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帮助处于早期动机阶段的吸烟者戒烟是有可能的。Inter99研究。

It is possible to help smokers in early motivational stages to quit. The Inter99 study.

作者信息

Pisinger Charlotta, Vestbo Jørgen, Borch-Johnsen Knut, Jørgensen Torben

机构信息

Research Centre for Prevention and Health, Glostrup University Hospital, DK-2600 Glostrup, Denmark.

出版信息

Prev Med. 2005 Mar;40(3):278-84. doi: 10.1016/j.ypmed.2004.06.011.

DOI:10.1016/j.ypmed.2004.06.011
PMID:15533540
Abstract

BACKGROUND

In a population-based sample of smokers in early motivational stages, we found a high acceptance of smoking cessation groups.

METHODS

Inter99 is a randomized population-based intervention study, in Copenhagen, Denmark. Smokers in all motivational stages were included. All participants underwent a lifestyle consultation and 2,168 smokers in the high intensity intervention group were offered assistance to quit in smoking cessation groups.

RESULTS

Thirty-five percent were validated to be continuously abstinent at the end of the smoking cessation groups. Eighty-four percent of the smokers achieving sustained abstinence in our study had no serious plans to quit soon before the lifestyle consultation. Motivation to quit before the lifestyle consultation could not predict abstinence. Being a man, and having a job and at least 1 year of vocational training were predictors of abstinence in a multivariate model, whereas high nicotine dependence and living with a smoking spouse were predictors of failure.

CONCLUSION

High cessation rates were obtained in a population of heavy smokers with moderate nicotine dependence. It was possible to obtain sustained abstinence in smokers in early motivational stages. These smokers would probably not have been reached by traditional smoking campaigns.

摘要

背景

在一个基于人群的处于早期动机阶段的吸烟者样本中,我们发现对戒烟小组的接受度很高。

方法

Inter99是在丹麦哥本哈根进行的一项基于人群的随机干预研究。纳入了所有动机阶段的吸烟者。所有参与者都接受了生活方式咨询,高强度干预组的2168名吸烟者在戒烟小组中获得了戒烟帮助。

结果

在戒烟小组结束时,35%的人被证实持续戒烟。在我们的研究中,实现持续戒烟的吸烟者中,84%在生活方式咨询前没有很快戒烟的认真计划。生活方式咨询前的戒烟动机无法预测戒烟情况。在多变量模型中,男性、有工作且至少接受过1年职业培训是戒烟的预测因素,而高尼古丁依赖和与吸烟配偶一起生活是戒烟失败的预测因素。

结论

在中度尼古丁依赖的重度吸烟者群体中获得了较高的戒烟率。在处于早期动机阶段的吸烟者中有可能实现持续戒烟。传统的吸烟宣传活动可能无法触及这些吸烟者。

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