Factors influencing perceptions of electronic cigarette and nicotine replacement therapy use among French smokers experiencing socioeconomic disadvantage: A latent class analysis.
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
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
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 |
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.