Owen N, Davies M J
Department of Community Medicine, University of Adelaide, Australia.
Prev Med. 1990 Jul;19(4):424-31. doi: 10.1016/0091-7435(90)90040-q.
An important issue for public health approaches to smoking control is determining smokers' preferences for the different types of services available to assist with smoking cessation. In a population survey in the state of South Australia, smokers were asked to nominate the forms of assistance that they thought would help them to stop: a stop-smoking group; a lecture; a telephone counseling service; a book, a pamphlet, or a quit kit; a television program or a video program conducted through the mail; a program through their doctor; a program through another health professional; or none of these options. Forty-six percent of current smokers stated that they were interested in none of the options. Among the preferences that were expressed for the different forms of assistance, 67% were for services from a medical practitioner or other health professional; 12.4% for a stop-smoking group; 23.1% for a book, a pamphlet, or a quit kit; and 2.9% for mail or telephone services. The strong preferences for indirect methods that an earlier study and recent commentators have identified did not emerge in this survey. Preferences for personalized, as opposed to indirect forms of assistance, were more likely to be expressed by heavy smokers, those with less confidence of success at stopping, those with greater perceived difficulty of stopping, and those who had reported shorter periods of previous abstinence from smoking.
公共卫生领域控制吸烟方法的一个重要问题是确定吸烟者对现有不同类型戒烟服务的偏好。在南澳大利亚州的一项人口调查中,吸烟者被要求指出他们认为有助于戒烟的援助形式:戒烟小组;讲座;电话咨询服务;书籍、宣传册或戒烟工具包;通过邮件提供的电视节目或视频节目;通过医生提供的项目;通过其他健康专业人员提供的项目;或者以上都不是。46%的当前吸烟者表示对这些选项都不感兴趣。在对不同援助形式表达的偏好中,67%是对医生或其他健康专业人员提供的服务;12.4%是对戒烟小组;23.1%是对书籍、宣传册或戒烟工具包;2.9%是对邮件或电话服务。早期研究和近期评论者所指出的对间接方法的强烈偏好并未在本次调查中出现。与间接援助形式相比,重度吸烟者、对戒烟成功信心较低者、认为戒烟难度较大者以及报告之前戒烟时间较短者更有可能表达对个性化援助的偏好。