[广州市工厂工人吸烟者自我报告健康状况及戒烟意愿的横断面研究]

[A cross-sectional study on self-reported health and intention of quitting smoking of smokers in Guangzhou factory workers].

作者信息

Zhang Wei-Sen, Jiang Chao-Qiang, Lam Tai-Hing, Kong Cong, Xiao Lv-Wu, Cheng Kar-Keung

机构信息

Guangzhou Occupational Diseases Prevention and Treatment Center, Guangzhou 510620, China.

出版信息

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2008 Dec;26(12):733-7.

PMID:19257933

Abstract

OBJECTIVE

To investigate the health status and intention of quitting smoking in factory workers, so as to provide scientific evidence for smoking control.

METHODS

A cross-sectional survey was carried out on smoking behavior, self-reported health status (SRHS), and intention of quitting smoking in 668 Guangzhou factory workers with different job types. Fagerstrom Test for Nicotine Dependence (FTND) was used on current smokers. Logistic regression model was used to analyze the association of SRHS, difficulty of quitting smoking (DQS) with some risk factors.

RESULTS

(1) 65.0% (n = 348) male and 3.0% (n = 4) female workers were ever-smokers. 90.6% of male smokers usually smoked when getting together with friends or smokers, staying at home, or at leisure time, or just after a meal. (2) 10.7% of the daily smokers and ex-smokers had a worse SRHS than the general same-age people, which is significantly higher than 5.1% of the occasional smokers and those who were never smoking. The OR was 2.22 (95% CI 1.08 approximately 4.59) after adjusting age and education. (3) Of male daily smokers, 50.5% ever thought of quitting smoking. The proportions of ever-thought of quitting smoking were 73.3%, 50.0% and 37.2% respectively in those with better, pretty the same and worse SRHS than the general same-age people (P = 0.009). The proportions of DQS self-scored 30 or less, 31 to 60 and 60 or more were 26.9%, 24.9% and 48.2% respectively in male daily smokers. The OR for DQS (self-scored > 30 vs < or =30) increased with increasing number of colleague smoked and worked around, and with nicotine dependence.

CONCLUSION

Daily smokers and former smokers have worse SRHS than those who are occasional smokers or never smokers in male workers, and most of those with worse SRHS who ever thought of quitting smoking. The DQS is mainly significantly associated with number of colleague smoking and working around, and with nicotine dependence.

摘要

目的

调查工厂工人的健康状况及戒烟意愿，为控烟提供科学依据。

方法

对668名不同工种的广州工厂工人的吸烟行为、自我报告健康状况（SRHS）及戒烟意愿进行横断面调查。对当前吸烟者采用尼古丁依赖的法格斯特龙测试（FTND）。采用逻辑回归模型分析SRHS、戒烟难度（DQS）与一些危险因素的关联。

结果

（1）65.0%（n = 348）的男性和3.0%（n = 4）的女性工人曾经吸烟。90.6%的男性吸烟者通常在与朋友或吸烟者相聚、在家、休闲时或饭后吸烟。（2）10.7%的每日吸烟者和既往吸烟者的SRHS比一般同龄人差，显著高于偶尔吸烟者和从不吸烟者的5.1%。调整年龄和教育程度后，比值比（OR）为2.22（95%可信区间1.08至4.59）。（3）男性每日吸烟者中，50.5%曾考虑过戒烟。SRHS比一般同龄人好、相当和差的人群中，曾考虑过戒烟的比例分别为73.3%、50.0%和37.2%（P = 0.009）。男性每日吸烟者中，DQS自评30分及以下、31至60分和60分及以上的比例分别为26.9%、24.9%和48.2%。DQS（自评>30分与≤30分）的OR随着周围吸烟同事数量的增加以及尼古丁依赖程度的增加而升高。