Donzé Jacques, Ruffieux Christiane, Cornuz Jacques
Age Ageing. 2007 Jan;36(1):53-7. doi: 10.1093/ageing/afl120.
although the benefits of quitting smoking even at an advanced age have been proved, few campaigns target the older population. The goals of this study were to analyse the characteristics of older women smokers help and support those wanting to quit.
we assessed the determinants of smoking cessation in a prospective cohort study performed in 7,609 older women. A questionnaire about smoking habits was sent to the 486 eligible smokers. Smoking dependence and smokers' readiness to quit was assessed. Participants who had quit smoking during follow-up were asked about their previous reasons for quitting and the methods used to quit.
372 women of the 424 (88%) responded to our questionnaire and were included. The most common reasons for smoking were relaxation, pleasure, and habit. Major obstacles to quitting smoking were 'no benefit to quitting at an advanced age', 'smoking few or "light" cigarettes yields no negative health consequences', and 'smoking does not increase osteoporotic risk'. During the 3-year follow-up period, 57 of the 372 (15%) women successfully quit smoking. Being an occasional smoker (OR=2.4) and reporting 'quitting is not difficult' (OR=3.7) were positively associated with having recently quit smoking. Only 11% of successful cessations were reported to have received physician advice.
these data illustrate the specific smoking behaviour of older women, suggesting that cessation interventions ought to be tailored to these characteristics. Willingness to quit was associated with a low education level. The most frequent obstacles to quitting were all based on incorrect information.
尽管已证明即使在高龄戒烟也有益处，但针对老年人群的戒烟活动却很少。本研究的目的是分析老年女性吸烟者的特征，并帮助和支持那些想要戒烟的人。
我们在一项对7609名老年女性进行的前瞻性队列研究中评估了戒烟的决定因素。向486名符合条件的吸烟者发送了一份关于吸烟习惯的问卷。评估了吸烟依赖性和吸烟者的戒烟意愿。询问了在随访期间戒烟的参与者以前的戒烟原因和使用的戒烟方法。
424名女性中有372名（88%）回复了我们的问卷并被纳入研究。吸烟的最常见原因是放松、愉悦和习惯。戒烟的主要障碍是“高龄戒烟没有益处”、“少量或‘轻度’吸烟不会对健康产生负面影响”以及“吸烟不会增加骨质疏松风险”。在3年的随访期内，372名女性中有57名（15%）成功戒烟。偶尔吸烟（比值比=2.4）和表示“戒烟不难”（比值比=3.7）与近期戒烟呈正相关。据报告，只有11%的成功戒烟者接受了医生的建议。
这些数据说明了老年女性的特定吸烟行为，表明戒烟干预措施应根据这些特征进行调整。戒烟意愿与低教育水平有关。最常见的戒烟障碍都基于错误信息。
