Hanson B S, Isacsson S O, Janzon L, Lindell S E
Department of Community Health Sciences, Lund University, Malmö, Sweden.
Addict Behav. 1990;15(3):221-33. doi: 10.1016/0306-4603(90)90065-6.
The objective in this study was to analyse whether there is independent association between social network, social support, social influence and quitting smoking for good. The study sample (n = 621) comprised a random half of all male Malmö residents born in 1914, of which 500 (80.5%) participated. A new instrument based on a model with carefully defined and well differentiated concepts was used to measure different aspects of social network, social support and social influence. In logistic regression analysis, emotional support (an important aspect of social support) had an association to quitting smoking for good (odds ratio 3.1, 95% confidence interval 1.9-5.4), when adjustments were made for social class, marital status (spousal support), alcohol consumption, physical activity, smoking of spouse and different medical conditions. Emotional support reflects the individuals' opportunity for care, encouragement of personal value and feelings of confidence and trust. This may contribute to a deeper understanding of mechanisms behind smoking cessation and could be of importance in the field of health promotion, but also for improvement of the long-term results of smoking cessation programs and in our clinical work with patients who smoke.
本研究的目的是分析社交网络、社会支持、社会影响与永久戒烟之间是否存在独立关联。研究样本（n = 621）包括1914年出生的所有马尔默男性居民中的随机一半，其中500人（80.5%）参与了研究。一种基于精心定义和区分明确的概念模型的新工具被用于测量社交网络、社会支持和社会影响的不同方面。在逻辑回归分析中，当对社会阶层、婚姻状况（配偶支持）、饮酒、体育活动、配偶吸烟情况和不同医疗状况进行调整后，情感支持（社会支持的一个重要方面）与永久戒烟存在关联（优势比3.1，95%置信区间1.9 - 5.4）。情感支持反映了个体获得关怀的机会、对个人价值的鼓励以及信心和信任的感受。这可能有助于更深入地理解戒烟背后的机制，在健康促进领域可能具有重要意义，对于改善戒烟项目的长期效果以及在我们与吸烟患者的临床工作中也具有重要意义。
