性别、吸烟状态和危险行为态度是影响青少年使用尼古丁替代治疗方式的因素
2010/02/03
对于年轻吸烟者使用尼古丁替代治疗(NRT)的研究较少。调查显示青少年中已有使用NRT治疗的吸烟者，但NRT使用不当。本文旨在研究青少年使用NRT的方式及其使用的危险因素，以便进一步帮助戒烟，包括防止不当使用戒烟措施。校内调查4078名高中学生，评价与NRT使用（口香糖或贴剂）有关的社会人口统计学及行为学因素。这些学生主要是非洲裔美国人。约5％学生主述之前或目前使用NRT相关产品：43％学生使用口香糖，29％学生使用贴剂，另有29％学生使用上述两者。在吸烟学生中，5.4％主述使用NRT（口香糖和贴剂），口香糖每日2次，加用NRT贴剂。持高风险态度的学生较低风险态度学生更会使用两者治疗（3% vs. 1%），其中口香糖使用多于尼古丁贴剂。累积logit模型显示，男性、高风险态度和/或吸烟者使用NRT具有最高的优势比。
上述青少年中，NRT口香糖使用多于贴剂。尽管青少年使用上述方法辅助戒烟的有效性仅有有限的经验性证据支持，但与相应人群相比，青少年男性、高风险态度持有者和/或吸烟者更有可能使用NRT（口香糖和/或贴剂）。戒烟和预防吸烟计划应该强调合理使用NRT，特别对于青少年人群。
（陈欣 审校）
Addict Behav. 2010 Feb;35(2):147-51. Epub 2009 Sep 26.
Gender, smoking status, and risk behavior attitudes explain adolescents’ patterns of nicotine replacement therapy use.
Dalton WT 3rd, Klesges LM, Henderson L, Somes G, Robinson L, Johnson KC.
Department of Psychology, East Tennessee State University, Johnson City, TN, United States.
Treatment studies provide minimal support for nicotine replacement therapy (NRT) with youth; however, survey studies suggest that adolescents use NRT, and may engage in inappropriate use. The current study sought to examine patterns of NRT use and risk factors for use to further aid smoking cessation efforts including prevention of potential misuse. In-school surveys assessing socio-demographic and behavioral factors associated with NRT use, gum or patch, were completed by 4078, predominantly African American, high school students. Approximately 5% of students reported former or current use of NRT products: 42% gum, 29% patch, and 29% both gum and patch. Among smokers, 5.4% reported use of both NRT gum and patch, with exclusive use of gum twice as likely as exclusive use of the patch. Those with high-risk-taking attitudes were more likely than low-risk takers (3% vs. 1%) to report use of both products, with exclusive gum use more prevalent than patch use. A cumulative logit model revealed males, risk takers, and/or smokers were at greatest odds for NRT use. Among this adolescent sample, NRT gum was used more often than the patch. Adolescent males, risk takers, and/or smokers appear more likely to use NRT (gum and/or patch) compared to their counterparts, despite limited empirical support for effective use of these products as cessation aids among adolescents. Smoking cessation and prevention programs may emphasize appropriate NRT use, specifically within these populations.
Dalton WT 3rd, et al. Addict Behav. 2010 Feb;35(2):147-51. Epub 2009 Sep 26.
上述青少年中，NRT口香糖使用多于贴剂。尽管青少年使用上述方法辅助戒烟的有效性仅有有限的经验性证据支持，但与相应人群相比，青少年男性、高风险态度持有者和/或吸烟者更有可能使用NRT（口香糖和/或贴剂）。戒烟和预防吸烟计划应该强调合理使用NRT，特别对于青少年人群。
（陈欣 审校）
Addict Behav. 2010 Feb;35(2):147-51. Epub 2009 Sep 26.
Gender, smoking status, and risk behavior attitudes explain adolescents’ patterns of nicotine replacement therapy use.
Dalton WT 3rd, Klesges LM, Henderson L, Somes G, Robinson L, Johnson KC.
Department of Psychology, East Tennessee State University, Johnson City, TN, United States.
Treatment studies provide minimal support for nicotine replacement therapy (NRT) with youth; however, survey studies suggest that adolescents use NRT, and may engage in inappropriate use. The current study sought to examine patterns of NRT use and risk factors for use to further aid smoking cessation efforts including prevention of potential misuse. In-school surveys assessing socio-demographic and behavioral factors associated with NRT use, gum or patch, were completed by 4078, predominantly African American, high school students. Approximately 5% of students reported former or current use of NRT products: 42% gum, 29% patch, and 29% both gum and patch. Among smokers, 5.4% reported use of both NRT gum and patch, with exclusive use of gum twice as likely as exclusive use of the patch. Those with high-risk-taking attitudes were more likely than low-risk takers (3% vs. 1%) to report use of both products, with exclusive gum use more prevalent than patch use. A cumulative logit model revealed males, risk takers, and/or smokers were at greatest odds for NRT use. Among this adolescent sample, NRT gum was used more often than the patch. Adolescent males, risk takers, and/or smokers appear more likely to use NRT (gum and/or patch) compared to their counterparts, despite limited empirical support for effective use of these products as cessation aids among adolescents. Smoking cessation and prevention programs may emphasize appropriate NRT use, specifically within these populations.
Dalton WT 3rd, et al. Addict Behav. 2010 Feb;35(2):147-51. Epub 2009 Sep 26.
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