Chellini Elisabetta, Gorini Giuseppe, Gasparrini Antonio, Grazzini Grazia, Iossa Anna, Martellucci Pietro Mario, Terrone Rosangela
Unit of Environmental and Occupational Epidemiology, Cancer Prevention and Research Institute (ISPO), Florence, Italy.
Tumori. 2012 Jan-Feb;98(1):27-32. doi: 10.1177/030089161209800103.
In the last decades in Italy, a smaller decrease in smoking among women than in men has been observed and a younger age at start in young women. Nevertheless, gender-specific strategies for smoking cessation have rarely been developed, except those for pregnant women. A study was conducted to evaluate the feasibility of carrying out an intervention of primary prevention by counseling for smoking cessation the female smokers attending cervical cancer screening programs in Florence, Italy.
All female smokers attending the services for cervical cancer prevention at the Cancer Prevention and Research Institute in Florence, Italy, between March 2004 and January 2005, who volunteered to participate in the study, received a brief motivational stage-matched counseling for smoking cessation and a face to face interview at enrollment and after 6 and 12 months. The counseling was evaluated by comparing quit rates, changes in smoking intensity, and motivation to quit at the first and second follow-up periods to the same data collected at enrollment. Multivariate logistic regression analysis was performed to estimate the influence on smoking cessation of demographic characteristics, smoking habit and attitude to quit.
177 women participated in the study. After 1 year, a quit rate of 12.4% (95% CI, 7.5-17.3) was observed. Among those who never quit, there was a 39.3% reduction in the average daily cigarette consumption and a 51.9% reduction in smoking the first cigarette of the day immediately on awaking or just after breakfast.
The results and the opportunity to contact a large number of female smokers on the occasion of cervical cancer screening suggest the importance to evaluate the efficacy of the intervention of primary prevention in this health setting.
在过去几十年里，意大利女性吸烟率的下降幅度小于男性，且年轻女性开始吸烟的年龄更小。然而，除针对孕妇的策略外，很少制定针对特定性别的戒烟策略。本研究旨在评估在意大利佛罗伦萨，通过为参加宫颈癌筛查项目的女性吸烟者提供戒烟咨询来实施一级预防干预措施的可行性。
2004年3月至2005年1月期间，所有自愿参加研究的在意大利佛罗伦萨癌症预防与研究所接受宫颈癌预防服务的女性吸烟者，均接受了与动机阶段相匹配的简短戒烟咨询，并在入组时、6个月和12个月后接受面对面访谈。通过比较戒烟率、吸烟强度变化以及在首次和第二次随访期间的戒烟动机与入组时收集的相同数据，对咨询效果进行评估。进行多因素逻辑回归分析，以估计人口统计学特征、吸烟习惯和戒烟态度对戒烟的影响。
177名女性参与了该研究。1年后，观察到戒烟率为12.4%（95%置信区间，7.5 - 17.3）。在那些未戒烟的人中，平均每日吸烟量减少了39.3%，晨起或早餐后立即吸第一支烟的情况减少了51.9%。
研究结果以及在宫颈癌筛查时接触大量女性吸烟者的机会表明，评估在这种健康环境下一级预防干预措施的效果具有重要意义。
