Unger Jennifer B, Rogers Christopher, Barrington-Trimis Jessica, Majmundar Anuja, Sussman Steve, Allem Jon-Patrick, Soto Daniel W, Cruz Tess Boley
University of Southern California, Tobacco Center of Regulatory Science, United States.
Addict Behav Rep. 2020 May 19;12:100286. doi: 10.1016/j.abrep.2020.100286. eCollection 2020 Dec.
JUUL, a small pod-based vaping device that aerosolizes nicotine salts, is popular among adolescents and young adults. Because of JUUL's high nicotine content, JUUL users can become nicotine dependent very quickly and have difficulty quitting. Nicotine-dependent JUUL users might turn to Twitter to seek advice, share their cessation struggles, or report their success rather than confiding in friends or family.
This study analyzed Twitter tweets (N = 3192) posted in 2018-2019 to identify common themes about quitting JUUL. Tweets containing the keywords "JUUL" and "quit" or "quitting" were analyzed qualitatively and grouped into themes.
The most common themes were Methods to quit (25.4%), Have quit (17.8%), Want to quit (16.1%), Reasons to quit (9.6%), Difficulty quitting (7.9%), Barriers to quitting (2.9%), and Curious about quitting (2.1%). Methods to quit included evidence-based tobacco cessation methods such as nicotine replacement therapy and enrolling in a text-to-quit program, but they also included non-evidence-based strategies such as buying lower-nicotine pods online or switching to other tobacco products including cigarettes. Former JUUL users who had quit successfully generally expressed pride but also acknowledged that quitting was very difficult. Reasons for quitting included adverse health effects such as breathing problems and the financial cost of a JUUL habit. Posters mentioned their extreme difficulty quitting JUUL, numerous failed quit attempts, and numerous barriers to quitting including intense physical and emotional withdrawal symptoms. Some posters joked about switching to cigarettes or other drugs to quit JUUL.
Results indicate that JUUL cessation is difficult and that some JUUL users want to quit. Health communication messages are needed to direct JUUL users to effective cessation strategies.
JUUL是一种小型的基于烟弹的电子烟设备，可将尼古丁盐雾化，在青少年和年轻人中很受欢迎。由于JUUL的尼古丁含量很高，JUUL使用者可能很快就会对尼古丁产生依赖，并且难以戒烟。对尼古丁产生依赖的JUUL使用者可能会转向推特寻求建议、分享戒烟的挣扎经历或汇报他们的成功，而不是向朋友或家人倾诉。
本研究分析了2018年至2019年发布的推特推文（N = 3192），以确定关于戒掉JUUL的常见主题。对包含关键词“JUUL”和“quit”或“quitting”的推文进行定性分析，并归类为不同主题。
最常见的主题是“戒烟方法”（25.4%）、“已戒烟”（17.8%）、“想戒烟”（16.1%）、“戒烟原因”（9.6%）、“戒烟困难”（7.9%）、“戒烟障碍”（2.9%）和“对戒烟好奇”（2.1%）。戒烟方法包括基于证据的戒烟方法，如尼古丁替代疗法和加入短信戒烟计划，但也包括非基于证据的策略，如在网上购买尼古丁含量较低的烟弹或改用包括香烟在内的其他烟草产品。成功戒烟的前JUUL使用者通常表达了自豪感，但也承认戒烟非常困难。戒烟原因包括呼吸问题等不良健康影响以及使用JUUL的经济成本。发帖者提到他们极难戒掉JUUL，多次戒烟尝试失败，以及包括强烈的身体和情绪戒断症状在内的众多戒烟障碍。一些发帖者开玩笑说改用香烟或其他毒品来戒掉JUUL。
结果表明，戒掉JUUL很困难，一些JUUL使用者想要戒烟。需要开展健康传播信息，引导JUUL使用者采用有效的戒烟策略。
