文章摘要
姜博,马爱娟,谢晨,隗瑛琦,方凯,董晶,谢瑾,祁琨,周滢,赵越,张索磊,董忠.北京市18~65岁居民戒烟意愿、吸烟危害认知及其对吸烟情况的影响[J].中华流行病学杂志,2020,41(7):1058-1062
北京市18~65岁居民戒烟意愿、吸烟危害认知及其对吸烟情况的影响
Study on intention of smoking concession, awareness of smoking hazards and impact on smoking status in residents aged 18-65 years in Beijing
收稿日期:2019-08-12  出版日期:2020-07-15
DOI:10.3760/cma.j.cn112338-20190812-00590
中文关键词: 吸烟;戒烟意愿;危害认知
英文关键词: Smoke;Intention of tobacco concession;Awareness of hazards
基金项目:
作者单位E-mail
姜博 北京市疾病预防控制中心/北京市预防医学研究中心 100020  
马爱娟 北京市疾病预防控制中心/北京市预防医学研究中心 100020  
谢晨 北京市疾病预防控制中心/北京市预防医学研究中心 100020  
隗瑛琦 北京市疾病预防控制中心/北京市预防医学研究中心 100020  
方凯 北京市疾病预防控制中心/北京市预防医学研究中心 100020  
董晶 北京市疾病预防控制中心/北京市预防医学研究中心 100020  
谢瑾 北京市疾病预防控制中心/北京市预防医学研究中心 100020  
祁琨 北京市疾病预防控制中心/北京市预防医学研究中心 100020  
周滢 北京市疾病预防控制中心/北京市预防医学研究中心 100020  
赵越 北京市疾病预防控制中心/北京市预防医学研究中心 100020  
张索磊 北京市疾病预防控制中心/北京市预防医学研究中心 100020  
董忠 北京市疾病预防控制中心/北京市预防医学研究中心 100020 dongzhbjcdcmb@yeah.net 
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中文摘要:
      目的 了解北京市18~65岁居民吸烟危害认知水平及戒烟意愿,对控烟工作及相关政策措施的制定完善实施提供科学依据。方法 数据来自2017年北京市成人慢性病及其危险因素监测,以多阶段分层整群的抽样方法在北京市16个区165个村/居抽取调查对象进行调查,采用logistic回归进行多因素分析。结果 11 594例有效样本中,49.93%不想戒烟,男性不想戒烟者比例为50.39%,女性为43.01%,差异有统计学意义(χ2=14.211,P=0.002),郊区为56.78%,城区为45.30%,差异有统计学意义(χ2=51.977,P<0.001)。吸烟者与戒烟者戒烟动机中,因所患疾病原因,戒烟者中比例(29.88%)高于吸烟者(11.50%),差异有统计学意义(χ2=85.865,P<0.001)。吸烟危害认知较好女性的比例(34.97%)高于男性(32.63%),差异有统计学意义(Z=5.612,P<0.001);郊区的比例(35.44%)高于城区(33.03%),差异有统计学意义(Z=-3.734,P<0.001);从不吸烟者的比例(35.15%)高于吸烟者(30.06%),差异有统计学意义(χ2=62.277,P=0.005)。多因素logistic回归结果显示,认知一般者(OR=0.61,95% CI:0.39~0.94)与认知较差者(OR=0.67,95% CI:0.50~0.90)不易产生戒烟行为,认知一般者(OR=0.64,95% CI:0.53~0.76)与认知较差者(OR=0.87,95% CI:0.78~0.98)更易产生吸烟行为。结论 北京市18~65岁吸烟者戒烟意愿较低,戒烟动机主要出于健康考虑,从不吸烟者吸烟危害认知优于吸烟者,吸烟危害认知是吸烟情况的影响因素。
英文摘要:
      Objective To understand the awareness of smoking hazards and intention of smoking concession in residents aged 18-65 years in Beijing, and provide scientific evidence for the development and improvement of tobacco control policies and measures. Methods Data were collected from the 2017 Beijing Non-communicable and Chronic Disease surveillance. A multi-stage stratified cluster sampling method was used to take samples from 165 communities in 16 districts of Beijing. Logistic regression was used to analyze the influencing factors. Results Among 11 594 participants, 49.93% had no intention of smoking concession. The percentage of refusing smoking concession was higher in men (50.39%) than in women (43.01%), the difference was significant (χ2=14.211, P=0.002), and higher in suburban residents (56.78%) than in urban residents (45.30%), the difference was significant (χ2=51.977, P<0.001). For the smoking cessation motivation, "illness" was the reason for more former smokers (29.88%) compared with current smokers (11.50%), the difference was significant (χ2=85.865, P<0.001). The awareness rates of smoking hazards was higher in women (34.97%) than in men (32.63%), the difference was significant (Z=5.612, P<0.001), higher in suburban residents (35.44%) than in urban residents (33.03%), the difference was significant (Z=-3.734, P<0.001), and higher in never smokers (35.15%) than in smokers (30.06%), the difference was significant (χ2=62.277, P=0.005). Multiple logistic regression analysis results showed people with general awareness (OR=0.61, 95%CI:0.39-0.94) and poor awareness (OR=0.67, 95%CI:0.50-0.90) of smoking hazards were less likely to quit smoking and people with general awareness (OR=0.64, 95%CI:0.53-0.76) and poor awareness (OR=0.87, 95%CI:0.78-0.98) of smoking hazards were more likely to smoke. Conclusions Smokers aged 18-65 in Beijing had low willingness for smoking cessation. Health problem was main consideration for smoking cessation. Never-smokers had better awareness of smoking hazards than smokers, and the awareness of smoking hazards was an influencing factor of smoking status.
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