电子烟在患有精神病和/或物质使用问题的人群中戒烟的有效性:随机对照试验的二次分析
Stéphanie Baggio1,2, Philip Bruggmann3,4, Anna Schoeni1
1Institute of Primary Health Care (BIHAM), University of Bern, Switzerland.
Tobacco prevention & cessation
|February 4, 2025
概括
电子烟,当添加到咨询时,显著提高了患有精神病和物质使用障碍的人的戒烟率. 这种干预措施有望帮助这个弱势群体戒烟.
科学领域:
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
背景情况:
- 患有精神病和物质使用障碍的人群吸烟率较高,戒烟率较低.
- 这种人群在戒烟时经常面临独特的挑战.
研究的目的:
- 评估电子烟作为精神病和物质使用障碍患者戒烟援助的有效性.
- 评估电子烟是否在这个人群中提高了标准的戒烟支持.
主要方法:
- 来自ESTxENDS试验 (n=1246) 的数据分析,比较电子烟加标准护理咨询 (干预) 与标准护理加优惠券 (控制).
- 主要结局:在6个月内生物化学验证的持续戒断.
- 二次结局:6个月和7天的自我报告的戒断,分析了使用心理药物或有物质使用障碍的亚样本.
主要成果:
- 在接受心理药物治疗的参与者中 (n=239),电子烟显著增加了戒断率 (ARR为2.62的验证,2.95为6个月,2.96为7天).
- 对于有物质使用问题的参与者 (n=818),电子烟也改善了戒断 (验证的ARR为1.57,6个月的1.42,7天的1.53).
结论:
- 电子烟与标准咨询相结合,可以改善精神病和物质使用障碍患者的戒烟成功率.
- 建议在更大规模的研究中进行进一步的研究,以确认这一边缘化群体的疗效和安全性.
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