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台湾健康专业人员的戒烟建议:资金政策和吸烟者社会经济地位的作用。

Quit smoking advice from health professionals in Taiwan: the role of funding policy and smoker socioeconomic status.

机构信息

National Taiwan Normal University, Taipei 10610, Taiwan.

出版信息

Tob Control. 2010 Feb;19(1):44-9. doi: 10.1136/tc.2009.031435. Epub 2009 Dec 3.

DOI:10.1136/tc.2009.031435
PMID:19965797
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2921261/
Abstract

OBJECTIVES

In 2002, Taiwan launched a program to encourage doctors to provide brief cessation counselling to their patients during routine outpatient visits. This study is to compare and analyse the annual prevalence rate of receiving advice to quit smoking from health professionals before (2004) and after (2005, 2006) the increase in funding and the withdrawal of additional funding (2007).

METHODS

We analysed pooled data from 2004 to 2007 Taiwan Adult Tobacco Survey, an annual random digit dialling telephone survey, to estimate the prevalence of receiving quit advice among ever smokers across these years. Smoking characteristics and the socioeconomic factors of smokers associated with receipt of advice to quit smoking were also examined.

RESULTS

The prevalence rate of receiving quit advice increased from 21.1% in 2004 to 28.2% in 2006, and then decreased slightly to 27.6% in 2007 after the funds were cut. Multivariate analyses results indicated that increasing financing for smoking cessation services in 2005, being male, older, a daily cigarette user, having previously attempted to quit, perceiving oneself as having poor health and being aware of the benefits of smoking cessation services were significantly positively associated with receiving quit advice from health professionals. In contrast, smokers who were younger, female and occasional cigarette users were less likely to receive quit advice. Also, smokers with socioeconomic disadvantages were not less likely to receive quit advice.

CONCLUSIONS

During the period of increased funding for smoking cessation services, the rates of receiving quit advice increased among all smokers and across different socioeconomic groups.

摘要

目的

2002 年,台湾启动了一项计划,鼓励医生在常规门诊就诊期间向患者提供简短的戒烟咨询。本研究旨在比较和分析在增加资金(2005 年、2006 年)和撤回额外资金(2007 年)前后,健康专业人员提供戒烟建议的年度患病率。

方法

我们分析了 2004 年至 2007 年台湾成人烟草调查的数据,这是一项年度随机数字拨号电话调查,以估计这些年份中所有曾吸烟者接受戒烟建议的比例。还检查了吸烟特征和与接受戒烟建议相关的吸烟者的社会经济因素。

结果

接受戒烟建议的比例从 2004 年的 21.1%上升到 2006 年的 28.2%,随后在资金削减后略有下降至 2007 年的 27.6%。多变量分析结果表明,2005 年增加戒烟服务资金、男性、年龄较大、每天吸烟、曾尝试戒烟、认为自己健康状况不佳和意识到戒烟服务的益处与接受健康专业人员戒烟建议显著正相关。相比之下,年龄较小、女性和偶尔吸烟者不太可能接受戒烟建议。此外,社会经济地位较低的吸烟者也不太可能接受戒烟建议。

结论

在戒烟服务资金增加期间,所有吸烟者和不同社会经济群体接受戒烟建议的比例都有所增加。

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