电子烟使用和随后的烟草吸烟开始:与贝叶斯模型元分析进行总体审查
Jagdish Kaur1, Sonu Goel2,3,4, Muhammed Shabil5
1Tobacco Free Initiative, World Health Organization Regional Office for South-East Asia, New Delhi, India.
电子尼古丁输送系统 (ENDS) 的使用显著增加了非吸烟者,特别是青少年开始吸烟的风险. 这种门户效应凸显了迫切需要公共卫生战略来预防尼古丁成.
科学领域:
- 公共卫生 公共卫生
- 尼古丁成研究 尼古丁成研究
- 控制烟草的控制方式
背景情况:
- 全球电子尼古丁输送系统 (ENDS) 使用量急剧增加.
- 关于ENDS在非吸烟者吸烟开始中的作用的关键问题.
- 需要对ENDS和烟草吸烟开始的证据进行综合分析.
研究的目的:
- 评估非吸烟者使用ENDS后开始吸烟的风险.
- 使用贝叶斯元分析综合现有证据.
- 评估ENDS和吸烟的"入口假设".
主要方法:
- 系统性审查的总体审查.
- 贝叶斯分层元分析用于估计聚合赔率比率 (ORs).
- 通过AMSTAR-2进行质量评估;通过PROSPERO注册 (CRD42023464207).
主要成果:
- 包括13个系统审查;质量不同 (5高,1中等,1低,4低,3严重低).
- 在非吸烟的ENDS用户中进行吸烟启动的聚合OR:3.1 (95%CRI2.56-3.72).
- 青少年:OR 2.7 (95% CrI 2.27-3.21);前吸烟者复发风险增加了一倍 (RR 2.03);从未吸烟者打算吸烟 OR 2.21.
结论:
- 在非吸烟者,特别是青少年中,使用ENDS显著与增加吸烟开始风险有关.
- 这些发现支持了ENDS的网关假设.
- 迫切需要严格的监管和公共卫生战略来预防尼古丁成.
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