Queensland Aboriginal and Islander Health Council, Queensland Aboriginal and Islander Health Population Health Hub, Townsville, QLD, Australia.
Med J Aust. 2009 Nov 16;191(10):554-7. doi: 10.5694/j.1326-5377.2009.tb03309.x.
To examine patterns of nicotine dependence, the value of the Fagerström Test for Nicotine Dependence (FTND) and its correlation with self-reported tobacco use and urinary cotinine concentrations among pregnant Indigenous women in Townsville.
DESIGN, PARTICIPANTS AND SETTING: Cross-sectional study of 201 consecutive women who self-reported tobacco use at their first antenatal visit to Townsville Aboriginal and Islander Health Service (TAIHS) between 1 November 2005 and 31 October 2007. All smokers were to be assessed by FTND, and 108 women participating in the Tilly's Tracks project (a randomised trial of an intervention to reduce smoking in pregnant Aboriginal and Torres Strait Islander women) were to have a comprehensive smoking history taken and urinary cotinine samples collected.
Self-reported smoking status, FTND scores and urinary cotinine concentrations.
Of 302 Indigenous women presenting to TAIHS, 201 (66.6%) identified as current tobacco users at their first antenatal visit; this proportion rose to 79.6% in women aged<20 years. An FTND was completed for 152 women (75.6%), with a median score of 4, and 40.1% scoring 3 or less, indicating low levels of nicotine dependence. There were significant correlations between the FTND and number of cigarettes smoked (r=0.56; P<0.001) and urinary cotinine concentrations (r=0.25; P=0.030). Of those who provided comprehensive smoking histories, the median age of starting smoking was 15 years, with a median of two previous quit attempts; 71.4% reported partners who smoked and 27.3% reported smoking occurred inside the house.
The use of the FTND in Indigenous pregnant women may assess physical nicotine dependence, thus providing information that will help in preparing quit-smoking plans, including tailoring of pharmacological support to individual need. Quit-smoking programs that better address the behavioural and psychological aspects of smoking within the Indigenous community in Australia are needed.
探讨尼古丁依赖模式、尼古丁依赖检测量表（FTND）的价值及其与汤斯维尔地区土著孕妇自我报告的烟草使用情况和尿可替宁浓度的相关性。
设计、参与者和环境：2005 年 11 月 1 日至 2007 年 10 月 31 日期间，连续对 201 名在汤斯维尔土著和岛民健康服务中心（TAIHS）首次产前就诊时自我报告吸烟的土著孕妇进行横断面研究。所有吸烟者都要进行 FTND 评估，参加“蒂莉足迹项目”（一项针对减少土著和托雷斯海峡岛民孕妇吸烟的干预措施的随机试验）的 108 名妇女要接受全面的吸烟史评估和尿可替宁样本采集。
自我报告的吸烟状况、FTND 评分和尿可替宁浓度。
在 302 名就诊于 TAIHS 的土著女性中，有 201 名（66.6%）在首次产前就诊时被确认为当前烟草使用者；在年龄<20 岁的女性中，这一比例上升至 79.6%。152 名女性（75.6%）完成了 FTND 评估，中位数评分为 4 分，40.1%的评分在 3 分或以下，表明尼古丁依赖程度较低。FTND 与吸烟量（r=0.56；P<0.001）和尿可替宁浓度（r=0.25；P=0.030）之间存在显著相关性。在提供全面吸烟史的人群中，开始吸烟的中位年龄为 15 岁，中位既往戒烟尝试次数为 2 次；71.4%的人报告其伴侣吸烟，27.3%的人报告吸烟发生在室内。
在土著孕妇中使用 FTND 可能评估其生理尼古丁依赖程度，从而提供有助于制定戒烟计划的信息，包括根据个人需求调整药物支持。需要在澳大利亚土著社区开展更好地解决吸烟行为和心理方面问题的戒烟项目。
