Sepinwall Deborah, Borrelli Belinda
Weight Control and Diabetes Research Center, Brown Medical School and The Miriam Hospital, 196 Richmond St., Providence, RI 02903, USA.
Addict Behav. 2004 Dec;29(9):1809-19. doi: 10.1016/j.addbeh.2004.04.002.
Concern about postcessation weight gain has been shown to be a barrier to quitting for healthy smokers, but no study has examined these concerns among medically ill smokers. We examined whether medically ill smokers (N=271; 54% female, mean age=57 years) receiving nurse-delivered home health care report postcessation weight concern as a barrier to quitting smoking. Higher levels of weight concern were associated with younger age, longer duration of home care service, greater motivation to quit smoking, lower self-efficacy to quit smoking, more favorable views of smoking, and lower levels of social support; collectively accounting for over 20% of the variance. Increased illness severity was also associated with higher postcessation weight concern. Heavier smokers had higher levels of weight concerns at all follow-ups. Weight concerns did not prospectively predict smoking status, but quitters had higher subsequent levels of weight concerns than continued smokers. These results suggest that, even in the context of poor health and limited physical functioning, smokers are concerned about weight gain after quitting.
对戒烟后体重增加的担忧已被证明是健康吸烟者戒烟的一个障碍，但尚无研究在患有疾病的吸烟者中考察这些担忧。我们调查了接受护士上门提供家庭医疗护理的患病吸烟者（N = 271；54%为女性，平均年龄 = 57岁）是否将戒烟后对体重的担忧视为戒烟的障碍。更高程度的体重担忧与年龄较小、家庭护理服务时间较长、更强的戒烟动机、较低的戒烟自我效能感、对吸烟更有利的看法以及较低水平的社会支持相关；这些因素共同解释了超过20%的方差。疾病严重程度增加也与更高的戒烟后体重担忧相关。在所有随访中，吸烟量较大者有更高程度的体重担忧。体重担忧并不能前瞻性地预测吸烟状态，但戒烟者随后的体重担忧水平高于继续吸烟者。这些结果表明，即使在健康状况不佳和身体功能受限的情况下，吸烟者仍担心戒烟后体重增加。
