Effect of vaping on past-year smoking cessation success of Australians in 2019-evidence from a national survey.
E-cigarettes
nicotine
population surveys
regulatory environment
smoking cessation
tobacco
Journal
Addiction (Abingdon, England)
ISSN: 1360-0443
Titre abrégé: Addiction
Pays: England
ID NLM: 9304118
Informations de publication
Date de publication:
08 2022
08 2022
Historique:
received:
03
12
2021
accepted:
28
03
2022
pubmed:
12
4
2022
medline:
7
7
2022
entrez:
11
4
2022
Statut:
ppublish
Résumé
Previous analyses of the effect of e-cigarettes on real world smoking cessation success have mainly been based on surveys undertaken in the United States and United Kingdom, where nicotine e-cigarettes can be readily obtained. In Australia, regulations have made obtaining e-cigarettes containing nicotine difficult. The effectiveness of e-cigarette use as a smoking cessation aid in Australia might therefore be lower than survey-based estimates published to date. This study aimed to estimate the effect of using e-cigarettes for a smoking cessation attempt on past-year smoking cessation success in Australia. Multivariable logistic regression models for past-year smoking cessation success. Respondents to the 2019 wave of Australia's National Drug Strategy Household Survey who made a smoking cessation attempt in the 12 months leading up to the survey. Past-year smoking cessation success was assumed if a smoking cessation attempt resulted in abstinence of more than a month at the time of the survey. In 2019, Australians who attempted to quit smoking using e-cigarettes achieved greater success than smokers attempting to quit without e-cigarettes [adjusted odds ratio (aOR) = 1.68; 95% confidence interval (CI) = 1.09-2.60]. If people who only tried e-cigarettes once or twice are considered not to have used e-cigarettes, the estimated effect was slightly stronger (aOR = 1.98; 95% CI = 1.27-3.10). Also, the estimated odds ratio was higher among vapers who acquired their e-cigarettes from overseas websites (aOR = 2.24; 95% CI = 1.02-4.93). Use of e-cigarettes for a smoking cessation attempt appears to be associated with greater success among Australians who attempted to quit tobacco in 2019 compared with Australians attempting to quit without e-cigarettes, after adjusting for confounding effects.
Sections du résumé
BACKGROUND AND AIMS
Previous analyses of the effect of e-cigarettes on real world smoking cessation success have mainly been based on surveys undertaken in the United States and United Kingdom, where nicotine e-cigarettes can be readily obtained. In Australia, regulations have made obtaining e-cigarettes containing nicotine difficult. The effectiveness of e-cigarette use as a smoking cessation aid in Australia might therefore be lower than survey-based estimates published to date. This study aimed to estimate the effect of using e-cigarettes for a smoking cessation attempt on past-year smoking cessation success in Australia.
DESIGN
Multivariable logistic regression models for past-year smoking cessation success.
SETTING AND PARTICIPANTS
Respondents to the 2019 wave of Australia's National Drug Strategy Household Survey who made a smoking cessation attempt in the 12 months leading up to the survey.
MEASUREMENTS
Past-year smoking cessation success was assumed if a smoking cessation attempt resulted in abstinence of more than a month at the time of the survey.
FINDINGS
In 2019, Australians who attempted to quit smoking using e-cigarettes achieved greater success than smokers attempting to quit without e-cigarettes [adjusted odds ratio (aOR) = 1.68; 95% confidence interval (CI) = 1.09-2.60]. If people who only tried e-cigarettes once or twice are considered not to have used e-cigarettes, the estimated effect was slightly stronger (aOR = 1.98; 95% CI = 1.27-3.10). Also, the estimated odds ratio was higher among vapers who acquired their e-cigarettes from overseas websites (aOR = 2.24; 95% CI = 1.02-4.93).
CONCLUSIONS
Use of e-cigarettes for a smoking cessation attempt appears to be associated with greater success among Australians who attempted to quit tobacco in 2019 compared with Australians attempting to quit without e-cigarettes, after adjusting for confounding effects.
Identifiants
pubmed: 35403757
doi: 10.1111/add.15897
pmc: PMC9545104
doi:
Substances chimiques
Nicotine
6M3C89ZY6R
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2306-2315Informations de copyright
© 2022 The Author. Addiction published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction.
Références
BMJ. 2017 Jul 26;358:j3262
pubmed: 28747333
Addiction. 2019 Jun;114(6):1060-1073
pubmed: 30681215
Int J Drug Policy. 2015 Jun;26(6):589-94
pubmed: 25724266
Tob Control. 2022 Aug;31(e1):e66-e73
pubmed: 33753550
Nicotine Tob Res. 2012 Dec;14(12):1483-7
pubmed: 22318689
Nicotine Tob Res. 2017 Nov 01;19(11):1268-1276
pubmed: 28340053
Nicotine Tob Res. 2021 Aug 29;23(10):1699-1707
pubmed: 33837435
Nicotine Tob Res. 2020 Apr 21;22(5):728-733
pubmed: 31298296
Addiction. 2019 Oct;114 Suppl 1:15-23
pubmed: 30701622
BMJ. 2016 Sep 13;354:i4645
pubmed: 27624188
Addiction. 2014 Mar;109(3):491-9
pubmed: 24372901
Addiction. 2019 Sep;114(9):1627-1638
pubmed: 31117151
Addiction. 2014 Sep;109(9):1531-40
pubmed: 24846453
Tob Control. 2018 May;27(3):341-346
pubmed: 28624764
Aust N Z J Public Health. 2001 Dec;25(6):494-7
pubmed: 11824981
Tob Control. 2019 Jan;28(1):42-49
pubmed: 29574448
Health Rep. 2012 Mar;23(1):47-53
pubmed: 22590805
Addiction. 2022 Aug;117(8):2306-2315
pubmed: 35403757
Addict Behav. 2019 Aug;95:6-10
pubmed: 30784874
Cochrane Database Syst Rev. 2021 Apr 29;4:CD010216
pubmed: 33913154
Addiction. 2021 Oct;116(10):2825-2836
pubmed: 33751671
Addiction. 2022 Jan;117(1):224-233
pubmed: 34187081
Am J Public Health. 1994 Jul;84(7):1086-93
pubmed: 8017530