Surani N S, Gupta P C, Fong T G, Pednekar M S, Quah A C, Bansal-Travers M
Healis-Sekhsaria Institute for Public Health, Navi Mumbai, Maharashtra, India.
Indian J Cancer. 2012 Oct-Dec;49(4):431-7. doi: 10.4103/0019-509X.107752.
Tobacco users face barriers not just in quitting, but also in thinking about quitting. The aim of this study was to understand factors encouraging intention to quit from the 2006 International Tobacco Control Policy (TCP) Evaluation India Pilot Study Survey.
A total of 764 adult respondents from urban and rural areas of Maharashtra and Bihar were surveyed through face-to-face individual interviews, with a house-to-house approach. Dependent variable was "intention to quit tobacco." Independent variables were demographic variables, peer influence, damage perception, receiving advice to quit, and referral to cessation services by healthcare professionals and exposure to anti-tobacco messages. Logistic regression model was used with odds ratio adjusted for location, age, gender, and marital status for statistical analysis.
Of 493 tobacco users, 32.5% intended to quit. More numbers of users who were unaware about their friends' tobacco use intended to quit compared to those who were aware (adjusted OR = 8.06, 95% CI = 4.58-14.19). Higher numbers of users who felt tobacco has damaged their health intended to quit compared to those who did not feel that way (adjusted OR = 5.62, 95% CI = 3.53-8.96). More numbers of users exposed to anti-tobacco messages in newspapers/magazines (adjusted OR = 1.76, 95% CI = 1.02-3.03), restaurants (adjusted OR = 2.47, 95% CI = 1.37-4.46), radio (adjusted OR=4.84, 95% CI = 3.01-7.78), cinema halls (adjusted OR = 9.22, 95% CI = 5.31-15.75), and public transportation (adjusted OR = 10.58, 95% = 5.90-18.98) intended to quit compared to unexposed users.
Anti-tobacco messages have positive influence on user's intentions to quit.
烟草使用者不仅在戒烟方面面临障碍,在考虑戒烟时也存在困难。本研究的目的是从2006年国际烟草控制政策(TCP)评估印度试点研究调查中了解促使戒烟意愿的因素。
通过逐户上门的面对面个人访谈,对来自马哈拉施特拉邦和比哈尔邦城乡地区的764名成年受访者进行了调查。因变量是“戒烟意愿”。自变量包括人口统计学变量、同伴影响、对危害的认知、收到戒烟建议、医疗保健专业人员转介到戒烟服务机构以及接触反烟草信息。使用逻辑回归模型,并对地点、年龄、性别和婚姻状况进行比值比调整,以进行统计分析。
在493名烟草使用者中,32.5%有戒烟意愿。与知晓朋友吸烟情况的使用者相比,更多不知道朋友吸烟情况的使用者有戒烟意愿(调整后的比值比=8.06,95%置信区间=4.58-14.19)。与不认为烟草损害健康的使用者相比,更多认为烟草损害了自己健康的使用者有戒烟意愿(调整后的比值比=5.62,95%置信区间=3.53-8.96)。与未接触过反烟草信息的使用者相比,更多在报纸/杂志(调整后的比值比=1.76,95%置信区间=1.02-3.03)、餐馆(调整后的比值比=2.47,95%置信区间=1.37-4.46)、广播(调整后的比值比=4.84,95%置信区间=3.01-7.78)、电影院(调整后的比值比=9.22,95%置信区间=5.31-15.75)和公共交通场所(调整后的比值比=10.58,95%置信区间=5.90-18.98)接触过反烟草信息的使用者有戒烟意愿。
反烟草信息对使用者的戒烟意愿有积极影响。