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Factors influencing perceptions of electronic cigarette and nicotine replacement therapy use among French smokers experiencing socioeconomic disadvantage: A latent class analysis.

Addictive behaviors
June 1, 2025
Marie Noel Al Zayat et al. (6 authors)
Journal ArticleRandomized Controlled TrialHuman Study
Study Details

Study Goal

The researchers aimed to examine perceptions of nicotine replacement therapy (NRT) and e-cigarettes among low-income smokers interested in quitting or reducing smoking.

Results Summary

The study identified three subgroups based on perceptions: "adopters" (positive views), "doubters of e-cigarettes" (questioned e-cigarette effectiveness), and "resistors" (negative views). Factors like age, financial difficulties, mental health, and prior quit attempts influenced these perceptions.

Population

Low-income smokers interested in quitting or reducing smoking, not currently using e-cigarettes (n=167).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (10)
InterventionDirectionEndpointPopulationDosageImpactClaim #
nicotine replacement therapy (NRT)
increase
smoking cessation
smokers
-
effective
#1
electronic cigarettes (e-cigarettes)
increase
smoking cessation
smokers
-
effective
#2
nicotine replacement therapy (NRT) and electronic cigarettes (e-cigarettes)
decrease
use
low-income smokers
-
use is limited
#3
older age
increase
doubter of e-cigarettes subgroup membership
low-income smokers
-
linked to being
#4
not receiving social benefits
increase
doubter of e-cigarettes subgroup membership
low-income smokers
-
linked to being
#5
absence of depressive symptoms
increase
doubter of e-cigarettes subgroup membership
low-income smokers
-
linked to being
#6
heavy smoking
increase
resistor subgroup membership
low-income smokers
-
associated with being
#7
Previous NRT use
increase
doubter of e-cigarettes subgroup membership
low-income smokers
-
increased the probability of being
#8
prior e-cigarettes use
decrease
doubters of e-cigarettes subgroup membership
low-income smokers
-
decreased the likelihood of belonging to
#9
prior e-cigarettes use
decrease
resistors subgroup membership
low-income smokers
-
decreased the likelihood of belonging to
#10
Abstract

BACKGROUND: Smokers experiencing socioeconomic disadvantage have higher smoking rates and lower quit success compared to the general population. While nicotine replacement therapy (NRT) and electronic cigarettes (e-cigarettes) are effective smoking cessation aids, their use in this population is limited. We examine perceptions of NRT and e-cigarettes among low-income smokers. METHODS: We analyzed baseline data from 167 low-income smokers interested in reducing or quitting smoking but not currently using e-cigarettes, enrolled in the French STOP trial, a randomized controlled trial evaluating a preference-based smoking cessation intervention. Baseline measures included demographics, smoking habits, mental health, and perceptions of NRT and e-cigarettes. Latent Class Analysis (LCA) identified subgroups based on perceptions, and multinomial logistic regression examined associations between subgroup membership and predictors. RESULTS: Three subgroups emerged: "adopters" (44 %) with positive views of both aids, "doubters of e-cigarettes" (35 %) who found the tools easy to use but questioned the effectiveness of e-cigarettes, and "resistors" (21 %) with negative perceptions of both aids. Older age, not receiving social benefits, and absence of depressive symptoms were linked to being a "doubter of e-cigarettes", while heavy smoking was associated with being a "resistor". Previous NRT use increased the probability of being a "doubter of e-cigarettes", whereas prior e-cigarettes use decreased the likelihood of belonging to the "doubters of e-cigarettes" and "resistors" groups. CONCLUSION: Low-income smokers hold diverse perceptions of NRT and e-cigarettes influenced by age, financial difficulties, mental health, and previous quit attempts. Tailored cessation interventions addressing these factors into account may improve quit rates in this population.

Medical Subject Headings (MeSH)
HumansFemaleMaleAdultElectronic Nicotine Delivery SystemsTobacco Use Cessation DevicesSmoking CessationMiddle AgedFranceLatent Class AnalysisPovertyVapingHealth Knowledge, Attitudes, PracticeSmokersAttitude to HealthSocioeconomic FactorsNicotine Replacement TherapySocioeconomic Disparities in Health
Study Links
Quality Scores
SafetyNot Assessed
Efficacy65/10
Quality75/10
Research Impact Scores
APT Score0.05
Weight Score2.50
Normalized Score0.61
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