电子尼古丁传送系统（电子烟）作为戒烟辅助手段：澳大利亚昆士兰州药剂师调查。

Electronic nicotine delivery systems (e-cigarettes) as a smoking cessation aid: A survey among pharmacy staff in Queensland, Australia.

机构信息

School of Pharmacy, The University of Queensland, 20 Cornwall Street, Woolloongabba 4102, Queensland, Australia; School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Ethiopia.

School of Public Health, The University of Queensland, Herston Road, Herston 4006, Queensland, Australia.

出版信息

Addict Behav. 2019 Apr;91:227-233. doi: 10.1016/j.addbeh.2018.09.013. Epub 2018 Sep 10.

DOI:10.1016/j.addbeh.2018.09.013

PMID:30224155

Abstract

OBJECTIVES

This study examined views of pharmacy staff regarding the safety of e-cigarettes compared to nicotine replacement therapies (NRTs) and conventional cigarettes, as well as views on their regulation in Australia.

METHODS

We conducted a cross-sectional survey among pharmacy staff (64 pharmacists and 76 pharmacy assistants) from the greater Brisbane region, Queensland, Australia. The self-administered questionnaire included closed- and open-ended questions that explores pharmacy staff perception on harms of e-cigarettes versus NRT and traditional cigarettes, knowledge of current e-cigarette regulations, views on how they should be regulated and information needs regarding e-cigarettes. Pearson's chi-square test was employed for computing differences between variables. A content analysis of responses to open-ended questions was also performed.

RESULTS

Over 90% of pharmacy staff regarded e-cigarettes without nicotine and NRTs as less harmful than regular tobacco cigarettes. This reduced to 72% for e-cigarettes containing nicotine, with 24% of respondents believing they are equally as harmful as conventional cigarettes. Moreover, few respondents were confident about the short and long term safety of e-cigarettes containing nicotine (36% and 15% respectively) whereas pharmacy staff were more comfortable with the safety of NRTs for short (88%) and long term (35%) use. The majority of respondents believed that e-cigarettes with nicotine should be regulated as a medicine, either requiring a prescription (24%) or sold only by pharmacies (22%), though many believed that they should be regulated in the same way as regular tobacco cigarettes (27%). Some pharmacy staff (39%) reported having been asked about e-cigarettes by customers and 75% believed that their customers would be interested in using e-cigarettes as a smoking cessation aid.

CONCLUSIONS

There is a need to provide evidence-based and customised education for pharmacists regarding e-cigarettes to help them guide their clients.

摘要

目的

本研究调查了与尼古丁替代疗法（NRT）和传统香烟相比，药剂师对电子烟安全性的看法，以及他们对澳大利亚电子烟监管的看法。

方法

我们对澳大利亚昆士兰州布里斯班地区的 64 名药剂师和 76 名药剂助理进行了横断面调查。自填式问卷包括封闭式和开放式问题，探讨了药剂师对电子烟相对于 NRT 和传统香烟的危害、对当前电子烟法规的了解、对其监管方式的看法以及对电子烟信息的需求。采用 Pearson 卡方检验计算变量之间的差异。还对开放式问题的回答进行了内容分析。

结果

超过 90%的药剂师认为不含尼古丁的电子烟和 NRT 比传统烟草香烟危害小。对于含有尼古丁的电子烟，这一比例降至 72%，有 24%的受访者认为它们与传统香烟同样有害。此外，很少有受访者对含有尼古丁的电子烟的短期和长期安全性有信心（分别为 36%和 15%），而药剂师对 NRT 的短期（88%）和长期（35%）使用安全性更为放心。大多数受访者认为含有尼古丁的电子烟应作为药品进行监管，无论是需要处方（24%）还是只能由药店销售（22%），尽管许多人认为它们应与传统烟草香烟一样进行监管（27%）。一些药剂师（39%）报告称曾被顾客询问过电子烟，75%的药剂师认为他们的顾客会有兴趣将电子烟作为戒烟辅助工具使用。