Kollath-Cattano Christy, Thrasher James F, Osman Amira, Andrews Jeannette O, Strayer Scott M
From the Department of Health and Human Performance, College of Charleston, Charleston, SC (CK-C); the Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia (JFT, AO); the University of South Carolina College of Nursing (JOA); and the Department of Family and Preventive Medicine, University of South Carolina School of Medicine (SMS).
J Am Board Fam Med. 2016 Nov 12;29(6):741-747. doi: 10.3122/jabfm.2016.06.160092.
To determine characteristics of smokers discussing e-cigarette use with their physician and receiving recommendations from their physician to use e-cigarettes for smoking cessation.
US adult smokers who had visited a physician in the previous 12 months (n = 2671) were surveyed. Logistic generalized estimating equation models were used to assess the characteristics of smokers who (1) talked to a physician about e-cigarettes, and (2) received physician advice to use e-cigarettes for smoking cessation.
15% (n = 406) of smokers who visited a physician talked with their physician about e-cigarettes. Among those asked whether their physician recommend e-cigarettes for smoking cessation (n = 257), 61% responded affirmatively. Current e-cigarette users were more likely to talk to their physicians about e-cigarettes (nondaily users vs never users: OR, 2.70; 95% CI, 1.79-4.05; daily users vs never users: OR, 4.29; 95% CI, 2.34-7.84) and have their physician recommend e-cigarettes for smoking cessation (daily users vs never users: OR, 9.40; 95% CI, 2.54-34.71).
The majority of smokers who talk to their physician about e-cigarettes report that they received advice to use e-cigarettes to quit smoking, despite limited evidence for their efficacy. More studies are needed to better understand e-cigarette recommendations in clinical settings.
确定与医生讨论电子烟使用情况并接受医生使用电子烟戒烟建议的吸烟者的特征。
对过去12个月内看过医生的美国成年吸烟者(n = 2671)进行调查。使用逻辑广义估计方程模型来评估吸烟者的特征,这些吸烟者(1)与医生谈论过电子烟,以及(2)接受医生关于使用电子烟戒烟的建议。
看过医生的吸烟者中有15%(n = 406)与医生谈论过电子烟。在被问及医生是否推荐使用电子烟戒烟的人中(n = 257),61%给予肯定回答。当前的电子烟使用者更有可能与医生谈论电子烟(非每日使用者与从不使用者相比:比值比,2.70;95%置信区间,1.79 - 4.05;每日使用者与从不使用者相比:比值比,4.29;95%置信区间,2.34 - 7.84),并且更有可能让医生推荐使用电子烟戒烟(每日使用者与从不使用者相比:比值比,9.40;95%置信区间,2.54 - 34.71)。
大多数与医生谈论电子烟的吸烟者报告称,他们收到了使用电子烟戒烟的建议,尽管其疗效证据有限。需要更多研究来更好地了解临床环境中电子烟的推荐情况。