Le Daisy, D'Souza Gypsyamber, Atnafou Rebkha, Moran Meghan Bridgid
The George Washington University, School of Nursing, Policy, Populations and Systems and The George Washington University, Milken Institute School of Public Health, Department of Prevention and Community Health, Washington, DC, United States.
Johns Hopkins University, Department of Epidemiology, Baltimore, MD, United States.
Health Behav Policy Rev. 2021 Nov;8(6):488-502. doi: 10.14485/hbpr.8.6.1. Epub 2021 Nov 1.
Young adult tobacco users are at an increased risk for using non-cigarette tobacco products and have high poly-use rates. We interviewed poly-tobacco-using young adults from an urban community to explore characteristics associated with their poly-tobacco use, perceived barriers to tobacco cessation, and recommendations for and interest in cessation programs.
We conducted 17 focus group discussions with 97 poly-tobacco-using young adults. Interviews were analyzed using framework analysis and quantitative surveys were analyzed using descriptive statistics.
All participants reported a history of tobacco product poly-use, and 85% reported poly-use in the past 30 days. Study results indicate that this population faces multiple barriers to cessation (eg, influence of social network, easy access, anxiety management, belief in self-control, boredom), but that there is interest in utilizing mobile-based interventions and social media for cessation attempts, ultimately allowing them to manage cessation in their own time, and in a way that is more fitting with their lifestyle.
To work toward eliminating tobacco-related cancer disparities, we must understand social and environmental factors that influence tobacco use among underserved populations so that primary prevention strategies to prevent smoking initiation may be implemented. Equally important are secondary prevention strategies that develop more targeted, effective smoking cessation interventions.
年轻的烟草使用者使用非卷烟烟草制品的风险增加，且多种烟草制品同时使用的比例很高。我们对来自城市社区的多种烟草制品同时使用的年轻人进行了访谈，以探讨与他们多种烟草制品同时使用相关的特征、戒烟的感知障碍以及对戒烟项目的建议和兴趣。
我们与97名多种烟草制品同时使用的年轻人进行了17次焦点小组讨论。访谈采用框架分析法进行分析，定量调查采用描述性统计进行分析。
所有参与者都报告有多种烟草制品同时使用的历史，85%的人报告在过去30天内有多种烟草制品同时使用的情况。研究结果表明，这一人群在戒烟方面面临多重障碍（例如，社交网络的影响、容易获取、焦虑管理、对自我控制的信念、无聊），但他们有兴趣利用基于移动设备的干预措施和社交媒体来尝试戒烟，最终使他们能够在自己的时间里，以更符合其生活方式的方式来管理戒烟。
为努力消除与烟草相关的癌症差异，我们必须了解影响服务不足人群烟草使用的社会和环境因素，以便实施预防吸烟开始的一级预防策略。同样重要的是制定更有针对性、更有效的戒烟干预措施的二级预防策略。
