蒸发尼古丁产品用于社会弱势群体戒烟:一项随机临床试验
Ryan J Courtney1, Bridget C Howard1, Daniel Barker2
1National Drug and Alcohol Research Centre, University of New South Wales, Sydney, New South Wales, Australia (R.J.C., B.C.H., V.C.B., A.H., M.F., R.P.M., H.M.).
与尼古丁替代疗法 (NRT) 相比,蒸发尼古丁产品 (VNPs) 在社会不利的成年人中显著改善了戒烟率. 对于这个优先人口,VNP提供了一个有希望的,更有效的选择.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 临床试验 临床试验
背景情况:
- 蒸发尼古丁产品 (VNPs) 在一般人群中戒烟的疗效高于尼古丁替代疗法 (NRT).
- 在社会弱势群体中VNP的有效性仍未得到充分研究.
研究的目的:
- 为了比较VNP与NRT在遭受社会不利影响的个体中戒烟的有效性.
主要方法:
- 一个开放的,随机的受控试验,涉及1045名每日吸烟者接受政府援助.
- 参与者被随机分配,接受NRT或VNP8周,并提供短信支持.
- 主要结局是连续禁烟6个月,通过7个月的一氧化碳呼吸测试来验证.
主要成果:
- 经验证的6个月连续戒断率为VNP的28.4%,NRT的9.6%,这表明VNP的疗效优越.
- 在VNP中,统计学上显著的戒断率更高 (后期风险差异估计:18.7%).
- 与NRT组相比,VNP组的不良事件报告频率较低.
结论:
- 在社会弱势群体中,VNP在戒烟方面比NRT更有效.
- 对于那些在戒烟方面面临社会经济挑战的人来说,VNP是一个有价值和有前途的治疗选择.
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