Lipkus Isaac M, Schwartz-Bloom Rochelle, Kelley Michael J, Pan Wei
Duke University School of Nursing, Durham, NC;
Duke University Medical Center, Durham, NC.
Nicotine Tob Res. 2015 Mar;17(3):337-43. doi: 10.1093/ntr/ntu155. Epub 2014 Aug 30.
Many young smokers underestimate their risk for becoming addicted to cigarettes. We explored whether informing light college smokers (i.e., fewer than 5 cigarettes/day) of their genetic predisposition to nicotine dependence influenced their perceived risks and worry about becoming addicted, their ability to quit (i.e., self-efficacy), their desire to quit, and smoking cessation.
College smokers (n = 142) received educational materials on mechanisms and consequences of nicotine addiction and were offered genetic susceptibility testing for nicotine dependence. Participants who accepted testing were randomized to receive feedback or no feedback (i.e., control). Tested participants learned they were above or not above average genetic risk for nicotine dependence. All participants responded to questions about perceived risks and worry about becoming addicted, efficacy to quit, and desire to quit. Cessation was assessed during a 1-month follow-up.
Efficacy beliefs, worry about becoming addicted, and desire to quit did not differ by study condition or feedback. Perceived risk for becoming addicted was highest among tested participants informed they were above average risk for nicotine dependence. Overall, self-reported 30- but not 7-day quit rate was higher among participants who underwent genetic testing compared with control participants.
This pilot study is the first to show that among light college smokers, receipt of genetic susceptibility feedback to nicotine dependence potentially curbs smoking without producing detrimental effects.
许多年轻吸烟者低估了自己对香烟上瘾的风险。我们探讨了告知轻度吸烟的大学生(即每天吸烟少于5支)其尼古丁依赖的遗传易感性是否会影响他们对成瘾风险的认知、对成瘾的担忧、戒烟能力(即自我效能感)、戒烟意愿以及戒烟情况。
大学吸烟者(n = 142)收到了关于尼古丁成瘾机制和后果的教育材料,并被提供了尼古丁依赖的遗传易感性检测。接受检测的参与者被随机分为接受反馈组或无反馈组(即对照组)。接受检测的参与者了解到自己的尼古丁依赖遗传风险高于或不高于平均水平。所有参与者都回答了关于对成瘾风险的认知、对成瘾的担忧、戒烟效能感和戒烟意愿的问题。在1个月的随访期间评估戒烟情况。
效能信念、对成瘾的担忧和戒烟意愿在研究条件或反馈方面没有差异。在被告知其尼古丁依赖风险高于平均水平的接受检测的参与者中,对成瘾的感知风险最高。总体而言,与对照组参与者相比,接受基因检测的参与者自我报告的30天戒烟率较高,但7天戒烟率没有差异。
这项初步研究首次表明,在轻度吸烟的大学生中,收到尼古丁依赖的遗传易感性反馈可能会抑制吸烟,且不会产生有害影响。