Brierley Mary-Ellen E, Yaw Sean J L, Jongenelis Michelle I
Melbourne Centre for Behaviour Change, Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, Victoria, Australia.
Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia.
BMJ Open. 2024 Feb 5;14(2):e081032. doi: 10.1136/bmjopen-2023-081032.
To assess public perceptions of the effectiveness of e-cigarette regulations in minimising use among adolescents and those who have never smoked. Specifically, we explored (1) perceived effectiveness of current regulations relating to e-cigarettes and (2) ideas for further regulations that could reduce use.
Focus groups (n=16) were conducted with Australian adolescents (14-17 years), young adults (18-24 years) and adults (25-39 years). Groups were stratified by age, gender and e-cigarette use status. Data were analysed using reflexive thematic analysis.
Focus groups were conducted in-person in two major Australian cities.
Groups lacked a comprehensive understanding of e-cigarette regulations in Australia. When informed of these regulations, half of the groups considered the prescription model for nicotine e-cigarette products to be effective when enforced appropriately. Almost all groups considered access to non-nicotine products problematic. All groups suggested a range of demand reduction regulations, including plain packaging, health warnings, flavour restrictions and increased vape-free areas. Most groups (predominantly those who had never vaped) also recommended supply reduction regulations such as banning all e-cigarettes. The need for supply reduction measures to include addiction and mental health supports was discussed.
The regulations recommended by participants largely align with those that are to be introduced in Australia, indicating that these reforms are likely to be accepted by the public. Ensuring these reforms are complemented by formal supports for young people experiencing nicotine dependence and related mental health concerns is critical.
评估公众对电子烟法规在减少青少年及从未吸烟者使用方面有效性的看法。具体而言，我们探讨了：（1）当前与电子烟相关法规的感知有效性；（2）可减少使用的进一步法规的想法。
对澳大利亚青少年（14 - 17岁）、青年成年人（18 - 24岁）和成年人（25 - 39岁）进行了焦点小组访谈（n = 16）。小组按年龄、性别和电子烟使用状况分层。数据采用反思性主题分析法进行分析。
焦点小组访谈在澳大利亚两个主要城市面对面进行。
各小组对澳大利亚的电子烟法规缺乏全面了解。在得知这些法规后，一半的小组认为尼古丁电子烟产品的处方模式在适当执行时是有效的。几乎所有小组都认为获取无尼古丁产品存在问题。所有小组都提出了一系列减少需求的法规建议，包括素面包装、健康警告、口味限制和增加无烟区。大多数小组（主要是那些从未吸过电子烟的人）还建议采取减少供应的法规，如禁止所有电子烟。讨论了减少供应措施中纳入成瘾和心理健康支持的必要性。
参与者建议的法规在很大程度上与澳大利亚即将出台的法规一致，这表明这些改革可能会被公众接受。确保这些改革辅以针对有尼古丁依赖及相关心理健康问题的年轻人的正式支持至关重要。
