Department of Preventive Medicine, Catholic University of Daegu School of Medicine, Daegu 42472, Korea.
Int J Environ Res Public Health. 2020 Nov 16;17(22):8471. doi: 10.3390/ijerph17228471.
Tobacco companies have designed sophisticated marketing strategies for heated tobacco products (HTPs), and many smokers are exposed to advertisements purporting that HTPs can replace combustible cigarettes. The present study evaluates the relationship between poly-use of tobacco products and intention to quit cigarette smoking in association with smoking intensity, a meaningful indication of one's interest in quitting cigarette smoking. A total of 36,397 current cigarette smokers who participated in the 2019 Korea Community Health Survey were evaluated. A multivariable logistic regression model was designed. Additionally, smoking-intensity-stratified analyses were conducted. A total of 4.7% of the participants reported planning to quit cigarette smoking within one month. Current dual users of combustible cigarettes and HTPs presented no significantly increased likelihood of intention to quit cigarette smoking regardless of cigarette-smoking intensity. By contrast, light and heavy daily smokers who accompanied e-cigarette use presented significant adjusted odds ratios (aORs) of 1.81 (95% confidence interval (CI): 1.04-3.14) and 1.97 (95% CI: 1.14-3.42), respectively. Occasional and daily smokers who reported using both HTPs and e-cigarettes presented no significance. The results of the present study suggested that a complete replacement of combustible cigarettes with HTPs was unlikely.
烟草公司为加热烟草产品(HTP)设计了复杂的营销策略,许多吸烟者接触到的广告声称 HTP 可以替代可燃香烟。本研究评估了多产品使用与与吸烟强度相关的戒烟意愿之间的关系,吸烟强度是一个人对戒烟兴趣的重要指标。共有 36397 名目前吸食香烟的吸烟者参与了 2019 年韩国社区健康调查。设计了多变量逻辑回归模型。此外,还进行了按吸烟强度分层的分析。共有 4.7%的参与者报告计划在一个月内戒烟。目前同时使用可燃香烟和 HTP 的双重使用者无论吸烟强度如何,戒烟意愿均无显著增加。相比之下,轻度和重度每日吸烟者使用电子烟的调整后优势比(aOR)分别为 1.81(95%置信区间(CI):1.04-3.14)和 1.97(95% CI:1.14-3.42)。偶尔吸烟者和每日吸烟者同时使用 HTP 和电子烟,但无统计学意义。本研究结果表明,用 HTP 完全替代可燃香烟的可能性不大。