| 杨胜慧,王刚,陈晨.天津市15~69岁居民烟草依赖水平及其影响因素分析[J].中华流行病学杂志,2023,44(6):931-936 |
| 天津市15~69岁居民烟草依赖水平及其影响因素分析 |
| Analysis of tobacco dependence level and its influencing factors on Tianjin residents |
| 收稿日期:2022-09-14 出版日期:2023-06-16 |
| DOI：10.3760/cma.j.cn112338-20220914-00779 |
| 中文关键词: 烟草依赖 调查 影响因素 |
| 英文关键词: Tobacco dependence Investigation Influence factor |
| 基金项目: |
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| 中文摘要: |
| 目的 了解天津市15~69岁人群的烟草依赖流行情况及其影响因素，为制定有针对性的控烟干预政策及开展科学的戒烟干预服务提供依据。方法 采用2018年天津市居民健康素养监测调查数据，采用概率比例规模抽样，使用SPSS 26.0软件进行数据清洗及统计学分析，采用χ2检验、二元logistic回归进行影响因素分析。结果 本研究共纳入15~69岁的研究对象14 641名，经标化后，吸烟率为25.5%，其中男性吸烟率为45.5%，女性吸烟率为5.2%。15~69岁人群中，烟草依赖患病率为10.7%；现在吸烟者中，烟草依赖的患病率为40.1%，其中男女性烟草依赖患病率分别为40.0%和40.6%。经多因素logistic回归分析，居住在农村、小学及以下文化程度、每天吸烟、吸第一支烟时年龄≤15岁、每日吸烟量≥21支、吸烟包年>20，自报身体健康状况差的人群患烟草依赖的可能性更大（均P<0.05）；年龄及烟龄对患有烟草依赖的可能性无影响（均P>0.05）。现在吸烟者中，是否患有烟草依赖戒烟意愿差异无统计学意义（P>0.05），烟草依赖患病者有过尝试戒烟且失败经历的比例更高（P<0.001）。结论 天津市15~69岁的现在吸烟者中烟草依赖的患病率较高，戒烟需求较大，应针对重点人群开展戒烟宣传，并不断推进天津市的戒烟干预工作。 |
| 英文摘要: |
| Objective To understand the prevalence and influencing factors of tobacco dependence among the population aged 15-69 in Tianjin to provide the basis for formulating targeted smoking control intervention policies and carrying out scientific smoking cessation intervention services. Methods The data of this study comes from the 2018 Tianjin residents' health literacy monitoring survey. Probability-proportional-to-size sampling is adopted for sampling. SPSS 26.0 software was used for data cleaning and statistical analysis, and χ2test and binary logistic regression were used to analyze the influencing factors. Results A total of 14 641 subjects aged 15-69 were included in this study. After standardized, with a smoking rate of 25.5%, including 45.5% for men and 5.2% for women. Among the population aged 15-69, the prevalence of tobacco dependence was 10.7%; among current smokers, the prevalence rate of tobacco dependence is 40.1%, of which the prevalence rate of male tobacco dependence is 40.0%, and the prevalence rate of female tobacco dependence is 40.6%. According to multivariate logistic regression analysis, people who live in rural areas, have an education level of primary school or below, smoke every day, smoke the first cigarette ≤15 years old, smoke ≥21 cigarettes per day, and smoke for more than 20 packet years, people who report poor physical health are more likely to suffer from tobacco dependence (all P<0.05); age and smoking age did not affect the possibility of tobacco dependence (all P>0.05). Among current smokers, there was no significant difference in their willingness to quit smoking whether they had tobacco dependence (P>0.05). The proportion of people with tobacco dependence who have tried to quit smoking and failed is higher (P<0.001). Conclusions The prevalence of tobacco dependence among smokers aged 15-69 in Tianjin is high, and the demand for quitting smoking is great. Therefore, smoking cessation publicity should be carried out for key groups, and smoking cessation intervention work in Tianjin should be continuously promoted. |
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