Jhun Hyung-Joon, Seo Hong-Gwan
Department of Occupational and Environmental Medicine, Hangang Sacred Heart Hospital, Hallym University, Seoul, Korea.
J Korean Med Sci. 2006 Oct;21(5):843-8. doi: 10.3346/jkms.2006.21.5.843.
This study reports the stages of change in smoking cessation in a representative sample of Korean adult smokers. The study subjects, all adult smokers (n=2,422), were recruited from the second Korea National Health and Nutrition Examination Survey conducted in 2001. The stages of change were categorized using demographic (age and sex), socioeconomic (education, residence, and household income), and smoking characteristics (age at smoking onset, duration of smoking, and number of cigarettes smoked per day). Age-stratified analyses of the association of socioeconomic and smoking characteristics with the stages of change in male and female smokers were also conducted. According to the stages of change, the study population consisted of 37.6% (95% CI, 35.7-39.5) pre-contemplation, 56.0% (54.0-58.0) contemplation, and 6.4% (5.4-7.4) preparation. The associations between the characteristics of the smokers and the stages of change were all statistically significant. The age-stratified analyses showed that all the socioeconomic and smoking characteristics were significantly associated with the stages in males, while education and residence had significant associations in females. This study revealed that a relatively small number of Korean smokers were prepared to quit and the stage distribution might be influenced by demographic, socioeconomic, and smoking characteristics.
本研究报告了韩国成年吸烟者代表性样本中戒烟的变化阶段。研究对象为所有成年吸烟者(n = 2422),从2001年进行的第二次韩国国家健康与营养检查调查中招募。使用人口统计学特征(年龄和性别)、社会经济特征(教育程度、居住地区和家庭收入)以及吸烟特征(开始吸烟年龄、吸烟时长和每日吸烟量)对变化阶段进行分类。还对男性和女性吸烟者的社会经济特征及吸烟特征与变化阶段之间的关联进行了年龄分层分析。根据变化阶段,研究人群包括37.6%(95%可信区间,35.7 - 39.5)的未考虑戒烟阶段、56.0%(54.0 - 58.0)的考虑戒烟阶段和6.4%(5.4 - 7.4)的准备戒烟阶段。吸烟者特征与变化阶段之间的关联均具有统计学意义。年龄分层分析表明,所有社会经济和吸烟特征在男性中均与阶段显著相关,而在女性中教育程度和居住地区与阶段有显著关联。本研究表明,准备戒烟的韩国吸烟者数量相对较少,且阶段分布可能受人口统计学、社会经济和吸烟特征的影响。