University of Belgrade, Faculty of Medicine, Institute of Social Medicine, Belgrade, Serbia.
Public Health. 2013 Jun;127(6):521-9. doi: 10.1016/j.puhe.2012.12.029. Epub 2013 May 21.
The prevalence of smoking is very high in Serbia. A wide range of tobacco control measures and activities have been undertaken to encourage smoking cessation, but it is not known whether smokers in Serbia are willing to quit, and if inequalities exist between them. This study analysed intentions to quit smoking, using the Stages of Change Model, among a population of current and/or former adult smokers in Serbia, and compared socio-economic and demographic characteristics.
Cross-sectional study on a nationally representative population sample, using data from the 2006 National Health Survey. The sample consisted of 5905 current or former daily smokers.
Logistical regression analysis was used to identify associations between socio-economic and demographic characteristics of former/current smokers, and their stage of change in terms of smoking (precontemplation, contemplation, preparation, action, maintenance and termination).
More than one-fifth (22%) of current smokers did not intend to quit smoking (precontemplation stage). Women were twice as likely to contemplate quitting compared with men [odds ratio (OR) 2.08, 95% confidence interval (CI) 1.68-2.58]. However, women were less successful in quitting smoking (termination stage) than men (OR 0.64, 95% CI 0.52-0.79). In addition to gender, educational inequalities in intentions to quit smoking were identified; less-educated individuals were less willing to quit smoking (preparation and action stages) regardless of their socio-economic status or chronic disease status.
Tobacco control interventions should be sensitive to gender and educational inequalities in quitting smoking.
塞尔维亚的吸烟率非常高。为了鼓励戒烟，已经采取了广泛的烟草控制措施和活动，但尚不清楚塞尔维亚的吸烟者是否愿意戒烟，以及他们之间是否存在不平等。本研究使用改变阶段模型分析了目前和/或曾经的成年吸烟者戒烟的意愿，并比较了社会经济和人口统计学特征。
使用 2006 年国家健康调查的数据，对塞尔维亚具有全国代表性的人群样本进行横断面研究。该样本由 5905 名目前或曾经的每日吸烟者组成。
使用逻辑回归分析，确定了目前/曾经吸烟者的社会经济和人口统计学特征与他们吸烟的改变阶段（未考虑、考虑、准备、行动、维持和终止）之间的关联。
超过五分之一（22%）的当前吸烟者不打算戒烟（未考虑阶段）。与男性相比，女性更有可能考虑戒烟[优势比（OR）2.08，95%置信区间（CI）1.68-2.58]。然而，女性戒烟的成功率（终止阶段）低于男性（OR 0.64，95% CI 0.52-0.79）。除了性别之外，还发现了戒烟意愿方面的教育不平等现象；无论社会经济地位或慢性病状况如何，受教育程度较低的个体戒烟的意愿都较低（准备和行动阶段）。
烟草控制干预措施应关注戒烟方面的性别和教育不平等问题。
