Klesges Robert C, DeBon Margaret, Vander Weg Mark W, Haddock C Keith, Lando Harry A, Relyea George E, Peterson Alan L, Talcott G Wayne
Department of Psychology, University of Memphis, Memphis, TN 38105, USA.
J Consult Clin Psychol. 2006 Apr;74(2):295-306. doi: 10.1037/0022-006X.74.2.295.
The authors evaluated the effect of a brief tailored smoking control intervention delivered during basic military training on tobacco use in a population of military personnel (N = 33,215). Participants were randomized to either a tobacco use intervention (smoking cessation, smokeless tobacco use cessation, or prevention depending on tobacco use history) or a health education control condition. Results indicated that smokers who received intervention were 1.16 (95% confidence interval [CI] = 1.04, 1.30) times (7-day point prevalence) and 1.23 (95% CI = 1.07, 1.41) times (continuous abstinence) more likely to be abstinent than controls from smoking cigarettes at the 1-year follow-up (p < .01); the cessation rate difference was 1.60% (31.09% vs. 29.49%) and 1.73% (15.47% vs. 13.74%) for point prevalence and continuous abstinence, respectively. Additionally, smokeless tobacco users were 1.33 (95% CI = 1.08, 1.63) times more likely than controls (p < .01) continuously abstinent at follow-up, an overall cessation rate difference of 5.44% (33.72% vs. 28.28%). The smoking prevention program had no impact on smoking initiation. These results suggest potential for large-scale tobacco control efforts.
作者评估了在基础军事训练期间提供的简短定制吸烟控制干预措施对一群军事人员（N = 33,215）烟草使用情况的影响。参与者被随机分配到烟草使用干预组（根据吸烟史进行戒烟、戒用无烟烟草或预防）或健康教育对照组。结果表明，在1年随访时，接受干预的吸烟者戒烟的可能性比对照组高1.16倍（95%置信区间[CI]=1.04, 1.30）（7天点患病率）和1.23倍（95% CI = 1.07, 1.41）（持续戒烟）（p <.01）；点患病率和持续戒烟的戒烟率差异分别为1.60%（31.09%对29.49%）和1.73%（15.47%对13.74%）。此外，无烟烟草使用者在随访时持续戒烟的可能性比对照组高1.33倍（95% CI = 1.08, 1.63）（p <.01），总体戒烟率差异为5.44%（33.72%对28.28%）。吸烟预防计划对开始吸烟没有影响。这些结果表明大规模烟草控制努力具有潜力。
