Department of Epidemiology and Public Health, Cancer Research UK Health Behaviour Research Centre, University College London, London, United Kingdom.
Nicotine Tob Res. 2012 Jun;14(6):639-47. doi: 10.1093/ntr/ntr260. Epub 2011 Dec 16.
This paper aimed to assess the current beliefs of stop smoking practitioners and managers about using nicotine replacement therapy (NRT) for smoking reduction (SR) and the factors related to these beliefs.
An online survey was conducted of practitioners and managers working in the 152 English stop smoking services (SSSs). Questions were asked about their beliefs concerning the safety of using NRT for SR.
Sixteen percent and 30% of the sample, respectively, believed that NRT use for a year or more and the concurrent use of NRT and cigarettes was harmful to health. The most commonly reported potential harms of the long-term use of NRT and the concurrent use of NRT and cigarettes were addiction, overdose and mouth cancer. Seventeen percent of the sample also believed that the use of NRT for SR could hinder smoking cessation. Reports differed as a function of the managers' relationship with their commissioner and influence on the commissioning process, while among practitioners as a function of the number of months worked, gender, frequency of update training and whether they advised reduction as a treatment option.
A significant minority of stop smoking practitioners and stop smoking managers believe that NRT use for SR can be harmful to health and undermine smoking cessation. These beliefs should be addressed, especially if the use of NRT in these ways is provided as a route to quitting in SSSs.
本文旨在评估戒烟从业者和管理者对使用尼古丁替代疗法（NRT）进行减烟（SR）的当前信念，以及与这些信念相关的因素。
对在 152 个英语戒烟服务（SSS）中工作的从业者和管理者进行了在线调查。询问了他们对使用 NRT 进行 SR 的安全性的看法。
分别有 16%和 30%的样本认为，使用 NRT 一年或更长时间以及同时使用 NRT 和香烟对健康有害。报告中最常见的 NRT 长期使用和同时使用 NRT 和香烟的潜在危害包括成瘾、过量和口腔癌。17%的样本还认为，使用 NRT 进行 SR 可能会阻碍戒烟。报告因管理者与他们的委托方的关系以及对委托过程的影响而有所不同，而从业者则因工作月数、性别、更新培训的频率以及是否将减少作为治疗选择而有所不同。
相当一部分戒烟从业者和戒烟管理者认为，使用 NRT 进行 SR 可能对健康有害，并破坏戒烟。应解决这些信念，特别是如果 SSS 以这些方式使用 NRT。
