Fordham University, Department of Psychology, USA.
Division of General Internal Medicine, Department of Medicine, Albert Einstein College of Medicine, Montefiore Health System, USA.
Addict Behav. 2021 Jul;118:106880. doi: 10.1016/j.addbeh.2021.106880. Epub 2021 Feb 23.
An exceedingly high proportion of persons with opioid use disorder (OUD) smoke cigarettes. Smokers with OUD face multiple barriers to smoking cessation. While menthol cigarette use has been associated with low cessation rates, research has not explored the impact of menthol cigarette use on tobacco use outcomes among smokers with OUD. Participants were current smokers, in methadone treatment for OUD, participating in randomized controlled trials of smoking cessation therapies. We examined the use of menthol cigarettes, and the association between menthol cigarette use and achieving 24-hour quit attempts and seven-day point prevalence abstinence. Of 268 participants, 237 (88.4%) reported menthol use. A similar proportion of menthol and non-menthol smokers achieved a 24-hour quit attempt (83.1% vs. 83.8%, p = 0.92). Though fewer menthol smokers (vs. non-menthol smokers) achieved abstinence (12.7% vs. 22.6%), this did not reach statistical significance (p = 0.14). In this sample of smokers with OUD, menthol smoking was nearly ubiquitous. Menthol smoking was not associated with differences in quit attempts, but was associated with differences in cessation that were not statistically significant. Menthol smoking may contribute to the challenges in achieving abstinence among smokers with OUD.
患有阿片类药物使用障碍（OUD）的人中，极高比例的人吸烟。患有 OUD 的吸烟者在戒烟方面面临多种障碍。虽然薄荷醇香烟的使用与较低的戒烟率有关，但研究尚未探讨薄荷醇香烟的使用对患有 OUD 的吸烟者的烟草使用结果的影响。参与者为当前吸烟者，正在接受美沙酮治疗 OUD，并参与了戒烟治疗的随机对照试验。我们检查了薄荷醇香烟的使用情况，以及薄荷醇香烟使用与实现 24 小时戒烟尝试和 7 天点流行率戒断之间的关联。在 268 名参与者中，237 名（88.4%）报告使用了薄荷醇。薄荷醇和非薄荷醇吸烟者实现 24 小时戒烟尝试的比例相似（83.1%与 83.8%，p=0.92）。尽管薄荷醇吸烟者（与非薄荷醇吸烟者相比）的戒烟率较低（12.7%与 22.6%），但这并没有达到统计学意义（p=0.14）。在这个患有 OUD 的吸烟者样本中，薄荷醇吸烟几乎无处不在。薄荷醇吸烟与戒烟尝试没有差异相关，但与戒烟结果存在差异相关，差异没有统计学意义。薄荷醇吸烟可能导致患有 OUD 的吸烟者在实现戒断方面面临挑战。
