家庭中的孩子对成年电子烟吸烟者戒烟动机的影响。

Effect of household children on adult ED smokers' motivation to quit.

作者信息

Mills Angela M, Rhodes Karin V, Follansbee Christopher W, Shofer Frances S, Prusakowski Melanie, Bernstein Steven L

机构信息

Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104-4283, USA.

出版信息

Am J Emerg Med. 2008 Sep;26(7):757-62. doi: 10.1016/j.ajem.2007.10.024.

DOI:10.1016/j.ajem.2007.10.024

PMID:18774038

Abstract

OBJECTIVE

We hypothesized adult parenting smokers in the emergency department (ED) have a higher interest in quitting and may be more amenable to tobacco cessation counseling than smokers without children.

STUDY DESIGN

Cross-sectional survey study of adult smokers in 8 US academic EDs.

RESULTS

One thousand one hundred sixty-eight smokers enrolled, 441 (37.8%) with household children (total of 973 exposed children). Compared to smokers without household children, smokers with children were younger (mean age, 37.4 vs 42.8 years), more female (60.3% vs 40.3%), and nonwhite (57.5% vs 44.5%) (all P < .006). Groups did not differ in nicotine addiction (median Fagerstrom score, 4 vs 4; P = .31). Parenting smokers were more interested in quitting (mean Ladder of Contemplation score, 4.8 vs 5.1 [P = .02]), felt it more important to quit (median score, 9 vs 8 [P = .01]), and more confident to quit (7 vs 6 [P = .004]) than nonparenting smokers. Smoking inside the home was banned by 45% of smokers with children vs 30% without household children (P < .001).

CONCLUSIONS

Adult ED parenting smokers are interested in quitting and taking steps to limit their children's secondhand smoke exposure. Asking adult ED smokers about household children may enhance motivation to quit.

摘要

目的

我们假设在急诊科（ED）有孩子的成年吸烟父母比没有孩子的吸烟者有更高的戒烟意愿，并且可能更愿意接受戒烟咨询。

研究设计

对美国8家学术性急诊科的成年吸烟者进行横断面调查研究。

结果

共纳入1168名吸烟者，其中441名（37.8%）有同住子女（共有973名受影响儿童）。与没有同住子女的吸烟者相比，有孩子的吸烟者更年轻（平均年龄37.4岁对42.8岁），女性比例更高（60.3%对40.3%），非白人比例更高（57.5%对44.5%）（所有P<0.006）。两组在尼古丁成瘾方面无差异（Fagerstrom评分中位数均为4；P=0.31）。与没有孩子的吸烟者相比，有孩子的吸烟父母更有戒烟意愿（平均沉思阶梯评分为4.8对5.1[P=0.02]），认为戒烟更重要（评分中位数为9对8[P=0.01]），且对戒烟更有信心（7对6[P=0.004]）。45%有孩子的吸烟者禁止在家中吸烟，而没有同住子女的吸烟者这一比例为30%（P<0.001）。