Mikkelsen Stine Schou, Dalum Peter, Skov-Ettrup Lise Skrubbeltrang, Tolstrup Janne S
Centre for Intervention Research, National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.
Departement of Cancer Prevention and Documentation, Danish Cancer Society, Copenhagen, Denmark.
Tob Control. 2015 Nov;24(6):556-61. doi: 10.1136/tobaccocontrol-2013-051484. Epub 2014 Jun 16.
A variety of smoking cessation aids are available; however, the majority of smokers quit unaided. We know little of the differences between users and non-users of cessation support.
A cross-sectional study based on the Danish Health Examination Survey (DANHES) conducted in 2007-2008. In all, 6445 persons reporting quitting successfully within the last 5 years were included in analyses. Users and non-users of cessation aid (medical or behavioural support) were compared with regards to age, education, years smoked, tobacco amount, tobacco type and smoking-related disease using logistic regression analysis.
Quitting unaided was reported by 63%. Adjusted analyses showed that men were more likely to quit unaided than women, and younger compared with older were more likely to quit unaided (eg, OR among women age 45-59 versus age 14-29 were 0.18, 95% CI 0.12 to 0.20). Additionally, those who had smoked for 15 years or more also had lower odds of quitting unaided. Smoking 15 or more grams of tobacco daily was inversely associated with quitting unaided (eg, OR among men were 0.38, 95% CI 0.31 to 0.46).
Quitting smoking without the use of formalised aid was the most common cessation approach. Quitting unaided was more likely among men, younger age groups, those with a shorter history of smoking and those who were light smokers. These results indicate that awareness of unaided cessation in general and to those for whom it is especially relevant should be increased. This could lead to a more efficient use of resources for cessation support.
有多种戒烟辅助手段可供使用；然而，大多数吸烟者是自行戒烟的。我们对使用和未使用戒烟支持的人群之间的差异了解甚少。
一项基于2007 - 2008年丹麦健康检查调查（DANHES）的横断面研究。总共6445名报告在过去5年内成功戒烟的人被纳入分析。使用逻辑回归分析，比较了使用和未使用戒烟辅助手段（药物或行为支持）的人群在年龄、教育程度、吸烟年限、烟草量、烟草类型和吸烟相关疾病方面的情况。
63%的人报告是自行戒烟的。校正分析显示，男性比女性更有可能自行戒烟，年轻人比年长者更有可能自行戒烟（例如，45 - 59岁女性与14 - 29岁女性相比，比值比为0.18，95%置信区间为0.12至0.20）。此外，吸烟15年或更长时间的人自行戒烟的几率也较低。每天吸15克或更多烟草与自行戒烟呈负相关（例如，男性中的比值比为0.38，95%置信区间为0.31至0.46）。
不使用正规辅助手段戒烟是最常见的戒烟方式。男性、年轻人群体、吸烟史较短者和轻度吸烟者更有可能自行戒烟。这些结果表明，应提高对一般人群尤其是那些特别适合自行戒烟者的自行戒烟意识。这可能会使戒烟支持资源得到更有效的利用。
