Department of Health Management and Policy, University of Michigan School of Public Health, Michigan, USA.
Nuffield College, University of Oxford, New Road, Oxford, UK.
J Public Health (Oxf). 2020 Feb 28;42(1):e42-e50. doi: 10.1093/pubmed/fdz017.
There is conflicting evidence regarding whether men and women are equally likely to quit smoking. We assessed whether gender differences in smoking cessation varied between different sociodemographic groups and across e-cigarette use.
The 2014-15 cross-section of the Current Population Survey Tobacco Use Supplement was weighted to represent the US adult population of current/former smokers (N = 16 040). Log binomial models tested whether gender modified the relationships between race/ethnicity, education, income or e-cigarette use and 90-day smoking cessation in the past year.
Gender was not associated with cessation in adjusted models (RR = 0.97, CI: 0.85, 1.11). There were no statistically significant interactions between gender and sociodemographic covariates. Current e-cigarette use was associated with higher cessation (RR = 1.53, CI: 1.30, 1.81), and the association varied by gender (Interaction P = 0.013). While male e-cigarette users had a 15% predicted cessation in the past year (CI: 12, 18%), female users had a 9% predicted cessation (95% CI: 7, 11%). Probability of cessation for female e-cigarette users was not different from non-users.
These findings suggest that there are no gender differences in smoking cessation in the USA overall, or by sociodemographic groups. Current e-cigarette use is associated with higher likelihood of recent successful smoking cessation, particularly for men.
关于男性和女性戒烟的可能性是否相等,目前存在相互矛盾的证据。我们评估了在不同社会人口群体和电子烟使用情况下,戒烟方面的性别差异是否存在差异。
对 2014-15 年“当前人口调查烟草使用补充调查”的横断面数据进行加权处理,以代表美国当前/以前吸烟者的成年人口(N=16040)。对数二项式模型检验了性别是否改变了种族/民族、教育、收入或电子烟使用与过去一年 90 天戒烟之间的关系。
在调整后的模型中,性别与戒烟无关(RR=0.97,CI:0.85,1.11)。性别与社会人口学协变量之间没有统计学意义上的相互作用。当前电子烟使用与更高的戒烟率相关(RR=1.53,CI:1.30,1.81),且这种关联因性别而异(交互作用 P=0.013)。虽然男性电子烟使用者在过去一年中有 15%的戒烟预测率(CI:12,18%),但女性使用者有 9%的戒烟预测率(95%CI:7,11%)。女性电子烟使用者的戒烟概率与非使用者无差异。
这些发现表明,在美国总体上或按社会人口群体划分,戒烟方面没有性别差异。当前电子烟的使用与近期成功戒烟的可能性增加有关,尤其是对男性而言。