| 程露,吉宁,徐建伟,贾艾楠,梁晓峰,吴静.中国农村地区现在吸烟者戒烟意愿及其影响因素研究[J].中华流行病学杂志,2022,43(12):1887-1892 |
| 中国农村地区现在吸烟者戒烟意愿及其影响因素研究 |
| Study on the willingness to quit smoking and its influencing factors among current smokers in rural areas in China |
| 收稿日期:2022-05-25 出版日期:2022-12-17 |
| DOI：10.3760/cma.j.cn112338-20220525-00460 |
| 中文关键词: 农村 吸烟 戒烟意愿 影响因素 |
| 英文关键词: Rural areas Smoking Willingness to quit smoking Influence factors |
| 基金项目:加强中国慢病综合防控计划中控烟政策有效实施项目（CHINA-29-09） |
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| 中文摘要: |
| 目的 了解中国农村地区现在吸烟者戒烟意愿，探索其影响因素，为控烟工作提供参考。方法 本研究数据来源于2018年中国慢性病及危险因素监测，采用多阶段分层整群抽样的方法抽取184 509名≥18岁居民，其中10 241名农村现在吸烟者纳入研究。采用χ2/F检验对戒烟意愿与人口学信息、烟草使用情况、烟草相关危害知识的认知、慢性病患病情况等因素进行单因素分析，多因素分析采用非条件多因素logistic回归分析。结果 3 453名（37.46%）考虑在未来12个月内戒烟。logistic回归分析显示，偶尔吸烟者的戒烟意愿高于每天吸烟者（OR=0.693，95%CI：0.494~0.971），每天吸烟量<1包者的戒烟意愿高于≥1包者（OR=0.628，95%CI：0.511~0.771），12个月内有戒烟经历者的戒烟意愿高于12个月内未戒过烟的现在吸烟者（OR=0.438，95%CI：0.357~0.537），烟草危害认知程度高者戒烟意愿更高（OR=1.056，95%CI：1.028~1.086），差异均有统计学意义（P<0.05）。结论 中国农村地区现在吸烟者戒烟意愿与吸烟状况、吸烟量、戒烟情况、烟草危害认知有关。建议加强对农村地区的健康教育宣传，提供简短的戒烟干预，提高农村现在吸烟者的戒烟意愿。 |
| 英文摘要: |
| Objective To study the willingness of current smokers to quit smoking in rural areas and related factors to provide a reference for tobacco control. Methods The data were collected from the China Chronic Disease and Risk Factor Surveillance in 2018. A multi-stage stratified cluster sampling was used to select 184 509 residents (≥18 years old); among the residents, 10 241 current smokers in rural areas were included in the study. χ2/F test was used to analyze the factors such as willingness to quit smoking and demographic information, tobacco use, cognition of tobacco-related hazard knowledge, the prevalence of chronic diseases, and other factors. Unconditional multifactor logistic regression analysis was used in multivariate analysis. Results A total of 3 453 (37.46%) considered quitting smoking in the next 12 months. Logistic regression analysis showed that occasional smokers were more willing to quit smoking than daily smokers (OR=0.693, 95%CI: 0.494-0.971), and those who smoked less than 1 pack per day were more willing to quit than those who smoked 1 pack or more per day (OR=0.628,95%CI: 0.511-0.771), those who had quit smoking within 12 months were more willing to quit than those who had not quit within 12 months (OR=0.438, 95%CI: 0.357-0.537), and those with high awareness of tobacco hazards were more willing to quit smoking (OR=1.056, 95%CI: 1.028-1.086). The differences were statistically significant (P<0.05). Conclusions The willingness of current smokers in rural areas to quit smoking is related to the smoking situation, smoking intensity, previous smoking cession experience, and knowledge of the specific health effects of smoking. It suggests that health education should be strengthened through more efficient health communication methods in rural areas and provide brief smoking cessation interventions to improve rural smokers' willingness to quit smoking. |
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