Department of Health Education and Behavioral Sciences, Jimma University, Jimma, Ethiopia.
BMC Public Health. 2010 Jun 8;10:320. doi: 10.1186/1471-2458-10-320.
Cessation of smoking reduces morbidity and mortality related to tobacco smoking. It is essential to explore the intention of individuals to quit smoking to design effective interventions. The objective of this study was to assess cigarette smokers' intention to quit smoking in Dire Dawa town using the Transtheoretical model.
From February 15 to 19, 2009, we conducted a community based cross-sectional study among 384 current cigarette smokers in Dire Dawa town east Ethiopia. Data was collected by trained personnel using a pretested structured questionnaire. The data was analyzed using SPSS version 16.0.
Two hundred and nineteen (57%) smokers in the study area had the intention to quit cigarette smoking within the next six months and all the process of change had an increasing trend across the stages. Based on the Fragestrom test of nicotine dependence of cigarette, 35 (9.1%), 69 (18%) and 48(12.5%) were very high, high and medium dependent on nicotine respectively. For the majority 247(64.3%) of the respondents, the mean score of cons of smoking outweighs the pros score (negative decisional balance). Only 66(17.2%) had high self efficacy not to smoke in places and situations that can aggravate smoking.
Majority of the smokers had the intention to quit smoking. All the process of change had an increasing trend across the stages. Those who had no intention to quit smoking had high level of dependence on nicotine and low self efficacy. The pros of smoking were decreasing while the cons were increasing across the stages. Stage based interventions should be done to move the smokers from their current stage to an advanced stages of quitting cigarette smoking.
戒烟可降低与吸烟相关的发病率和死亡率。探索个人戒烟意愿对于设计有效的干预措施至关重要。本研究旨在使用跨理论模型评估迪雷达瓦镇吸烟者的戒烟意愿。
2009 年 2 月 15 日至 19 日，我们在埃塞俄比亚东迪雷达瓦镇进行了一项基于社区的横断面研究，共纳入 384 名当前吸烟者。数据由经过培训的人员使用预先测试的结构化问卷收集。使用 SPSS 版本 16.0 对数据进行分析。
研究地区有 219 名（57%）吸烟者计划在未来六个月内戒烟，所有变化阶段都呈上升趋势。根据 Fragestrom 对香烟尼古丁依赖的测试，35 名（9.1%）、69 名（18%）和 48 名（12.5%）对尼古丁的依赖性分别很高、高和中等。对于大多数 247 名（64.3%）受访者，吸烟弊大于利的平均得分（负面决策平衡）。只有 66 名（17.2%）的受访者具有不在可能加重吸烟的场所和情况下不吸烟的高自我效能感。
大多数吸烟者有戒烟意愿。所有变化阶段都呈上升趋势。那些没有戒烟意愿的人对尼古丁的依赖程度较高，自我效能感较低。随着阶段的推移，吸烟的好处在减少，而弊端在增加。应根据阶段进行干预，将吸烟者从当前阶段转移到戒烟的更高级阶段。
