Shaikh Raees A, Siahpush Mohammad, Singh Gopal K
Department of Health Promotion, Social and Behavioral Health, College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska, USA.
US Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau, Rockville, Maryland, USA.
Tob Control. 2014 Jul;23(4):353-8. doi: 10.1136/tobaccocontrol-2011-050407. Epub 2013 Jan 4.
In recent years, new non-traditional, potentially reduced exposure products (PREPs), claiming to contain fewer harmful chemicals than the traditional products, have been introduced in the market. Little is known about socioeconomic, demographic and smoking-related determinants of the likelihood of using these products among smokers. The aim of this study was to examine these determinants.
Data from the 2006-2007 Tobacco Use Supplement to the Current Population Survey was used. We limited the analysis to current smokers (n=40724). Multivariate logistic regression analyses were conducted to estimate the association between covariates and the probability of the use of PREPs.
We found that younger age, lower education, higher nicotine addiction and having an intention to quit are associated with higher likelihood of the use of PREPs. The likelihood of using these products was found to be higher among respondents who are unemployed or have a service, production, sales or farming occupation than those with a professional occupation. Smokers living in the midwest, south or west, were found to have a greater likelihood of the use of PREPs than those living in the northeast.
Because there is little evidence to suggest that PREPs are less harmful that other tobacco products, their marketing as harm-minimising products should be regulated. Smokers, in particular those who are younger, have a lower socioeconomic status, and are more nicotine-dependent, should be the target of educational programmes that reveal the actual harm of PREPs.
近年来,市场上推出了新型非传统、可能减少接触有害物质的产品(PREPs),声称其含有的有害化学物质比传统产品更少。对于吸烟者使用这些产品可能性的社会经济、人口统计学及吸烟相关决定因素,人们了解甚少。本研究旨在探讨这些决定因素。
使用了2006 - 2007年《当前人口调查烟草使用补充调查》的数据。我们将分析限定于当前吸烟者(n = 40724)。进行多变量逻辑回归分析以估计协变量与使用PREPs概率之间的关联。
我们发现,年龄较小、教育程度较低、尼古丁成瘾程度较高以及有戒烟意愿与使用PREPs的可能性较高相关。发现失业或从事服务、生产、销售或农业职业的受访者使用这些产品的可能性高于从事专业职业的受访者。居住在中西部、南部或西部的吸烟者使用PREPs的可能性高于居住在东北部的吸烟者。
由于几乎没有证据表明PREPs比其他烟草产品危害更小,应规范将其作为危害最小化产品的营销行为。吸烟者,尤其是那些年龄较小、社会经济地位较低且尼古丁依赖程度较高的吸烟者,应成为揭示PREPs实际危害的教育项目的目标人群。