Institute of Social and Preventive Medicine (IUMSP), Centre Hospitalier Universitaire Vaudois and University of Lausanne, Bugnon 17, 1005 Lausanne, Switzerland.
BMC Public Health. 2011 Apr 13;11:227. doi: 10.1186/1471-2458-11-227.
Recent data indicate a slight decrease in the prevalence of smoking in Switzerland, but little is known regarding the intention and difficulty to quit smoking among current smokers. Hence, we aimed to quantify the difficulty and intention to quit smoking among current smokers in Switzerland.
Cross-sectional study including 607 female and 658 male smokers. Difficulty, intention and motivation to quit smoking were assessed by questionnaire.
90% of women and 85% of men reported being "very difficult" or "difficult" to quit smoking. Almost three quarters of smokers (73% of women and 71% of men) intended to quit; however, less than 20% of them were in the preparation stage and 40% were in the precontemplation stage. On multivariate analysis, difficulty to quit was lower among men (Odds ratio and 95% [confidence interval]: 0.51 [0.35-0.74]) and increased with nicotine dependence and number of previous quitting attempts (OR=3.14 [1.75-5.63] for 6+ attempts compared to none). Intention to quit decreased with increasing age (OR=0.48 [0.30-0.75] for ≥65 years compared to <45 years) and increased with nicotine dependence, the number of previous quitting attempts (OR=4.35 [2.76-6.83] for 6+ attempts compared to none) and among non-cigarette smokers (OR=0.51 [0.28-0.92]). Motivation to quit was inversely associated with nicotine dependence and positively associated with the number of previous quitting attempts and personal history of lung disease.
Over two thirds of Swiss smokers want to quit. However, only a small fraction wishes to do so in the short term. Nicotine dependence, previous attempts to quit or previous history of lung disease are independently associated with difficulty and intention to quit.
最近的数据表明，瑞士的吸烟率略有下降，但对于当前吸烟者戒烟的意愿和难度知之甚少。因此，我们旨在量化瑞士当前吸烟者戒烟的难度和意愿。
横断面研究包括 607 名女性和 658 名男性吸烟者。通过问卷评估戒烟的难度、意愿和动机。
90%的女性和 85%的男性报告说戒烟“非常困难”或“困难”。近四分之三的吸烟者（女性中 73%，男性中 71%）有戒烟意愿；然而，只有不到 20%的人处于准备阶段，40%的人处于前沉思阶段。多变量分析显示，男性戒烟难度较低（优势比和 95%置信区间：0.51 [0.35-0.74]），且与尼古丁依赖程度和戒烟尝试次数呈正相关（与无戒烟尝试相比，尝试 6 次及以上的吸烟者，OR=3.14 [1.75-5.63]）。戒烟意愿随年龄增长而降低（与年龄<45 岁相比，年龄≥65 岁的吸烟者，OR=0.48 [0.30-0.75]），与尼古丁依赖程度、戒烟尝试次数（与无戒烟尝试相比，尝试 6 次及以上的吸烟者，OR=4.35 [2.76-6.83]）和非吸烟者（与吸烟者相比，OR=0.51 [0.28-0.92]）呈正相关。戒烟动机与尼古丁依赖呈负相关，与戒烟尝试次数和个人肺病史呈正相关。
超过三分之二的瑞士吸烟者想要戒烟。然而，只有一小部分人希望在短期内戒烟。尼古丁依赖、戒烟尝试次数或肺病史是与戒烟难度和意愿独立相关的因素。
