Department of Biostatistics and Epidemiology, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
Department of Health and Exercise Science, University of Oklahoma, Norman, Oklahoma.
Health Expect. 2019 Oct;22(5):931-938. doi: 10.1111/hex.12897. Epub 2019 Apr 21.
The aim of this qualitative study was to describe the motivation and experiences of women with cervical dysplasia and associated diagnoses who used electronic cigarettes (ECs) to reduce the number of cigarettes they smoked.
Qualitative interviews were conducted with 26 women aged 18-65 years with cervical dysplasia and associated diagnoses who smoked at least three cigarettes daily for the past year or more and who enrolled in an intervention designed to substitute regular cigarettes with ECs. At the 12-week follow-up, patients were contacted by telephone. Semi-structured interviews were recorded, then transcribed, coded and analysed for themes.
When confronted with a new diagnosis associated with smoking, women in this study were eager to try ECs to help them reduce their intake of cigarettes. Women reported that physical cues similar to smoking, delivery of nicotine sufficient to assist with smoking reduction and the security of having the device available to use in instances where temptations to smoke may occur were all positive experiences in trying the device. Other women in the study reported negative experiences, such as a lack of sufficient nicotine to eliminate cravings, heaviness of the device and the need to keep it charged. Depression, nicotine addiction and habit were factors that made it difficult to decrease cigarette consumption.
Findings suggest that ECs may help with smoking substitution in patients who must reduce smoking due to medical conditions or diagnoses.
本定性研究的目的是描述患有宫颈发育不良和相关诊断的女性的动机和体验，她们使用电子烟（EC）来减少吸烟量。
对 26 名年龄在 18-65 岁之间、过去一年每天至少吸 3 支香烟且患有宫颈发育不良和相关诊断的女性进行了定性访谈，这些女性参加了一项旨在用 EC 替代常规香烟的干预措施。在 12 周的随访中，通过电话联系患者。记录半结构化访谈，然后进行转录、编码和主题分析。
在面临与吸烟有关的新诊断时，本研究中的女性渴望尝试电子烟，以帮助她们减少吸烟量。女性报告说，与吸烟相似的身体提示、足以帮助减少吸烟的尼古丁输送以及在可能出现吸烟诱惑时使用该设备的安全性，都是尝试该设备的积极体验。研究中的其他女性报告了负面体验，例如尼古丁不足，无法消除烟瘾，设备沉重，需要保持充电。抑郁、尼古丁成瘾和习惯是难以减少吸烟量的因素。
研究结果表明，对于因医疗条件或诊断必须减少吸烟的患者，电子烟可能有助于替代吸烟。
