Peters Erica N, Harrell Paul T, Hendricks Peter S, O'Grady Kevin E, Pickworth Wallace B, Vocci Frank J
Battelle Memorial Institute, Health and Analytics, Baltimore, MD.
Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.
Am J Addict. 2015 Apr;24(3):233-239. doi: 10.1111/ajad.12206. Epub 2015 Mar 24.
Most studies on e-cigarettes have come from population-based surveys. The current research aimed to provide initial data on e-cigarette awareness, perceptions, use, and reasons for use among adults seeking substance use treatment.
A survey was conducted among 198 participants ≥18 years old in a community-based outpatient substance use treatment program.
Of the 198 participants, 69% currently smoked cigarettes, 92% were aware of e-cigarettes, and 58% had ever used e-cigarettes. The proportion of the number of participants who had ever used e-cigarettes to the number who currently smoked (89.7%) appeared higher than the corresponding proportion in the 2012-13 National Adult Tobacco Survey (78.3%). Almost half of the sample who reported ever using e-cigarettes endorsed quitting or reducing smoking as a reason for use, and 32% endorsed reasons for use relating to curiosity/experimentation. A greater likelihood of e-cigarette ever-use was significantly associated with younger age (adjusted odds ratio [AOR] = 0.94, 95%confidence interval [CI] = 0.90, 0.98) and perceptions related to using e-cigarettes in public places where smoking cigarettes is not allowed (AOR = 2.96, 95%CI = 1.18, 7.42) but was not associated with primary drug of choice.
E-cigarette use in adults seeking substance use treatment appears higher than it is in the US general population of smokers. The high frequency of use may be due to curiosity/experimentation or attempts to quit or reduce smoking.
Future research may consider how e-cigarettes interact with other substance use and affect high rates of nicotine and tobacco use in this population.
大多数关于电子烟的研究都来自基于人群的调查。当前的研究旨在提供有关寻求物质使用治疗的成年人中电子烟知晓率、认知、使用情况及使用原因的初步数据。
对一个社区门诊物质使用治疗项目中的198名年龄≥18岁的参与者进行了一项调查。
在这198名参与者中，69%的人目前吸烟，92%的人知晓电子烟，58%的人曾经使用过电子烟。曾经使用过电子烟的参与者人数与目前吸烟的参与者人数的比例（89.7%）似乎高于2012 - 13年全国成人烟草调查中的相应比例（78.3%）。几乎一半报告曾经使用过电子烟的样本认可将戒烟或减少吸烟作为使用原因，32%认可与好奇/尝试有关的使用原因。曾经使用电子烟的可能性更大与年龄较小（调整后的优势比[AOR]=0.94，95%置信区间[CI]=0.90，0.98）以及在禁止吸烟的公共场所使用电子烟的认知有关（AOR = 2.96，95%CI = 1.18，7.42），但与首选的主要药物无关。
在寻求物质使用治疗的成年人中，电子烟的使用率似乎高于美国一般吸烟人群。高使用率可能是由于好奇/尝试或戒烟或减少吸烟的尝试。
未来的研究可以考虑电子烟如何与其他物质使用相互作用，以及如何影响该人群中尼古丁和烟草的高使用率。
