School of Nursing, The University of Hong Kong, Pokfulam, Hong Kong.
Health Soc Care Community. 2011 Mar;19(2):207-16. doi: 10.1111/j.1365-2524.2010.00970.x. Epub 2010 Dec 5.
Volunteers and staff of women's organisations who are highly active in engaging and providing community service can be recruited to motivate female smokers to quit. We described the knowledge and attitudes regarding tobacco control and smoking cessation among these affiliates in Hong Kong and identified factors associated with the practices of cessation interventions. Eight of 14 women's organisations joining the Women Against Tobacco Taskforce agreed to participate. All staff, volunteers, and members of the eight organisations were invited to complete a self-administered anonymous questionnaire during July and August 2006. A total of 623 out of 771 (80.8%) affiliates responded. Their knowledge on smoking and health (mean = 3.91, SD = 1.44 on a range of 0-7), smoking related diseases (mean = 2.91, SD = 0.97 on a range of 0-4), and women-specific diseases (mean = 2.93, SD = 1.87 on a range of 0-6), was considered to be inadequate. They had positive attitudes towards tobacco control (mean = 3.31, SD = 0.55) and their own role in smoking cessation counselling (mean = 3.19, SD = 0.56) on a 4-point Likert scale and 39.3% reported had attempted to offer quitting advice. Logistic regression analysis found that participants having direct contact with smokers who had a positive attitude towards their own role in smoking cessation counselling (OR = 2.57; 95% CI = 1.67-3.95) and better knowledge of smoking and smoking-related diseases (OR = 1.35; 95% CI = 1.06-1.71) were more likely to provide cessation counselling after controlling for gender; knowledge on smoking and health, and women-specific diseases; attitude towards tobacco control, negative and positive attitudes towards female smokers, and perceived self-efficacy in smoking cessation counselling. Women's organisations showed limited support towards tobacco control and their affiliates had a limited knowledge on smoking and health but had positive attitudes. Appropriate training, capacity building and establishing rapport with women's organisations are needed to promote smoking cessation and to support tobacco control in the community.
志愿者和妇女组织的工作人员,如果积极参与并提供社区服务,可以招募他们来激励女性吸烟者戒烟。我们描述了这些在香港的附属机构在烟草控制和戒烟方面的知识和态度,并确定了与戒烟干预实践相关的因素。参加妇女反烟草特别工作组的 14 个妇女组织中有 8 个同意参与。所有工作人员、志愿者和这 8 个组织的成员都被邀请在 2006 年 7 月和 8 月期间填写一份自我管理的匿名问卷。共有 771 名附属机构中的 623 名(80.8%)做出回应。他们对吸烟与健康(范围为 0-7,平均值=3.91,标准差=1.44)、与吸烟相关的疾病(范围为 0-4,平均值=2.91,标准差=0.97)和女性特有的疾病(范围为 0-6,平均值=2.93,标准差=1.87)的了解被认为不足。他们对烟草控制持积极态度(平均值=3.31,标准差=0.55),对自己在戒烟咨询中的角色也持积极态度(平均值=3.19,标准差=0.56),在 4 分制的 Likert 量表上,39.3%的人表示曾试图提供戒烟建议。逻辑回归分析发现,与吸烟者有直接接触、对自己在戒烟咨询中的角色持积极态度的参与者(OR=2.57;95%CI=1.67-3.95),以及对吸烟和吸烟相关疾病有更好了解的参与者(OR=1.35;95%CI=1.06-1.71),在控制了性别、对吸烟和健康的了解、女性特有的疾病、对烟草控制的态度、对女性吸烟者的消极和积极态度以及戒烟咨询中的自我效能感后,更有可能提供戒烟咨询。妇女组织对烟草控制的支持有限,其附属机构对吸烟和健康的了解有限,但态度积极。需要对他们进行适当的培训、能力建设,并与妇女组织建立联系,以促进戒烟和支持社区内的烟草控制。