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吸烟原因与戒烟成功相关结果之间关联的优势分析

[Dominance analysis on the association between reasons for smoking and results related to successful smoking cessation].

作者信息

Han Mingkui, Zhou Yunping, Li Suyun, Pan Lulu, Yang Xiaorong, Li Huijie, Jiang Fan, Zhang Nan, Jia Chongqi

机构信息

Department of Epidemiology and Health Biostatistics, School of Public Health, Shandong University, Jinan 250012, China.

Department of Epidemiology and Health Biostatistics, School of Public Health, Shandong University, Jinan 250012, China. Email:

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2014 Oct;35(10):1083-6.

Abstract

OBJECTIVE

To study the association between reasons for smoking and results related to successful smoking cessation.

METHODS

A community-based case-control study was conducted with 642 male adults recognized as successful spontaneous smoking quitters being the subject cases while another 700 male adults who had failed to quit smoking were served as the controls. Russell Reason for Smoking Questionnaire (RRSQ) was used to investigate the reasons for smoking. Dominance logistic regression was performed to determine the relative importance of reasons for starting smoking and the endpoint of successful quit smoking.

RESULTS

After adjusting the potential confounders of age, age of smoking initiation, marital status, profession, and education, the adjusted means of sedative and stimulation of RRSQ in the successful quitters were significant lower than that in the failed quitters. Results from the dominance logistic regression showed that the first two important factors for smoking cessation were sedative and stimulation of RRSQ, followed by psychological image, automatic, hand-mouth activity, indulgence, and addiction.

CONCLUSION

This study demonstrated that factors as dependence-addiction showed more important impacts than the social-psychological ones on the endpoint of successful smoking cessation.

摘要

目的

研究吸烟原因与成功戒烟结果之间的关联。

方法

开展一项基于社区的病例对照研究,将642名被认定为成功自行戒烟的男性成年人作为研究病例,另外700名戒烟失败的男性成年人作为对照。采用罗素吸烟原因问卷(RRSQ)调查吸烟原因。进行优势逻辑回归以确定开始吸烟的原因与成功戒烟终点的相对重要性。

结果

在调整年龄、开始吸烟年龄、婚姻状况、职业和教育等潜在混杂因素后,成功戒烟者RRSQ中镇静和刺激的调整均值显著低于戒烟失败者。优势逻辑回归结果显示,戒烟的前两个重要因素是RRSQ中的镇静和刺激,其次是心理形象、自动性、手口活动、放纵和成瘾。

结论

本研究表明,依赖成瘾因素对成功戒烟终点的影响比社会心理因素更为重要。

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