Aitken Campbell K, Fry Tim R L, Farrell Lisa, Pellegrini Breanna
Centre for Population Health, Macfarlane Burnet Institute for Medical Research and Public Health, PO Box 2284, Melbourne, Victoria 3004, Australia.
Nicotine Tob Res. 2009 Aug;11(8):996-1001. doi: 10.1093/ntr/ntp102. Epub 2009 Jun 18.
The aim of this study was to ascertain whether the health of past and current smokers of illicit tobacco (chop-chop) differs from that of smokers of licit tobacco.
The design was a telephone survey, stratified by state, using computer aided telephone interviewing, with households selected by random digit dialing from the telephone white pages. Setting was all Australian states and territories, 1,621 regular tobacco smokers aged 18+ years. Measures were social and personal characteristics of tobacco smokers, smoking histories and patterns, and health status (SF-8 and disability weights). Binary logistic regression was used to identify variables associated with current and lifetime chop-chop use.
Compared with licit-only tobacco smokers, current users of chop-chop had significantly greater odds of beginning smoking aged <16 years (odds ratio [OR] 1.65, 95% CI = 1.09-2.50), of reporting below-average social functioning (OR 1.61, 95% CI = 1.06-2.44), and of a measurable disability (OR 1.95, 95% CI = 1.08-3.51). Lifetime chop-chop users were relatively likely to be less than 45 years of age (OR 1.82, 95% CI = 1.38-2.39), report below-average mental health (OR 1.61, 95% CI = 1.22-2.13) and above-average bodily pain (OR 1.40, 95% CI = 1.06-1.85), smoke more than 120 cigarettes/week (OR 1.39, 95% CI = 1.06-1.83), and to have begun smoking aged <16 years (OR 1.33, 95% CI = 1.01-1.75).
Current and lifetime users of chop-chop report significantly worse health than smokers of licit tobacco. Investigation of how to communicate this finding to current and potential chop-chop smokers is warranted.
本研究的目的是确定过去和现在的非法烟草（“chop-chop”）吸烟者的健康状况是否与合法烟草吸烟者不同。
采用电话调查的设计，按州分层，使用计算机辅助电话访谈，通过从电话白页随机拨号选择家庭。研究对象为澳大利亚所有州和领地1621名年龄在18岁及以上的常规烟草吸烟者。测量指标包括吸烟者的社会和个人特征、吸烟史和模式以及健康状况（SF-8量表和残疾权重）。采用二元逻辑回归分析确定与当前和终生使用“chop-chop”相关的变量。
与仅吸食合法烟草的吸烟者相比，当前吸食“chop-chop”的人在16岁之前开始吸烟的几率显著更高（优势比[OR]为1.65，95%置信区间[CI]=1.09-2.50），报告社会功能低于平均水平的几率更高（OR为1.61，95%CI=1.06-2.44），以及有可测量残疾的几率更高（OR为1.95，95%CI=1.08-3.51）。终生吸食“chop-chop”的人相对更可能年龄小于45岁（OR为1.82，95%CI=1.38-2.39），报告心理健康低于平均水平（OR为1.61，95%CI=1.22-2.13）和身体疼痛高于平均水平（OR为1.40，95%CI=1.06-1.85），每周吸烟超过120支（OR为1.39，95%CI=1.06-1.83），并且在16岁之前开始吸烟（OR为1.33，95%CI=1.01-1.75）。
当前和终生吸食“chop-chop”的人报告的健康状况明显比合法烟草吸烟者差。有必要研究如何将这一发现传达给当前和潜在的“chop-chop”吸烟者。
