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The characteristics and patterns of e-cigarette use and its association with cigarette cessation intention in a Chinese smoking population: A mediation analysis

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单位: [1]Peking Univ, Sch Publ Hlth, Dept Social Med & Hlth Educ, Hlth Sci Ctr, Beijing, Peoples R China [2]China Journal Tradit Chinese Med & Pharm, Beijing, Peoples R China [3]Xiyuan Hosp, China Acad Chinese Med Sci, Inst Clin Pharmacol, Beijing, Peoples R China [4]Beijing Univ Chinese Med, Dongzhimen Hosp, Dept Pharmacol, Beijing, Peoples R China [5]China Japan Friendship Hosp, Tobacco Med & Tobacco Cessat Ctr, Beijing, Peoples R China
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关键词: electronic cigarettes mediation analysis quitting intention

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INTRODUCTION The use of e-cigarettes has become more common in China, but the research on e-cigarettes in China, while growing, is still limited. This study examined the characteristics and patterns of e-cigarette use, and analyzed the possible mediators between cigarette cessation intention and e-cigarette use in a Chinese smoking population. METHODS This was a cross-sectional study conducted in mainland China. By convenience sampling method, the participants were recruited from 85 major commercial streets of several large cities in China. The study interviewers completed face-to-face interviews and uploaded the completed questionnaires into the online survey platform. The participants were contacted for clarification if any problems were detected. Logistic regression yielded adjusted odds ratios (ORs) for ever use of e-cigarettes. We further conducted a mediation analysis to estimate the effect of possible mediators. RESULTS From July to August 2020, a total of 738 smokers were invited to participate in this study; 613 smokers were identified as eligible and 609 smokers were included in this analysis. Of them, 24 (3.94%) participants were currently using e-cigarettes, and 165 (27.09%) participants have ever used e-cigarettes. The participants with younger age were more likely to have ever used e-cigarettes, ranging from 37.5% in the 18-29 years age group to 6.5% in the 60-69 years age group. After controlling for demographic characteristics and nicotine dependence, the ever use of e-cigarettes was significantly associated with younger age, higher education level, higher monthly income, previous smoking cessation attempts and quitting intention. With the mediation analysis, the education level is confirmed as a mediating factor, and approximately 42.86% of the effects were mediated through the channel of higher socioeconomic status. CONCLUSIONS This is the first study to examine the possible mediators between cigarette cessation intention and e-cigarette use in a Chinese smoking population. The findings revealed that high socioeconomic status, particularly higher education level, was a major mediating factor.

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出版当年[2021]版:
大类 | 4 区 医学
小类 | 4 区 药物滥用 4 区 公共卫生、环境卫生与职业卫生
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 公共卫生、环境卫生与职业卫生 3 区 药物滥用
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出版当年[2020]版:
Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Q3 SUBSTANCE ABUSE Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Q4 SUBSTANCE ABUSE
最新[2023]版:
Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Q3 SUBSTANCE ABUSE

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2020版] 出版当年五年平均[2016-2020] 出版前一年[2019版] 出版后一年[2021版]

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第一作者单位: [1]Peking Univ, Sch Publ Hlth, Dept Social Med & Hlth Educ, Hlth Sci Ctr, Beijing, Peoples R China
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通讯机构: [5]China Japan Friendship Hosp, Tobacco Med & Tobacco Cessat Ctr, Beijing, Peoples R China [*1]Tobacco Medicine and Tobacco Cessation Center, China-Japan Friendship Hospital, Beijing, China
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