Zimmermann Esther, Ekholm Ola, Juel Knud, Curtis Tine
Statens Institut for Folkesundhed, København K.
Ugeskr Laeger. 2006 Oct 16;168(42):3615-8.
Smoking is the largest modifiable risk factor for early death in Denmark, and reduction of the number of smokers is a high-priority health goal. The aim of this study was to investigate the importance of tobacco consumption and social position on smoking cessation in a representative sample of the Danish population. This had not previously been done in Denmark.
The data were derived from the Danish Health and Morbidity Surveys of 1994 and 2000. The study population consisted of persons between 25 and 64 years of age who smoked in 1994 and who were re-interviewed in 2000. A total of 1,056 smokers participated, of whom 180 were no longer smoking in 2000. The data were analysed using logistic regression analysis.
Smoking cessation was achieved more frequently by light smokers than by heavy smokers (OR 1.74; CI 1.24-2.43). The odds of smoking cessation increased with the number of years of education, for example smokers with at least 15 years of education were more likely to quit smoking than those with 10 or fewer years of education (OR 3.48; CI 2.07-5.87).
As expected, the amount of tobacco consumption influenced smoking cessation, since consumption is associated with nicotine dependence, which makes quitting difficult. The significance of education on smoking cessation may reflect the degree of knowledge of harmful effects of smoking. Further, people with less education more often work in environments where smoking is accepted. Our results may be useful in future smoking cessation interventions.
在丹麦，吸烟是导致过早死亡的最大可改变风险因素，减少吸烟者数量是一项高度优先的健康目标。本研究的目的是在丹麦人口的代表性样本中，调查烟草消费量和社会地位对戒烟的重要性。此前丹麦尚未开展过此类研究。
数据来源于1994年和2000年的丹麦健康与发病率调查。研究人群包括1994年吸烟且在2000年接受再次访谈的25至64岁人群。共有1056名吸烟者参与，其中180人在2000年已不再吸烟。数据采用逻辑回归分析进行分析。
轻度吸烟者比重度吸烟者更频繁地实现戒烟（比值比1.74；可信区间1.24 - 2.43）。戒烟的几率随着受教育年限的增加而增加，例如，接受至少15年教育的吸烟者比接受10年或更少教育的吸烟者更有可能戒烟（比值比3.48；可信区间2.07 - 5.87）。
正如预期的那样，烟草消费量影响戒烟，因为消费量与尼古丁依赖相关，这使得戒烟困难。教育对戒烟的重要性可能反映了对吸烟有害影响的了解程度。此外，受教育程度较低的人更多地在吸烟被接受的环境中工作。我们的结果可能对未来的戒烟干预措施有用。
