Schiller Jeannine S, Ni Hanyu
Division of Health Interview Statistics, National Center for Health Statistics, Centers for Disease Control and Prevention, 3311 Toledo Road, Room 2334, Hyattsville, MD 20782, USA.
Am J Health Promot. 2006 May-Jun;20(5):319-23. doi: 10.4278/0890-1171-20.5.319.
To identify factors predictive of smoking cessation among adults with chronic obstructive pulmonary disease (COPD). Data from the 1997 to 2002 National Health Interview Surveys were analyzed for adults at least 25 years of age with COPD using logistic regression.
Of the adults with COPD, 36.2% were current smokers. Of the current smokers and former smokers who had quit smoking during the past year, 22.9% reported not receiving cessation advice from a health care professional during the past year Although half of smokers with COPD had attempted to quit during the past year, only 14.6% were successful. Attempting to quit was negatively associated with heavy drinking but positively associated with being younger and having cardiovascular diseases, lung cancer, and activity limitation due to lung problems. Factors predictive of successful cessation included being at least 65 years old, not being poor, and activity limitation due to lung problems.
This study underscores the importance of continuing to develop smoking cessation strategies for COPD patients and implementing clinical guidelines on smoking cessation among health care providers.
确定慢性阻塞性肺疾病（COPD）成人患者戒烟的预测因素。使用逻辑回归分析了1997年至2002年全国健康访谈调查中至少25岁的COPD成人患者的数据。
在患有COPD的成年人中，36.2%为当前吸烟者。在过去一年中戒烟的当前吸烟者和既往吸烟者中，22.9%报告在过去一年中未接受医疗保健专业人员的戒烟建议。尽管一半患有COPD的吸烟者在过去一年中曾尝试戒烟，但只有14.6%成功戒烟。尝试戒烟与大量饮酒呈负相关，但与年龄较轻、患有心血管疾病、肺癌以及因肺部问题导致活动受限呈正相关。成功戒烟的预测因素包括年龄至少65岁、非贫困以及因肺部问题导致活动受限。
本研究强调了继续为COPD患者制定戒烟策略以及在医疗保健提供者中实施戒烟临床指南的重要性。
