2023 年，英国一项具有代表性的调查：居住在社会住房中的成年人使用电子烟的模式和看法。

Patterns and perceptions of vaping among adults living in social housing: a representative survey in Great Britain, 2023.

机构信息

Department of Behavioural Science and Health, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK.

SPECTRUM Consortium, Edinburgh, UK.

出版信息

BMC Public Health. 2024 Sep 20;24(1):2572. doi: 10.1186/s12889-024-20043-5.

DOI:10.1186/s12889-024-20043-5

PMID:39304840

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11414268/

Abstract

BACKGROUND

Vaping products are effective for helping people to stop smoking and may therefore offer a potential means to reduce high rates of smoking in socioeconomically disadvantaged groups. This study aimed to examine current patterns and perceptions of vaping among people living in social housing in Great Britain compared with those living in other housing types.

METHODS

Data were from the Smoking Toolkit Study; a nationally-representative survey conducted in 2023 (n = 23,245). Logistic regression tested cross-sectional associations between living in social (vs. other) housing and current vaping among adults; vaping frequency, device type, nicotine concentration, and source of purchase among current vapers; use of vaping products as a smoking cessation aid among past-year smokers who tried to quit; and harm perceptions of vaping products relative to cigarettes among current smokers.

RESULTS

Current vaping prevalence was twice as high among adults living in social housing (19.4%) compared with those in other housing types (10.4%; OR = 2.07, 95%CI = 1.84-2.33). This was partly explained by differences in sociodemographic characteristics and smoking status; after adjustment, the odds of being a current vaper were 33% higher (OR=1.33, 95%CI = 1.14-1.54). Among vapers, there were no notable differences by housing tenure in vaping frequency, main device type used, usual nicotine concentration, usual source of purchase, or use as a smoking cessation aid. However, current smokers living in social housing were more likely to think vaping is more harmful than cigarettes (31.6% vs. 21.8%; OR=1.61, 95%CI = 1.30-1.99).

CONCLUSIONS

In Great Britain, adults who live in social housing are more likely to vape than those who live in other housing types, even after accounting for their younger age and higher smoking rates. However, misperceptions about the relative harms of vaping products and tobacco are common among smokers living in social housing. Interventions addressing these misperceptions could help encourage more people living in social housing to switch from smoking to vaping and reduce smoking-related health inequalities.

PRE-REGISTRATION: The study protocol and analysis plan were pre-registered on Open Science Framework (https://osf.io/n3mvs/).

摘要

背景

电子烟产品对于帮助人们戒烟非常有效，因此可能为降低社会经济弱势群体中高吸烟率提供了一种潜在手段。本研究旨在比较居住在英国社会住房中的人与居住在其他住房类型中的人在电子烟使用方面的当前模式和看法。

方法

数据来自 2023 年进行的全国代表性调查“吸烟工具包研究”（n=23245）。使用逻辑回归检验了居住在社会住房（与其他住房类型相比）与成年人当前电子烟使用之间的横断面关联；当前电子烟使用者的电子烟使用频率、设备类型、尼古丁浓度和购买来源；过去一年尝试戒烟的吸烟者将电子烟用作戒烟辅助工具的情况；以及当前吸烟者对电子烟产品相对于香烟的危害认知。

结果

与其他住房类型的成年人（10.4%）相比，居住在社会住房中的成年人当前电子烟使用的流行率高出一倍（19.4%；比值比=2.07，95%置信区间=1.84-2.33）。这部分是由于社会人口特征和吸烟状况的差异所致；调整后，当前吸烟者的可能性高出 33%（比值比=1.33，95%置信区间=1.14-1.54）。在电子烟使用者中，住房产权类型对电子烟使用频率、主要使用设备类型、常用尼古丁浓度、常用购买来源或用作戒烟辅助工具没有明显差异。然而，居住在社会住房中的当前吸烟者更有可能认为电子烟比香烟危害更大（31.6% 比 21.8%；比值比=1.61，95%置信区间=1.30-1.99）。

结论

在英国，与居住在其他住房类型的成年人相比，居住在社会住房中的成年人更有可能使用电子烟，即使考虑到他们的年龄更小且吸烟率更高。然而，居住在社会住房中的吸烟者对电子烟产品和烟草相对危害的误解很常见。解决这些误解的干预措施可能有助于鼓励更多居住在社会住房中的人从吸烟转向电子烟，并减少与吸烟有关的健康不平等。