstop K-50, Atlanta, Georgia 30341, USA.
Tob Control. 2011 May;20(3):239-42. doi: 10.1136/tc.2010.039115. Epub 2010 Dec 19.
Marketing and advertising of smokeless tobacco products towards cigarette smokers has increased recently. Because the use of multiple tobacco products is a growing public health concern, the present work assesses the use of smokeless tobacco among cigarette smokers, a behaviour termed as 'dual use', as well as attitudes and beliefs on their 'dual use' of tobacco.
Data were used from the 2008 Consumer Styles survey, a nationally representative, mail-in survey of consumers in the USA (n=10,108).
'Dual use' was more common among cigarette smokers who were young, white men living in the Midwest or South. The majority of 'dual users' reported using smokeless tobacco in places where they could not smoke (67.7%) and did not believe smokeless tobacco would help in quitting smoking (75.1%). 'Dual users' reported planning to quit within the next 6 months less often than adults who smoke cigarettes exclusively and close to half (42.3%) never plan to quit smoking.
Tobacco use is attributed to a number of diseases and deaths worldwide, and cessation of tobacco use can reduce these health risks. The prevalent use of smokeless tobacco in places with smoking restrictions and lack of planning to quit by 'dual users' suggest the need to promote cessation among these users.
最近，向香烟吸烟者推销无烟烟草制品的营销和广告活动有所增加。由于使用多种烟草制品是一个日益严重的公共卫生问题，本研究评估了香烟吸烟者使用无烟烟草制品的情况，这种行为被称为“双重使用”，以及他们对烟草“双重使用”的态度和信念。
数据来自 2008 年消费者风格调查，这是一项针对美国消费者的全国代表性、邮件调查（n=10108）。
“双重使用”在年轻、白人、居住在中西部或南部的男性香烟吸烟者中更为常见。大多数“双重使用者”报告在不能吸烟的地方使用无烟烟草制品（67.7%），并且不认为无烟烟草制品有助于戒烟（75.1%）。“双重使用者”报告计划在未来 6 个月内戒烟的频率低于只吸烟的成年人，近一半（42.3%）的人从未计划戒烟。
全球范围内，烟草使用导致了许多疾病和死亡，停止烟草使用可以降低这些健康风险。在有吸烟限制的地方普遍使用无烟烟草制品，以及“双重使用者”缺乏戒烟计划，这表明需要在这些使用者中促进戒烟。
