Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, New York, USA
Behavioral Health and Health Policy Practice, Westat Inc, Rockville, Maryland, USA.
Tob Control. 2024 Feb 20;33(2):186-192. doi: 10.1136/tc-2022-057323.
To report on longitudinal tobacco product cessation rates, by product type, among adults (ages 18+ years) in the USA between 2013 and 2019.
The Population Assessment of Tobacco and Health Study, a nationally representative, longitudinal cohort study was used to report on annual and biennial rates of the following three cessation behaviours across 2013-2019: (1) discontinuing tobacco product use (ie, transition from past 30-day use to no past 30-day use), (2) attempting to quit tobacco product use and (3) quitting tobacco product use among those who attempted to quit. Each cessation behaviour was evaluated separately for cigarettes, electronic nicotine delivery systems (ENDS), cigars, hookah and smokeless tobacco. Generalised estimating equations were used to evaluate linear and nonlinear trends in cessation rates across the study period.
Between 2013 and 2019, rates of discontinuing cigarette smoking among adults in the USA statistically increased from 16% to 18%, though these were consistently lower than rates of discontinuing use of other tobacco products. Similarly, quit attempt rates and rates of quitting among attempters increased for cigarette smokers. However, rates of discontinuing ENDS use sharply declined across the study period, from 62% to 44%.
Findings show that tobacco product cessation rates have been changing in recent years in the USA alongside the changing tobacco product marketplace and regulatory environment, though rates of discontinuing cigarette smoking remain relatively low. Findings can serve as a benchmark against which future cessation rates can be compared to evaluate the impacts of future tobacco regulatory policies.
报告美国成年人（18 岁以上）在 2013 年至 2019 年间，按产品类型划分的长期烟草产品戒烟率。
本研究使用了具有全国代表性的纵向烟草与健康评估研究（Population Assessment of Tobacco and Health Study），报告了 2013 年至 2019 年期间以下三种戒烟行为的年度和两年期戒烟率：（1）停止使用烟草产品（即，从不使用过去 30 天转变为过去 30 天未使用），（2）尝试戒烟和（3）试图戒烟的人中戒烟。每种戒烟行为都分别针对香烟、电子烟、雪茄、水烟和无烟烟草进行评估。使用广义估计方程评估了整个研究期间戒烟率的线性和非线性趋势。
在 2013 年至 2019 年间，美国成年人停止吸烟的比例从 16%统计增加到 18%，尽管这一比例始终低于其他烟草产品的使用比例。同样，吸烟者的戒烟尝试率和戒烟成功率也有所上升。然而，在整个研究期间，停止使用电子烟的比例急剧下降，从 62%降至 44%。
研究结果表明，近年来，随着烟草产品市场和监管环境的变化，美国的烟草产品戒烟率发生了变化，尽管停止吸烟的比例仍然相对较低。研究结果可以作为基准，用于比较未来的戒烟率，以评估未来烟草监管政策的影响。
