1Loma Linda University, Loma Linda, CA, USA.
Asia Pac J Public Health. 2013 Sep;25(5 Suppl):20S-32S. doi: 10.1177/1010539512454164. Epub 2012 Aug 2.
Identifying determinants of intent to quit may aid the design of antitobacco programs and promote effective tobacco control policies. In a nationwide survey in Cambodia, two thirds of tobacco smokers and 45% of female smokeless tobacco users planned to stop in the future. Multivariate determinants of intent in 2279 male smokers were age <37 years, age at initiation ≥ 18 years, Cham versus Khmer ethnicity (odds ratio [OR] = 6.93; 95% confidence interval[CI] = 1.38-34.89), longer education, and professional occupation. In 1188 female smokeless tobacco users, age <25 years, age at initiation ≥ 18 years, and tuberculosis (OR = 3.26; 95% CI = 1.61-6.61) were associated with intent. In female smokers (n = 321), age 18 to 25 years at initiation was associated with intent. In male smokers and female smokeless tobacco users, perceived physical advantages of tobacco were inversely associated with intent. These findings underscore the importance of policies and interventions to delay initiation and promote cessation in young people and counteract perceived physical benefits.
确定戒烟意愿的决定因素可能有助于设计烟草控制项目和促进有效的烟草控制政策。在柬埔寨的一项全国性调查中,三分之二的吸烟者和 45%的女性咀嚼烟草使用者计划在未来戒烟。2279 名男性吸烟者中意愿的多变量决定因素为年龄<37 岁、起始年龄≥18 岁、高棉族与占族(比值比[OR] = 6.93;95%置信区间[CI] = 1.38-34.89)、受教育程度较高和专业职业。在 1188 名女性咀嚼烟草使用者中,年龄<25 岁、起始年龄≥18 岁和结核病(OR = 3.26;95% CI = 1.61-6.61)与意愿相关。在女性吸烟者(n = 321)中,起始年龄为 18 至 25 岁与意愿相关。在男性吸烟者和女性咀嚼烟草使用者中,对烟草的身体益处的感知与戒烟意愿呈负相关。这些发现强调了制定政策和干预措施以延迟年轻人的起始吸烟并促进戒烟以及抵制对身体益处的感知的重要性。