College of Public Health, University of Nebraska Medical Center, Omaha.
College of Osteopathic Medicine, Kansas City University, Kansas City, Missouri.
Pediatrics. 2023 Nov 1;152(5). doi: 10.1542/peds.2023-062948.
A large number of adolescent e-cigarette users intend to quit vaping or have past-year quit attempts. However, it remains unknown which methods they use in their vaping cessation efforts.
We analyzed current (past 30-day) e-cigarette users who made ≥1 quit attempt in the past 12 months from the 2021 National Youth Tobacco Survey (NYTS) to examine the prevalence and associations of sociodemographic factors, vaping behaviors, and harm perception with the adoption of different vaping cessation methods.
In the 2021 NYTS, there were 1436 current vapers, and 889 (67.9%) had made a past-year quit attempt. Of those, 575 (63.7%) (weighted N = 810 000) reported they did not use any resources (unassisted quitting). Peer support (14.2%), help on the Internet (6.4%), a mobile app or text messaging (5.9%), and parent support (5.8%) were the top 4 cessation methods. Female (versus male) vapers were less likely to solicit parent support (adjusted odds ratio [AOR], 0.2; 95% confidence interval [95% CI], 0.1-0.5), whereas Hispanic (versus White) vapers were more likely to seek friend support (AOR, 2.1; 95% CI, 1.1-3.9) and parent support (AOR, 2.7, 95% CI, 1.2-6.3). Those who perceived vaping to be harmful were less likely to get friend support, but more likely to use a mobile app or text messaging program. Dual users of e-cigarettes and any other tobacco product were more likely to get help from a teacher/coach or a doctor/health care provider and treatment from medical facilities than sole e-cigarette users.
There were different correlates with the adoption of vaping cessation methods, highlighting the need for tailored approaches to meet the cessation needs and preferences of the adolescent vaping population.
大量青少年电子烟使用者有意停止吸电子烟或在过去一年中有过戒烟尝试。然而,目前尚不清楚他们在戒烟努力中使用了哪些方法。
我们分析了 2021 年全国青少年烟草调查(NYTS)中过去 30 天内使用电子烟且在过去 12 个月内至少尝试过一次戒烟的当前电子烟使用者,以研究社会人口统计学因素、电子烟使用行为和危害感知与采用不同电子烟戒烟方法的相关性。
在 2021 年 NYTS 中,有 1436 名当前电子烟使用者,其中 889 人(占比 67.9%)在过去一年中尝试过戒烟。其中,575 人(占比 63.7%,加权 N = 810 万)报告称他们没有使用任何资源(未接受帮助自行戒烟)。同伴支持(14.2%)、互联网帮助(6.4%)、移动应用程序或短信(5.9%)和父母支持(5.8%)是前四种戒烟方法。女性(与男性相比)电子烟使用者不太可能寻求父母支持(调整后的优势比 [AOR],0.2;95%置信区间 [95%CI],0.1-0.5),而西班牙裔(与白人相比)电子烟使用者更有可能寻求朋友支持(AOR,2.1;95%CI,1.1-3.9)和父母支持(AOR,2.7,95%CI,1.2-6.3)。那些认为吸电子烟有害的人不太可能获得朋友的支持,但更有可能使用移动应用程序或短信程序。同时使用电子烟和任何其他烟草制品的人比仅使用电子烟的人更有可能从教师/教练或医生/医疗保健提供者那里获得帮助,并从医疗机构接受治疗。
采用电子烟戒烟方法的相关性不同,这突出表明需要采用针对性方法来满足青少年电子烟使用者的戒烟需求和偏好。