Hiscock Rosemary, Goniewicz Maciej Lukasz, McEwen Andy, Murray Susan, Arnott Deborah, Dockrell Martin, Bauld Linda
Department for Health, University of Bath, Bath, UK ; UK Centre for Tobacco and Alcohol Studies, Nottingham, UK.
Department of Health Behavior, Roswell Park Cancer Institute, Buffalo, USA.
Tob Induc Dis. 2014 Aug 21;12(1):13. doi: 10.1186/1617-9625-12-13. eCollection 2014.
Use of e-cigarettes (inhalable vapour producing battery powered devices that aim to simulate tobacco cigarettes), is rising in a number of countries, but as yet none of these products are regulated as medicinal devices or available as smoking cessation treatments. Smokers seeking support from health professionals to stop smoking are interested in e-cigarettes and may be buying them to aid a quit attempt. Determining what smokers are asking, and what health professionals think about these products may have implications for smoking treatment services in a number of countries.
Stop smoking service advisors, managers and commissioners in the United Kingdom were asked to take part in two surveys on e-cigarettes. Data was analysed from 587 practitioners who completed a survey in 2011 and 705 practitioners who completed a repeat survey in 2013. Responses to multiple choice questions and free text comments were analysed.
Responding practitioners reported that interest in, and use of, e-cigarettes is growing among adults seeking help to stop smoking in the UK. In 2013 91% of respondents reported that interest in e-cigarettes had grown in the past year and whilst in 2011, 2% of respondents reported a 'quarter to a half' of their clients saying that they were regularly using e-cigarettes, by 2013 this had increased to 23.5% (p < .001). Responding practitioners' views towards e-cigarettes became more positive between the first and second surveys (15% strongly agreed/agreed in 2011 that 'e-cigarettes are a good thing' rising to 26% in 2013). However, they continued to have concerns about the products. In particular, analysis of free text responses suggested practitioners were unsure about safety or efficacy for smoking cessation, and were worried that smokers may become dependent on the products. Practitioners were also aware of the potential of e-cigarettes to undermine smokers' willingness to use evidence-based methods to stop, and to challenge policies aiming to denormalise tobacco smoking.
Health professionals are asking for reliable and accurate information on e-cigarettes to convey to smokers who want to quit. Randomized controlled trials and ongoing surveillance of e-cigarette use and its consequences for smoking cessation rates and smoking treatment services are required.
电子烟（旨在模拟卷烟的、由电池供电的可吸入蒸汽设备）在许多国家的使用正在增加，但目前这些产品均未作为医疗器械进行监管，也没有作为戒烟治疗手段。寻求健康专业人士帮助戒烟的吸烟者对电子烟感兴趣，可能会购买电子烟来辅助戒烟尝试。了解吸烟者的需求以及健康专业人士对这些产品的看法，可能会对许多国家的吸烟治疗服务产生影响。
英国的戒烟服务顾问、管理人员和专员被要求参与两项关于电子烟的调查。对2011年完成一项调查的587名从业者以及2013年完成重复调查的705名从业者的数据进行了分析。对多项选择题的回答和自由文本评论进行了分析。
参与调查的从业者报告称，在英国寻求帮助戒烟的成年人中，对电子烟的兴趣和使用正在增加。2013年，91%的受访者报告称，过去一年对电子烟的兴趣有所增加；2011年，2%的受访者报告称其“四分之一到一半”的客户表示经常使用电子烟，到2013年这一比例增至23.5%（p < 0.001）。在第一次和第二次调查之间，参与调查的从业者对电子烟的看法变得更加积极（2011年15%的人强烈同意/同意“电子烟是件好事”，到2013年升至26%）。然而，他们仍然对这些产品存在担忧。特别是，对自由文本回复的分析表明，从业者不确定电子烟用于戒烟的安全性或有效性，并担心吸烟者可能会对这些产品产生依赖。从业者也意识到电子烟有可能削弱吸烟者使用循证方法戒烟的意愿，并对旨在使吸烟非规范化的政策构成挑战。
健康专业人士需要有关电子烟的可靠准确信息，以便传达给想要戒烟的吸烟者。需要进行随机对照试验，并持续监测电子烟的使用情况及其对戒烟率和吸烟治疗服务的影响。
