Department of Population Health Sciences, School of Public Health, Georgia State University, Atlanta, GA, USA; Tobacco Center of Regulatory Science (TCORS), School of Public Health, Georgia State University, Atlanta, GA, USA.
Tobacco Center of Regulatory Science (TCORS), School of Public Health, Georgia State University, Atlanta, GA, USA.
Drug Alcohol Depend. 2020 Jun 1;211:107855. doi: 10.1016/j.drugalcdep.2020.107855. Epub 2020 Feb 11.
The objective was to examine the reasons smokers have discontinued or chosen not to use electronic nicotine delivery systems (ENDS).
Data were obtained from a national probability sample of 1843 US adult current smokers who were not current ENDS users pooled from the 2017 and 2018 annual, cross-sectional Tobacco Products and Risk Perceptions Surveys. Participants reported their ENDS use, reasons for discontinuing or not initiating ENDS use, quit smoking intentions, perceptions, and use intentions. Weighted proportions and logistic regression models were estimated.
Twenty-three percent of smokers were former ENDS users who reported prior "regular use", and 7.5% were former ENDS users who reported regular use. Three most cited reasons for discontinuing ENDS were: ENDS "didn't feel like smoking" (23%), "only ever tried them to see what they were like" (20%), and "didn't help me deal with cravings for smoking" (14%). Reasons for discontinuing ENDS were associated with the regularity of former ENDS use and ENDS type. Nearly 40% of current smokers had not tried ENDS with the most commonly cited reasons being not wanting to substitute one addiction for another (60%), concerns about their safety (53%), skepticism that ENDS could help them quit smoking (52%), and cost (43%). Reasons were associated with smoking quit intentions, harm perceptions, and age.
Whereas smokers who had formerly used ENDS cited inadequate craving reduction or incomparability to smoking for their discontinuation, the larger segment of smokers who have never used ENDS cited "safety," "effectiveness," and "costs" as reasons for non-use.
本研究旨在探讨吸烟者停止或选择不使用电子尼古丁传送系统（ENDS）的原因。
数据来自于全美成年吸烟者的概率样本，共纳入 1843 名当前不使用 ENDS 的吸烟者，这些吸烟者来自于 2017 年和 2018 年的年度横断面烟草产品和风险感知调查。参与者报告了他们的 ENDS 使用情况、停止或未开始使用 ENDS 的原因、戒烟意图、对 ENDS 的看法以及使用意图。采用加权比例和逻辑回归模型进行估计。
23%的吸烟者是以前使用过 ENDS 的人，他们报告了“经常使用”，7.5%的吸烟者是以前经常使用过 ENDS 的人。停止使用 ENDS 的三个最常见原因是：ENDS“感觉不像吸烟”（23%）、“只是为了看看它们是什么样的而尝试过”（20%）和“对缓解吸烟的渴望没有帮助”（14%）。停止使用 ENDS 的原因与以前使用 ENDS 的频率和 ENDS 类型有关。近 40%的当前吸烟者从未尝试过 ENDS，最常见的原因是不想用一种成瘾替代另一种（60%）、担心其安全性（53%）、怀疑 ENDS 是否能帮助他们戒烟（52%）和费用（43%）。原因与戒烟意图、危害认知和年龄有关。
以前使用过 ENDS 的吸烟者停止使用的原因是缓解烟瘾的效果不足或与吸烟的可比性，而从未使用过 ENDS 的较大一部分吸烟者则将“安全性”、“有效性”和“成本”作为不使用的原因。
