Wilson Hester Hk, Zwar Nicholas
BMed (Hons) FRACGP, FAChAM, MMH, General Practitioner, Alice St General Practice, Newtown, NSW; Staff Specialist in Addiction, Drug and Alcohol Services, South Eastern Sydney Local Health District, Caringbah, NSW; Conjoint Lecturer, School of Population Health, University of NSW, Kensington, NSW; Centre for Primary Health Care and Equity (CPHCE), University of New South Wales, Kensington, NSW.
MPH, PhD, FRACGP, Professor, School of Population Health, University of New South Wales, Sydney, NSW; Executive Dean, Health Sciences and Medicine, Bond University, Gold Coast, Qld.
Aust J Gen Pract. 2024 May;53(5):311-316. doi: 10.31128/AJGP-11-23-7021.
Increasing numbers of young people (adolescents aged 12-17 years and young adults aged 18-25 years) are using e-cigarettes. Although the extent of the health effects is currently unknown, young people are at risk of developing nicotine dependence and, as a result, find it difficult to cease use of e-cigarettes. They might seek help from their general practitioner (GP) to do so.
This article summarises the available evidence for e-cigarette cessation in young people and suggests a rational approach to assist GPs seeing young people seeking help for e-cigarette cessation.
There is limited evidence to support best treatment options for e-cigarette cessation in young people. An approach based on the experience from tobacco cessation in adults and adapted for young people might assist. Management that supports family and school engagement, with behavioural interventions, nicotine replacement therapy, other pharmacological interventions and ongoing review as appropriate for the young person's age and developmental milestones, might help successful e-cigarette cessation.
越来越多的年轻人（12至17岁的青少年和18至25岁的青年）开始使用电子烟。尽管目前尚不清楚其对健康影响的程度，但年轻人有发展成尼古丁依赖的风险，因此，他们发现难以停止使用电子烟。他们可能会向自己的全科医生（GP）寻求帮助以戒烟。
本文总结了有关年轻人电子烟戒烟的现有证据，并提出了一种合理的方法，以协助全科医生为寻求电子烟戒烟帮助的年轻人提供服务。
支持年轻人电子烟戒烟最佳治疗方案的证据有限。基于成人戒烟经验并适用于年轻人的方法可能会有所帮助。支持家庭和学校参与的管理方式，结合行为干预、尼古丁替代疗法、其他药物干预以及根据年轻人的年龄和发育里程碑进行适当的持续评估，可能有助于成功戒烟。
