在年轻人中,尼古丁电子烟和大麻使用的双重戒断:来自美国两项电子烟戒断随机对照试验的二次分析
Amanda L Graham1,2,3, Sarah Cha4, Elizabeth K Do1,5
1Truth Initiative, 900 G Street, NW, 4th Floor, Washington, DC, 20001, USA.
Substance abuse treatment, prevention, and policy
|November 2, 2025
概括
一个短信干预成功地促进了青少年和年轻人的尼古丁vaping和大麻使用的双重戒断. 单独的电子烟使用者表现出比双重使用者更高的双重戒断率,突出显示出需要量身定制的戒断计划.
科学领域:
- 公共卫生 公共卫生
- 青少年和年轻人的健康
- 停止使用物质停止使用物质.
背景情况:
- 青少年和年轻成人 (YA) 电子烟使用者经常使用多种物质,包括大麻.
- 开发有效的戒烟策略,以双重尼古丁蒸汽和大麻的使用对于这一群体至关重要.
- 两项临床试验使用短信干预来解决尼古丁蒸汽戒断问题.
研究的目的:
- 调查青少年和青少年电子烟使用者中尼古丁蒸汽和大麻使用的戒断模式.
- 评估短信干预措施在促进双重戒断方面的有效性.
- 为了比较单独使用电子烟的用户和双重使用电子烟和大麻的用户之间的戒烟结果.
主要方法:
- 分析了两项短信电子烟戒断试验中1,016名青少年和1,829名年轻成年人的7个月随访数据.
- 参与者在基线被分为独家电子烟使用者或双重使用者 (也使用大麻).
- 评估的主要结果是7个月后的双重戒断率,比较干预和控制臂,并探索相互作用效应.
主要成果:
- 在7个月后,青少年的双重戒断率为31.7%,YAs的15.6%.
- 与对照组相比,短信干预显著增加了青少年 (38.5%对25.0%) 和年轻人 (17.9%对13.3%) 的双重戒断率.
- 独家电子烟使用者在随访时表现出更高的双重戒烟率,而不是两年龄组的双重使用者.
结论:
- 一个基于短信的尼古丁蒸汽戒烟干预措施有效地促进了青少年和年轻人的电子烟和大麻的双重戒烟.
- 排他性电子烟者中双重戒断率较高表明,戒烟计划可能需要针对双重使用者的具体调整.
- 优化双重使用者的戒断计划对于改善青少年和年轻成年人使用两种物质的结果至关重要.
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