School of Public Health, Georgia State University, P.O. Box 3995, Atlanta, Georgia 30302, USA.
Department of Population Health Sciences, Medical College of Georgia, 1120 15th Street, Augusta, Georgia 30912, USA.
Addict Behav. 2018 Dec;87:62-68. doi: 10.1016/j.addbeh.2018.06.024. Epub 2018 Jun 27.
Smoking cigarettes is the most harmful way to use tobacco. Smokers who do not plan to quit present a particular challenge in reducing the morbidity and mortality from tobacco use. Switching to a lower harm product might encourage them to end their use of combusted cigarettes. This study aimed to better understand smokers who do not intend to quit (including their demographic and worldviews as indicators of their social, cultural, and political dispositions) and their perceived risks of cigarettes and possible lower-risk products such as e-cigarettes.
Participants were 2572 current smokers. Data were pooled from 2015 and 2016 cross-sectional surveys of national probability samples of U.S. adults and analyzed with multivariable logistic regressions.
Smokers who never plan to quit comprise 14.3% of current U.S. smokers and are more likely to be older (24.2% among 65+ years old vs. 9.8% among 18-24) and less likely to have ever used e-cigarettes. A one-unit increase in hierarchical worldview (measured on a 1-6 scale) was associated with a 20% increase in the odds of never planning to quit. Those who denied that cigarettes cause disease or death (aORs between 1.6 and 2.0) or were uncertain (aORs: 2.5-2.7) were more likely to never plan to quit compared to those who agreed. They did not view risks of e-cigarettes substantially different compared to smokers who plan to quit.
One in seven U.S. smokers never plans to quit and might benefit from interventions which reflect their hierarchical worldviews and increase their risk perceptions of combustible cigarettes.
吸烟是使用烟草最有害的方式。那些不打算戒烟的吸烟者，在降低烟草使用导致的发病率和死亡率方面带来了特殊的挑战。转向使用危害较小的产品可能会鼓励他们停止使用可燃香烟。本研究旨在更好地了解那些不打算戒烟的吸烟者（包括他们的人口统计学特征和世界观，作为他们的社会、文化和政治倾向的指标），以及他们对香烟和可能的低风险产品（如电子烟）的感知风险。
参与者为 2572 名当前吸烟者。数据来自 2015 年和 2016 年对美国成年人全国概率样本的横断面调查，使用多变量逻辑回归进行分析。
从不打算戒烟的吸烟者占当前美国吸烟者的 14.3%，他们更可能年龄较大（65 岁以上者为 24.2%，18-24 岁者为 9.8%），且不太可能曾经使用过电子烟。层级世界观（用 1-6 分衡量）每增加一个单位，从不打算戒烟的可能性就会增加 20%。那些否认香烟会导致疾病或死亡的人（比值比在 1.6 到 2.0 之间）或不确定的人（比值比：2.5-2.7），与那些认为香烟会导致疾病或死亡的人相比，更有可能从不打算戒烟。与那些打算戒烟的吸烟者相比，他们对电子烟的风险没有明显不同的看法。
七分之一的美国吸烟者从不打算戒烟，他们可能会受益于反映其层级世界观并增加他们对可燃香烟风险感知的干预措施。
