Agudo Antonio, Pera Guillem, Rodriguez Mauricio, Quiros J Ramon, Navarro Carmen, Martinez Carmen, Larrañaga Nerea, Fernandez Ana, Dorronsoro Miren, Chirlaque M Dolores, Berenguer Antonio, Barricarte Aurelio, Ardanaz Eva, Amiano Pilar, Tormo M Jose, Gonzalez Carlos A
Unit of Epidemiology, Catalan Institute of Oncology, L'Hospitalet de Llobregat, Barcelona, Spain.
Ann Epidemiol. 2004 Apr;14(4):235-43. doi: 10.1016/S1047-2797(03)00245-X.
We assessed changes in smoking behavior and its related factors among healthy adults from five regions in Spain.
The smoking status at recruitment and after 3 years was compared in 14,288 men and 23,983 women aged 35 to 64 years. The pattern of smoking and several lifestyle factors were investigated as potential predictors of subsequent changes in smoking habits.
Among current smokers at baseline the age-adjusted rates of cessation per 1000 person-years were 57.4 for men and 43.2 for women. Among former smokers at baseline the relapse rates were 37.6 and 48.8 per 1000 person-years for men and women, respectively. The initiation rate per 1000 person-years among men who had never smoked was 12.5 and 2.7 for women. Higher amount currently smoked and longer time since quitting were strong predictors of lower rates of cessation and relapse, respectively, while age was associated with lower initiation rates in women. Increased alcohol consumption was related to low cessation and high relapse and initiation rates, mainly among men, while more educated women had higher cessation and initiation rates.
The current pattern of changes in smoking behavior in Spanish populations aged 35 to 64 years results in rather small prevalence reduction. Additional efforts should be made to promote successful cessation and prevent initiation to reduce the tobacco burden in Spain.
我们评估了西班牙五个地区健康成年人吸烟行为及其相关因素的变化。
对14288名年龄在35至64岁的男性和23983名女性进行了招募时和3年后吸烟状况的比较。研究了吸烟模式和几种生活方式因素，作为吸烟习惯后续变化的潜在预测因素。
在基线时的当前吸烟者中，每1000人年的年龄调整戒烟率男性为57.4，女性为43.2。在基线时的既往吸烟者中，男性和女性每1000人年的复发率分别为37.6和48.8。从未吸烟的男性每1000人年的开始吸烟率为12.5，女性为2.7。当前吸烟量较高和戒烟时间较长分别是戒烟率较低和复发率较低的有力预测因素，而年龄与女性较低的开始吸烟率相关。饮酒量增加与低戒烟率、高复发率和开始吸烟率有关，主要在男性中，而受教育程度较高的女性有较高的戒烟率和开始吸烟率。
西班牙35至64岁人群目前的吸烟行为变化模式导致吸烟流行率降低幅度较小。应做出更多努力来促进成功戒烟并预防开始吸烟，以减轻西班牙的烟草负担。
