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佛罗里达州的烟草使用情况:残疾与非残疾成年人之间的比较。

Tobacco use in Florida: comparisons between adults living with and without disabilities.

机构信息

Department of Health Services Research, Management, and Policy, University of Florida, P.O. Box 100195 Gainesville, FL 32608, USA.

出版信息

Disabil Health J. 2013 Jul;6(3):213-9. doi: 10.1016/j.dhjo.2013.01.008. Epub 2013 Mar 7.

DOI:10.1016/j.dhjo.2013.01.008
PMID:23769480
Abstract

BACKGROUND

Florida has the third largest population in the U.S. of persons living with disabilities, making optimizing health outcomes for this population paramount. Though the state has a long-standing and robust program to reduce tobacco use, prevention efforts do not specifically target persons with disabilities.

OBJECTIVE

To compare rates of tobacco use behaviors and second hand smoke exposure between adults living with and without disabilities.

METHODS

Secondary analysis of 2007-2009 Florida BRFSS data. The proportions of persons with disabilities who were cigar or cigarette smokers, quit smoking, were exposed to secondhand smoke, or had an interest in calling a Quit Line were compared for persons with and without disabilities. Weighted proportions and accompanying 95% confidence intervals were calculated, with proportions adjusted for age, gender, race, and education.

RESULTS

Adult Floridians with a disability were more likely to report being a current cigarette smoker and being exposed to secondhand smoke, yet were also more likely to report quitting smoking for at least one day than were persons without a disability. No differences were found for cigar smoking, age at smoking initiation, or interest in the Quit Line.

CONCLUSIONS

Findings suggest persons with disability are disproportionately burdened by tobacco use, yet are more likely to attempt to quit, suggesting a need for targeted interventions to assist persons with a disability in smoking cessation and reducing tobacco use and exposure. This has important implications for the future health of a group at greater risk of chronic disease.

摘要

背景

佛罗里达州是美国拥有残疾人口数量第三多的州,这使得优化该人群的健康结果至关重要。尽管该州长期以来一直有一个强大的减少烟草使用的计划,但预防措施并未特别针对残疾人。

目的

比较有和无残疾的成年人中烟草使用行为和二手烟暴露的比率。

方法

对 2007-2009 年佛罗里达州 BRFSS 数据进行二次分析。比较有和无残疾的成年人中雪茄或香烟吸烟者、戒烟者、暴露于二手烟者或有兴趣拨打戒烟热线者的比例。计算了加权比例及其相应的 95%置信区间,对年龄、性别、种族和教育进行了比例调整。

结果

有残疾的成年佛罗里达人更有可能报告当前吸烟和暴露于二手烟,但也更有可能报告至少戒烟一天,而没有残疾的人则不然。在雪茄吸烟、吸烟年龄或对戒烟热线的兴趣方面没有差异。

结论

研究结果表明,残疾人口不成比例地受到烟草使用的影响,但更有可能尝试戒烟,这表明需要有针对性的干预措施,以帮助残疾人戒烟并减少烟草使用和暴露。这对一个面临更多慢性疾病风险的群体的未来健康具有重要意义。

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