Use of tobacco cessation aids and likelihood of smoking cessation: A French population-based study

Although smoking prevalence has been decreasing worldwide, sustained tobacco cessation remains a challenging goal for many smokers. Several types of tobacco cessation aids are available such as nicotine replacement therapy (NRT) and electronic cigarette, the effectiveness of the latter is still a ma...

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Main Authors: Mathilde Fekom, Tarik El Aarbaoui, Romain Guignard, Raphaël Andler, Guillemette Quatremère, Simon Ducarroz, Viêt Nguyen-Thanh, Maria Melchior
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Preventive Medicine Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211335522003515
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author Mathilde Fekom
Tarik El Aarbaoui
Romain Guignard
Raphaël Andler
Guillemette Quatremère
Simon Ducarroz
Viêt Nguyen-Thanh
Maria Melchior
author_facet Mathilde Fekom
Tarik El Aarbaoui
Romain Guignard
Raphaël Andler
Guillemette Quatremère
Simon Ducarroz
Viêt Nguyen-Thanh
Maria Melchior
author_sort Mathilde Fekom
collection DOAJ
description Although smoking prevalence has been decreasing worldwide, sustained tobacco cessation remains a challenging goal for many smokers. Several types of tobacco cessation aids are available such as nicotine replacement therapy (NRT) and electronic cigarette, the effectiveness of the latter is still a matter of debate. This study aims to test differences in successful smoking cessation according to the type of aid used, considering selection and confounding factors.We used data from the 2017 French Health Barometer, a cross-sectional survey conducted by France’s Public Health Agency. We studied the relationship between e-cigarette and NRT use and three distinct outcomes collected retrospectively: smoking status 6, 12 and 24 months after the cessation attempt (yes vs no). All results were weighted to be nationally-representative and controlled for propensity scores included via overlap weighting (OW).The use of an e-cigarette was significantly associated with tobacco cessation at 6 months (OWeighted OR = 1.38, 95 % CI: 1.03–1.99) as well as at 12 months (OWeighted OR = 1.61, 95 % CI: 1.13–2.27) and 24 months (OWeighted OR = 1.61, 95 % CI: 1.01–2.57). The use of NRT was negatively associated with tobacco cessation at 12 months (OWeighted OR = 0.62, 95 % CI: 0.43–0.89) and 24 months (OWeighted OR = 0.57, 95 % CI: 0.35–0.92). While the use of an e-cigarette alone or combined with NRT is associated with an increase in the likelihood of smoking cessation, the effects of the use of NRT alone on long-term smoking abstinence are probably limited.
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spelling doaj.art-1425ad09b8df43c9b97c8703a209efb72022-12-22T04:38:02ZengElsevierPreventive Medicine Reports2211-33552022-12-0130102044Use of tobacco cessation aids and likelihood of smoking cessation: A French population-based studyMathilde Fekom0Tarik El Aarbaoui1Romain Guignard2Raphaël Andler3Guillemette Quatremère4Simon Ducarroz5Viêt Nguyen-Thanh6Maria Melchior7INSERM, Sorbonne University, Team of Social Epidemiology (ERES), Pierre Louis Institute of Epidemiology and Public Health (IPLESP), Paris, France; Corresponding author.EpiDermE, Université Paris Est Créteil, F-94010 Créteil, FranceSanté publique France, The National Public Health Agency, Saint Maurice, FranceSanté publique France, The National Public Health Agency, Saint Maurice, FranceSanté publique France, The National Public Health Agency, Saint Maurice, FranceINSERM, Sorbonne University, Team of Social Epidemiology (ERES), Pierre Louis Institute of Epidemiology and Public Health (IPLESP), Paris, FranceSanté publique France, The National Public Health Agency, Saint Maurice, FranceINSERM, Sorbonne University, Team of Social Epidemiology (ERES), Pierre Louis Institute of Epidemiology and Public Health (IPLESP), Paris, FranceAlthough smoking prevalence has been decreasing worldwide, sustained tobacco cessation remains a challenging goal for many smokers. Several types of tobacco cessation aids are available such as nicotine replacement therapy (NRT) and electronic cigarette, the effectiveness of the latter is still a matter of debate. This study aims to test differences in successful smoking cessation according to the type of aid used, considering selection and confounding factors.We used data from the 2017 French Health Barometer, a cross-sectional survey conducted by France’s Public Health Agency. We studied the relationship between e-cigarette and NRT use and three distinct outcomes collected retrospectively: smoking status 6, 12 and 24 months after the cessation attempt (yes vs no). All results were weighted to be nationally-representative and controlled for propensity scores included via overlap weighting (OW).The use of an e-cigarette was significantly associated with tobacco cessation at 6 months (OWeighted OR = 1.38, 95 % CI: 1.03–1.99) as well as at 12 months (OWeighted OR = 1.61, 95 % CI: 1.13–2.27) and 24 months (OWeighted OR = 1.61, 95 % CI: 1.01–2.57). The use of NRT was negatively associated with tobacco cessation at 12 months (OWeighted OR = 0.62, 95 % CI: 0.43–0.89) and 24 months (OWeighted OR = 0.57, 95 % CI: 0.35–0.92). While the use of an e-cigarette alone or combined with NRT is associated with an increase in the likelihood of smoking cessation, the effects of the use of NRT alone on long-term smoking abstinence are probably limited.http://www.sciencedirect.com/science/article/pii/S2211335522003515CessationElectronic nicotine delivery devicesAddictionDuration of abstinenceCessation aids
spellingShingle Mathilde Fekom
Tarik El Aarbaoui
Romain Guignard
Raphaël Andler
Guillemette Quatremère
Simon Ducarroz
Viêt Nguyen-Thanh
Maria Melchior
Use of tobacco cessation aids and likelihood of smoking cessation: A French population-based study
Preventive Medicine Reports
Cessation
Electronic nicotine delivery devices
Addiction
Duration of abstinence
Cessation aids
title Use of tobacco cessation aids and likelihood of smoking cessation: A French population-based study
title_full Use of tobacco cessation aids and likelihood of smoking cessation: A French population-based study
title_fullStr Use of tobacco cessation aids and likelihood of smoking cessation: A French population-based study
title_full_unstemmed Use of tobacco cessation aids and likelihood of smoking cessation: A French population-based study
title_short Use of tobacco cessation aids and likelihood of smoking cessation: A French population-based study
title_sort use of tobacco cessation aids and likelihood of smoking cessation a french population based study
topic Cessation
Electronic nicotine delivery devices
Addiction
Duration of abstinence
Cessation aids
url http://www.sciencedirect.com/science/article/pii/S2211335522003515
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