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社会人口因素与电子烟使用与戒烟之间关系的性别差异:2014-15 年当前人口调查烟草使用补充调查。

Gender differences in relationships between sociodemographic factors and e-cigarette use with smoking cessation: 2014-15 current population survey tobacco use supplement.

机构信息

Department of Health Management and Policy, University of Michigan School of Public Health, Michigan, USA.

Nuffield College, University of Oxford, New Road, Oxford, UK.

出版信息

J Public Health (Oxf). 2020 Feb 28;42(1):e42-e50. doi: 10.1093/pubmed/fdz017.

Abstract

BACKGROUND

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.

METHODS

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.

RESULTS

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.

CONCLUSIONS

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.

摘要

背景

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。

方法

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。

结果

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。

结论

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。

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