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为控制体重而吸电子烟:一项定性研究的结果

Vaping for weight control: Findings from a qualitative study.

作者信息

Dobbie Fiona, Uny Isabelle, Jackson Sarah E, Brown Jamie, Aveyard Paul, Bauld Linda

机构信息

Usher Institute and SPECTRUM Consortium, College of Medicine and Veterinary Medicine, University of Edinburgh, UK.

Institute for Social Marketing, University of Stirling, UK.

出版信息

Addict Behav Rep. 2020 Apr 28;12:100275. doi: 10.1016/j.abrep.2020.100275. eCollection 2020 Dec.

Abstract

INTRODUCTION

Smokers have expressed concern about weight gain once they stop smoking and weight gain is a risk factor associated with smoking relapse. Nicotine in e-cigarettes, as well as vaping behaviour, may support smoking cessation by reducing weight gain. This study explored the factors that influence attitudes towards, and awareness of, e-cigarettes and weight control post smoking cessation.

METHODS

Qualitative study involving focus groups with adults in the UK (n = 58) who were either exclusive vapers or dual users.

RESULTS

There was limited awareness and/or inclination to vape to prevent weight gain after stopping smoking. Reasons for this centred on: the health gains of stopping smoking outweighing any potential weight gain; a lack of understanding of the appetite supressing effects of nicotine; a belief that vaping could not suppress appetite like a cigarette and could result in craving for certain flavours; concerns about the longer-term effects of e-cigarettes on health and the ethics of promoting vaping as way to support smoking cessation by limiting weight gain, especially for young women.

CONCLUSION

Participants in this study do not appear inclined to use e-cigarettes to prevent weight gain after smoking cessation. There is a lack of understanding about why nicotine might help prevent weight gain and a concern that e-cigarette flavours could provoke cravings and that vaping may be unsafe in the long-term.

摘要

引言

吸烟者对戒烟后体重增加表示担忧,而体重增加是与吸烟复发相关的一个风险因素。电子烟中的尼古丁以及吸电子烟行为可能通过减轻体重增加来支持戒烟。本研究探讨了影响对电子烟的态度以及戒烟后体重控制认知的因素。

方法

对英国的成年人(n = 58)进行了一项定性研究,这些成年人要么是只吸电子烟者,要么是同时使用电子烟和传统香烟者,并组织了焦点小组讨论。

结果

对于通过吸电子烟来防止戒烟后体重增加,人们的认知和/或意愿有限。原因主要集中在:戒烟带来的健康益处超过任何潜在的体重增加;对尼古丁抑制食欲的作用缺乏了解;认为吸电子烟不能像香烟那样抑制食欲,还可能导致对某些口味的渴望;担心电子烟对健康的长期影响以及将吸电子烟作为通过限制体重增加来支持戒烟方法的伦理问题,尤其是对年轻女性而言。

结论

本研究中的参与者似乎不倾向于使用电子烟来防止戒烟后体重增加。他们对尼古丁为何有助于防止体重增加缺乏了解,并且担心电子烟口味可能引发渴望,以及从长期来看吸电子烟可能不安全。

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