Bell Stephanie K, Mena Gabriela, Dean Judith, Boyd Mark, Gilks Charles, Gartner Coral
School of Public Health, The University of Queensland, Cnr Wyndham Street and Herston Road, Herston, QLD, 4006, Australia.
School of Public Health, The University of Queensland, Cnr Wyndham Street and Herston Road, Herston, QLD, 4006, Australia.
Drug Alcohol Depend. 2017 Aug 1;177:67-70. doi: 10.1016/j.drugalcdep.2017.03.023. Epub 2017 May 24.
Tobacco smoking is a major cause of morbidity and mortality among people living with HIV (PLHIV). Due to the limited success of standard abstinence-focused smoking cessation strategies in this population, there is growing interest in tobacco harm reduction (THR) approaches as an additional strategy to address these high smoking rates. This study explored the attitudes of health practitioners who provide healthcare to PLHIV towards THR.
179 Australian health practitioners who provide healthcare to PLHIV completed an online survey that measured their attitudes towards THR approaches, including switching from cigarettes to e-cigarettes or vaporised nicotine products (VNPs).
Respondents supported the concept of THR but were undecided on the role of VNPs. Respondents most commonly reported 'don't know' or 'undecided' responses to statements regarding VNPs. More respondents, however, agreed than disagreed that switching from smoking to long-term vaping could reduce risk (36% and 22% respectively) and be an effective strategy to help PLHIV to quit smoking (37% agree and 17% disagree). Only a minority of respondents (20%) agreed that VNPs are too harmful to recommend to patients, however around half (53%) were undecided.
Despite supporting the principle of THR, health practitioners may require more evidence and knowledge about VNPs before being willing to consider them as a suitable intervention strategy.
吸烟是艾滋病毒感染者（PLHIV）发病和死亡的主要原因。由于针对该人群以戒烟为重点的标准戒烟策略成效有限，人们越来越关注烟草危害降低（THR）方法，将其作为应对这些高吸烟率的额外策略。本研究探讨了为PLHIV提供医疗服务的卫生从业者对THR的态度。
179名澳大利亚为PLHIV提供医疗服务的卫生从业者完成了一项在线调查，该调查测量了他们对THR方法的态度，包括从香烟转向电子烟或雾化尼古丁产品（VNPs）。
受访者支持THR的概念，但对VNPs的作用尚未确定。对于关于VNPs的陈述，受访者最常报告“不知道”或“未决定”的回答。然而，更多受访者同意而非反对从吸烟转向长期吸电子烟可以降低风险（分别为36%和22%），并且是帮助PLHIV戒烟的有效策略（37%同意，17%反对）。只有少数受访者（20%）同意VNPs对患者危害太大，不适合推荐，然而约一半（53%）未作决定。
尽管支持THR原则，但卫生从业者在愿意将VNPs视为合适的干预策略之前，可能需要更多关于VNPs的证据和知识。
