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综述文献以提供针对年轻成年人的电子烟戒烟干预措施。

A synthesis of the literature to inform vaping cessation interventions for young adults.

机构信息

Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, DC, United States; George Washington University Cancer Center, George Washington University, Washington, DC, United States.

Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, DC, United States.

出版信息

Addict Behav. 2021 Aug;119:106898. doi: 10.1016/j.addbeh.2021.106898. Epub 2021 Mar 8.

Abstract

There is an urgent need to address young adult (YA) vaping. However, there is limited vaping cessation intervention research, particularly studies tested via experimental designs. This manuscript focuses on YA vaping and critical needs for research to advance vaping cessation interventions for YAs. The smoking cessation literature, especially regarding YA smoking, provides evidence and theory from which to draw. However, the extent to which this literature has utility for vaping cessation warrants investigation. Research to inform the development and optimization of effective vaping cessation interventions for YAs requires attention to both potential targets for behavioral intervention (e.g., conceptual framework) and how to best reach YAs (i.e., delivery modality). Regarding the former, such interventions must consider the complexity of YA vaping (e.g., complex social influences, limited negative outcome expectancies, quit intentions). One particularly challenging aspect of YA cessation is co-use of other tobacco products and marijuana and ensuring that those who quit vaping do not continue or increase other product use. With regard to intervention modality, technology-based interventions (e.g., text messaging, apps) may prove promising, and individualized intervention (e.g., one-on-one counseling) may be needed to carefully intervene on the complexity of substance use, particularly cigarette and marijuana use, within this population.

摘要

目前迫切需要解决青少年(YA)吸电子烟的问题。然而,针对青少年吸电子烟的干预研究非常有限,特别是通过实验设计进行测试的研究。本文主要关注青少年吸电子烟问题以及推进青少年吸电子烟干预措施研究的迫切需求。戒烟文献,特别是针对青少年吸烟的文献,为我们提供了可以借鉴的证据和理论。然而,该文献对于电子烟戒烟的适用性程度仍有待研究。为青少年开发和优化有效的电子烟戒烟干预措施的研究需要关注行为干预的潜在目标(例如,概念框架)以及如何最好地接触青少年(即,传递模式)。就前者而言,此类干预措施必须考虑青少年吸电子烟的复杂性(例如,复杂的社会影响、有限的负面后果预期、戒烟意愿)。青少年戒烟的一个特别具有挑战性的方面是同时使用其他烟草制品和大麻,并确保那些已经戒掉电子烟的青少年不会继续或增加其他产品的使用。关于干预模式,基于技术的干预措施(例如,短信、应用程序)可能具有很大的前景,并且可能需要个性化干预(例如,一对一咨询),以仔细干预这一人群中复杂的物质使用情况,特别是香烟和大麻的使用情况。

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