Filippidis Filippos T, Gerovasili Vasiliki, Vardavas Constantine I, Agaku Israel T, Tountas Yannis
School of Public Health, Imperial College London, The Reynolds Building, St. Dunstan's Road, London W6 8RP, UK; Center for Health Services Research, University of Athens, Alexandroupoleos 25, 11527, Athens, Greece.
1st Critical Care Medicine Department, Cardiopulmonary Exercise Testing and Rehabilitation Laboratory, "Evgenidio" Hospital, NKUA, Papadiamantopoulou 20, 15128, Athens, Greece.
Prev Med. 2014 Aug;65:99-102. doi: 10.1016/j.ypmed.2014.05.004. Epub 2014 May 14.
To identify determinants of use of smoking cessation aids among current and former smokers in the European Union (EU).
Data from n=9921 current and ex-smokers from 27 European countries (Eurobarometer 77.1, February-March 2012) were analysed. Multivariate binary logistic regression was used to assess for correlates of use of any recommended aid with proven efficacy, defined as use of pharmacotherapy or psychosocial counselling (p<0.05). The regression analyses assessed for socio-demographic characteristics, EU region, as well as scope of national smoking cessation policies.
Among current smokers who had made a quit attempt and ex-smokers, 19.9% had used any recommended aid with proven efficacy. Respondents from Northern (adjusted odds ratio [aOR]=1.90), Western (aOR=3.21) and Eastern Europe (aOR=1.69) were more likely to have used an efficacious smoking cessation aid compared to respondents from Southern Europe (all p<0.05). Respondents in countries with comprehensive tobacco cessation programmes that offered cost-covered national quit lines, medication, and other cessation services had increased likelihood of using efficacious cessation aids (OR=1.29; 95% Confidence Interval: 1.07-1.55).
These findings underscore the need for enhanced and sustained efforts to ensure increased access to cessation services and aids as part of a comprehensive tobacco control programme.
确定欧盟（EU）当前吸烟者和既往吸烟者使用戒烟辅助工具的决定因素。
分析了来自27个欧洲国家的n = 9921名当前吸烟者和既往吸烟者的数据（2012年2月至3月的欧洲晴雨表77.1）。使用多变量二元逻辑回归来评估使用任何经证实有效的推荐辅助工具的相关因素，定义为使用药物治疗或心理社会咨询（p<0.05）。回归分析评估了社会人口特征、欧盟地区以及国家戒烟政策的范围。
在尝试戒烟的当前吸烟者和既往吸烟者中，19.9%使用了任何经证实有效的推荐辅助工具。与来自南欧的受访者相比，来自北欧（调整后的优势比[aOR]=1.90）、西欧（aOR=3.21）和东欧（aOR=1.69）的受访者更有可能使用有效的戒烟辅助工具（所有p<0.05）。在拥有提供费用覆盖的国家戒烟热线、药物和其他戒烟服务的全面烟草戒烟计划的国家中，受访者使用有效戒烟辅助工具的可能性增加（OR=1.29；95%置信区间：1.07 - 1.55）。
这些发现强调了需要加强和持续努力，以确保作为全面烟草控制计划的一部分，增加获得戒烟服务和辅助工具的机会。
