使用非香烟燃烧烟草与每日吸烟人群戒烟的关联：来自 2016-20 年国际烟草控制四项国家吸烟和电子烟调查的发现。
Non-cigarette combustible tobacco use and its associations with subsequent cessation of smoking among daily cigarette smokers: findings from the International Tobacco Control Four Country Smoking and Vaping Surveys (2016-20).
机构信息
Melbourne Centre for Behaviour Change, School of Psychological Sciences, University of Melbourne Parkville Campus, Parkville, VIC, Australia.
Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
出版信息
Addiction. 2023 Jan;118(1):140-148. doi: 10.1111/add.16023. Epub 2022 Aug 16.
AIMS
To examine whether polyuse of cigarettes and other smoked products (polysmoking) is predictive of quit attempts and quit success.
DESIGN
A prospective multi-country cohort design.
SETTING
Australia, Canada, England and the United States.
PARTICIPANTS
A total of 3983 adult daily cigarette smokers were surveyed in 2016 (wave 1 of data collection) and were re-contacted in 2018 (wave 2) (i.e. waves 1-2 cohort) in the International Tobacco Control Four Country Smoking and Vaping (ITC 4CV) surveys; and 3736 smokers were surveyed in 2018 and re-contacted in 2020 (wave 3) (i.e. waves 2-3 cohort).
MEASUREMENTS
Participants were asked about their cigarette smoking and use of cigars, cigarillos, pipes and waterpipes. Outcomes were quit attempts between two survey waves and success, defined as having quit smoking all the combustible tobacco at the subsequent survey for 1 month or more.
FINDINGS
Levels of polysmoking were 12.7% in the waves 1-2 cohort and 10.5% for the waves 2-3 cohort. Compared with cigarette-only smokers, polysmokers were more likely to attempt to quit between waves 1 and 2 [54.9 versus 42.7%, adjusted odds ratio (aOR) = 1.37, 95% confidence interval (CI) = 1.08-1.74, P < 0.01], but not between waves 2 and 3 (43.8 versus 40.1%, aOR = 0.94, 95% CI = 0.72-1.22). Polysmoking predicted reduced likelihood of success in both cohorts among attempters and the overall samples. Between waves 2 and 3 there were significantly more transitions to non-daily smoking among the polysmokers (12.4 versus 5.3%, χ = 40.4, P < 0.001).
CONCLUSIONS
There is a consistent association between polysmoking (use of cigarettes together with other smoked products) and reduced quit success for combustible tobacco, but it is probably due to increased likelihood of transitioning to non-daily use rather than complete cessation.
目的
研究同时使用多种香烟和其他吸烟制品（多吸烟）是否能预测戒烟尝试和戒烟成功。
设计
前瞻性多国队列设计。
地点
澳大利亚、加拿大、英国和美国。
参与者
2016 年（数据收集第 1 波）共调查了 3983 名成年每日吸烟的吸烟者，并在 2018 年（第 1 波-第 2 波）（即第 1-2 波队列）重新联系了国际烟草控制四国吸烟和蒸气调查（ITC 4CV）调查；2018 年调查了 3736 名吸烟者，并在 2020 年（第 2-3 波）重新联系了（即第 2-3 波队列）。
测量
参与者被问及他们的吸烟情况以及雪茄、小雪茄、烟斗和水烟的使用情况。结果是两次调查之间的戒烟尝试次数和成功次数，定义为在下一次调查中至少有 1 个月完全戒掉所有可燃烟草。
结果
第 1-2 波队列的多吸烟率为 12.7%，第 2-3 波队列为 10.5%。与仅吸烟的吸烟者相比，多吸烟者更有可能在第 1 波和第 2 波之间尝试戒烟[54.9%对 42.7%，调整后的优势比（aOR）=1.37，95%置信区间（CI）=1.08-1.74，P<0.01]，但在第 2 波和第 3 波之间没有（43.8%对 40.1%，aOR=0.94，95%CI=0.72-1.22）。多吸烟预测在两个队列中尝试戒烟者和总体样本的戒烟成功率降低。在第 2 波和第 3 波之间，多吸烟者向非每日吸烟的转变明显更多（12.4%对 5.3%，χ²=40.4，P<0.001）。
结论
多吸烟（同时使用香烟和其他吸烟制品）与可燃烟草戒烟成功率降低之间存在一致的关联，但这可能是由于更有可能向非每日使用转变，而不是完全戒烟。
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