Department of Addictions, Institute of Psychiatry, Psychology and Neuroscience, King's College London, 4 Windsor Walk, London, SE5 8BB, UK.
Action on Smoking and Health, London, UK.
Harm Reduct J. 2020 Jul 14;17(1):46. doi: 10.1186/s12954-020-00391-2.
Switching from smoking to using nicotine replacement therapy (NRT), electronic cigarettes (e-cigarettes) or heated tobacco products can reduce tobacco-related health risks. However, not all smokers in Great Britain have tried these products. This study aimed to identify and describe smokers who have never tried alternative nicotine products.
We analysed cross-sectional survey data of smokers (n = 1777) from a representative adult sample from Great Britain. The online survey was run in March 2019. The proportion of smokers who had never used alternative nicotine products was measured. A multivariate logistic regression assessed the association between never having used alternative nicotine products and sociodemographic and smoking characteristics and motivation to stop smoking.
One in four smokers (27.8%, 95% CI 25.8-29.9%) had never tried NRT, e-cigarettes or heated tobacco products. These smokers were more commonly from Black and Minority than White ethnic groups (AOR = 1.55; 95% CI 1.02-2.31), were more likely to smoke up to 10 versus more cigarettes per day (AOR = 1.52; 95% CI 1.14-2.03) and to report low versus moderate or high motivation to stop smoking (AOR = 1.79; 95% CI 1.20-2.74).
Light smokers, those unmotivated to stop and smokers from Black and Minority ethnic groups are less likely to have ever tried alternative nicotine products. Different approaches are needed to facilitate harm reduction and smoking cessation among these groups of smokers.
从吸烟转为使用尼古丁替代疗法（NRT）、电子烟（e-cigarettes）或加热烟草产品可以降低与烟草相关的健康风险。然而，并非所有英国吸烟者都尝试过这些产品。本研究旨在确定和描述从未尝试过其他尼古丁产品的吸烟者。
我们分析了来自英国代表性成人样本的吸烟者（n=1777）的横断面调查数据。该在线调查于 2019 年 3 月进行。测量从未使用过其他尼古丁产品的吸烟者比例。多变量逻辑回归评估了从未使用过其他尼古丁产品与社会人口统计学和吸烟特征以及戒烟动机之间的关联。
四分之一的吸烟者（27.8%，95%CI 25.8-29.9%）从未尝试过 NRT、电子烟或加热烟草产品。这些吸烟者更常见于黑人或少数族裔，而不是白人（AOR=1.55；95%CI 1.02-2.31），更有可能每天吸烟 10 支或以下，而不是 10 支以上（AOR=1.52；95%CI 1.14-2.03），报告的戒烟动机较低，而不是中等或较高（AOR=1.79；95%CI 1.20-2.74）。
轻度吸烟者、戒烟动机低的吸烟者以及黑人或少数族裔的吸烟者更不可能尝试过其他尼古丁产品。需要采取不同的方法来促进这些吸烟者群体的减少伤害和戒烟。
