Sperber A D, Goren-Lerer M, Peleg A, Friger M
Unit of Health Promotion and Disease Prevention, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.
Isr Med Assoc J. 2000 May;2(5):356-60.
Smoking is the most important preventable cause of chronic disease in the western world. Many smokers want to quit, but have difficulty overcoming the addictive effect of nicotine.
To assess the quitting rate of smokers who participated in smoking cessation groups and to characterize predictors of success or failure over a 1-3 years follow-up period.
We studied 89 participants in 7 groups. Questionnaires were completed at baseline and after a follow-up period of 1 to 3 years. Smoking cessation was determined by self-report and a carbon monoxide breath test.
Of the 89 participants in the support groups 76 (85%) were located. An intention-to-treat analysis was done for these participants. At follow-up 25 (33%) were non-smokers. There was a 95% agreement rate between self-report of smoking status and CO breath analysis. There were no differences between quitters and non-quitters in education level, gender, age at initiation of smoking, previous quit attempts, extent of participation in group meetings, concern about gaining weight, Fagerstrom index, or the number of close friends or relatives who smoke. Belief in one's ability to quit, satisfaction with group meetings, and spouse support were significantly associated with success (P < 0.01).
The quit rate was 33%. Self-report is a reliable method for assessing smoking status. Smokers' belief in their ability to quit must be reinforced. Spouse participation in some group meetings may be beneficial, as may the involvement of a dietician and an expert on exercise. Follow-up "booster" meetings may also help.
在西方世界，吸烟是慢性疾病最重要的可预防病因。许多吸烟者想要戒烟，但难以克服尼古丁的成瘾作用。
评估参加戒烟小组的吸烟者的戒烟率，并确定在1至3年随访期内成功或失败的预测因素。
我们研究了7个小组中的89名参与者。在基线时以及1至3年的随访期后完成问卷调查。通过自我报告和一氧化碳呼气试验来确定是否戒烟。
在支持小组的89名参与者中，找到了76名（85%）。对这些参与者进行了意向性分析。随访时，25名（33%）为非吸烟者。吸烟状况的自我报告与一氧化碳呼气分析之间的一致率为95%。戒烟者和未戒烟者在教育水平、性别、开始吸烟时的年龄、以前的戒烟尝试、参加小组会议的程度、对体重增加的担忧、费格斯特罗姆指数，或吸烟的亲密朋友或亲戚的数量方面没有差异。相信自己有戒烟的能力、对小组会议的满意度以及配偶的支持与成功显著相关（P < 0.01）。
戒烟率为33%。自我报告是评估吸烟状况的可靠方法。必须增强吸烟者对自己戒烟能力的信念。配偶参加一些小组会议可能有益，营养师和运动专家的参与也可能如此。后续的“强化”会议也可能有帮助。
