Griffin Edward, Moon Graham, Barnet Ross
Ministry of Health, Wellington, New Zealand,
Int J Public Health. 2015 Mar;60(3):327-33. doi: 10.1007/s00038-014-0634-y. Epub 2014 Dec 19.
The purpose of this study was to examine the importance of urban-rural context as a determinant of call rates to smoking cessation lines.
This study used individual level New Zealand Quitline call data from 2005 to 2009, and 2006 New Zealand Census data on smoking to calculate Quitline call rates for smokers. Negative binomial regression examined the relationship between call rates and a sevenfold urban-rural classification, controlling for age, sex, ethnicity and deprivation.
We found a significant urban-rural gradient in the rate of smokers calling Quitline. Rates were highest among smokers in main-urban areas [0.09 (95 % confidence interval (CI) = 0.089, 0.091)] decreasing with successive urban-rural classifications to the lowest rate in rural/remote areas [0.036 (95 % CI = 0.03, 0.04)]. This association was not confounded by age, sex, ethnicity or deprivation.
Smokers in rural areas are less likely to use the New Zealand Quitline, even after controlling for confounding factors. This suggests that the national quitline is less effective in reaching rural smokers and more attention to the promotion of smoking cessation in rural communities is needed.
本研究旨在探讨城乡背景作为戒烟热线呼叫率决定因素的重要性。
本研究使用了2005年至2009年新西兰戒烟热线的个人层面呼叫数据，以及2006年新西兰吸烟情况的人口普查数据，以计算吸烟者的戒烟热线呼叫率。负二项回归分析了呼叫率与七类城乡分类之间的关系，并对年龄、性别、种族和贫困程度进行了控制。
我们发现吸烟者拨打戒烟热线的比率存在显著的城乡梯度。主要城市地区的吸烟者呼叫率最高[0.09（95%置信区间（CI）=0.089，0.091）]，随着城乡分类的依次降低，农村/偏远地区的呼叫率最低[0.036（95%CI=0.03，0.04）]。这种关联不受年龄、性别、种族或贫困程度的影响。
即使在控制了混杂因素之后，农村地区的吸烟者使用新西兰戒烟热线的可能性仍然较低。这表明全国戒烟热线在覆盖农村吸烟者方面效果较差，需要更加关注农村社区的戒烟推广工作。
