Prevalence and Correlates of Switching to Another Tobacco Product to Quit Smoking Cigarettes
Menée à partir des données d'une enquête réalisée entre 2010 et 2011 auprès d'un échantillon de 12 400 adultes fumeurs ou anciens fumeurs, cette étude américaine évalue la proportion de fumeurs ayant changé de produit tabagique pour arrêter de fumer
Introduction : Using nationally representative data, we assessed the prevalence and correlates of cigarette smokers who tried switching to smokeless tobacco (SLT) or to other combusted tobacco products (OCT) to quit. Methods : Data came from 12,400 current or former adult smokers who made a quit attempt in the past year and responded to the 2010-2011 Tobacco Use Supplement to the Current Population Survey. Demographics and smoking characteristics were computed among those switching to SLT, switching to OCT, or trying to quit without using either strategy. Bivariate and multinomial logistic regression models identified correlates of using each strategy. Results : Overall, 3.1% of smokers tried switching to SLT to quit, 2.2% tried switching to OCT, and 0.6% tried both strategies. Compared to those not using either switching strategy to try to quit, males were more likely than females to try switching to SLT or OCT; blacks were less likely than whites to try switching to SLT, but more likely to try switching to OCT; younger age groups were more likely to try switching to SLT or OCT; current someday smokers were more likely to have tried to switch to SLT, while recent former smokers were more likely to have tried switching to OCT. Both switching groups were more likely to have used cessation medication vs. those not using switching strategies. Conclusion : Data suggest that switching to other tobacco products is a prevalent cessation approach; messages are needed to help clinicians encourage smokers who try to quit by switching to use evidence based cessation approaches.