Background

Debate continues over how e-cigarettes have impacted the health of young people, and what regulatory policies should be enacted. The debate has appropriately been informed by quantitative studies, often focused on initiation, prevalence, and product transition among the general population and demographic segments. Factors driving cessation and subjective experiences that motivate young users to quit have been largely absent from the debate. This qualitative study highlights the range of motivating experiences among a population of treatment-seeking young e-cigarette users.

Methods

Three researchers coded reasons for quitting provided by a sample of n = 1000 youth (13–17) and n = 1000 young adults (18–24) enrolled in a text message cessation program. Data spanned January 18 – February 22, 2019. Codes were adapted from previous literature.

Results

The most common reasons were health (50.9%; “I want my lungs back”), financial cost (21.7%; “I don't have enough money to feed my addiction”), freedom from addiction (16.0%; “i hate juuling. it's taking over my life”), and social influence (10.1%; “it's affecting my friendships”). Selected quotes highlight a broad range of additional ways in which e-cigarette use negatively impacted young people, including decreased academic performance and mental health.

Conclusions

Young people trying to quit e-cigarettes are motivated by a diversity of reasons including health, financial, social, and academic. The range of impacts should be considered in discussions of policies intended to protect young people, and incorporated into cessation programs designed to serve them.

中文翻译：

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“这真的很容易上瘾，我被困住了。”对寻求治疗的年轻人戒烟的原因的定性分析。

背景

关于电子烟如何影响年轻人健康以及应制定哪些监管政策的争论仍在继续。通过定量研究适当地为辩论提供了依据，这些研究通常集中在普通人群和人口统计人群之间的起始，流行和产品转换。辩论中基本上没有驱动戒烟的因素和促使年轻用户退出的主观体验。这项定性研究突出了寻求治疗的年轻电子烟使用者群体中的激励经验范围。

方法

三名研究人员对参加短信停止计划的n = 1000名青年（13-17岁）和n = 1000名青年（18-24岁）的样本提供了退出原因的编码。数据跨度为2019年1月18日至2月22日。代码改编自以前的文献。

结果

最常见的原因是健康（50.9％；“我想让我的肺”），财务费用（21.7％；“我没有足够的钱养活我的瘾”），摆脱瘾（16.0％；“我讨厌”占据着我的生命”）和社会影响力（10.1％；“它正在影响我的友谊”）。选定的引言突出显示了使用电子烟对年轻人产生负面影响的多种其他方式，包括学习成绩下降和心理健康下降。

结论

年轻人尝试戒除电子烟的动机来自多种原因，包括健康，财务，社会和学术原因。在讨论旨在保护年轻人的政策时应考虑影响的范围，并将其纳入旨在服务于年轻人的戒烟计划中。