Baggett Travis P, Campbell Eric G, Chang Yuchiao, Rigotti Nancy A
Division of General Internal Medicine, Massachusetts General Hospital, Boston, MA, United States; Department of Medicine, Harvard Medical School, Boston, MA, United States; Boston Health Care for the Homeless Program, Boston, MA, United States.
Department of Medicine, Harvard Medical School, Boston, MA, United States; Mongan Institute for Health Policy, Massachusetts General Hospital, Boston, MA, United States.
Addict Behav. 2016 Sep;60:124-30. doi: 10.1016/j.addbeh.2016.04.006. Epub 2016 Apr 19.
We determined the prevalence and correlates of other tobacco product and electronic cigarette (e-cigarette) use in a clinic-based sample of homeless cigarette smokers.
In April-July 2014, we used time-location sampling to conduct a cross-sectional, in-person survey of 306 currently homeless adult cigarette smokers recruited from 5 clinical sites at Boston Health Care for the Homeless Program. We assessed past-month use of large cigars, little cigars, smokeless tobacco, and e-cigarettes. Among those who had used e-cigarettes, we assessed the reasons for doing so. We used logistic regression analysis to identify the participant characteristics associated with the use of each product.
Eighty-six percent of eligible individuals participated in the survey. In the past month, 37% of respondents used large cigars, 44% used little cigars, 8% used smokeless tobacco, 24% used an e-cigarette, and 68% used any of these products. Reasons for e-cigarette use included curiosity (85%) and to help quit conventional cigarettes (69%). In multivariable regression analyses, homeless smokers with greater subsistence difficulties were more likely to use little cigars (p=0.01) and less likely to use e-cigarettes (p=0.001). Non-Hispanic black (p=0.01), Hispanic (p<0.001), and rough-sleeping (p=0.04) participants were more likely to use large cigars. Readiness to quit was not associated with other tobacco product use but was significantly associated with e-cigarette use to help quit smoking (p=0.02).
Health care providers who serve homeless people should consider routine screening for the use of other tobacco products and e-cigarettes to help guide smoking cessation discussions and tobacco treatment planning.
我们在一个以诊所为基础的无家可归吸烟者样本中，确定了其他烟草制品和电子烟的使用情况及其相关因素。
2014年4月至7月，我们采用时间-地点抽样法，对从波士顿无家可归者医疗保健项目的5个临床地点招募的306名目前无家可归的成年吸烟者进行了横断面的面对面调查。我们评估了过去一个月内大雪茄、小雪茄、无烟烟草和电子烟的使用情况。在使用过电子烟的人群中，我们评估了其使用原因。我们使用逻辑回归分析来确定与每种产品使用相关的参与者特征。
86%的符合条件的个体参与了调查。在过去一个月中，37%的受访者使用过大雪茄，44%使用过小雪茄，8%使用过无烟烟草，24%使用过电子烟，68%使用过这些产品中的任何一种。使用电子烟的原因包括好奇（85%）和帮助戒烟（69%）。在多变量回归分析中，生存困难较大的无家可归吸烟者更有可能使用小雪茄（p=0.01），而使用电子烟的可能性较小（p=0.001）。非西班牙裔黑人（p=0.01）、西班牙裔（p<0.001）和露宿者（p=0.04）更有可能使用大雪茄。戒烟意愿与其他烟草制品的使用无关，但与使用电子烟帮助戒烟显著相关（p=0.02）。
为无家可归者提供医疗服务的医护人员应考虑对其他烟草制品和电子烟的使用进行常规筛查，以帮助指导戒烟讨论和烟草治疗计划。
