Bommelé Jeroen, Kleinjan Marloes, Schoenmakers Tim M, Burk William J, van den Eijnden Regina, van de Mheen Dike
IVO Addiction Research Institute, Rotterdam, The Netherlands; Erasmus Medical Centre, Rotterdam, The Netherlands.
Trimbos Institute (Netherlands Institute of Mental Health and Addiction), Utrecht, The Netherlands.
PLoS One. 2015 Jul 24;10(7):e0133570. doi: 10.1371/journal.pone.0133570. eCollection 2015.
Hardcore smokers are smokers who have little to no intention to quit. Previous research suggests that there are distinct subgroups among hardcore smokers and that these subgroups vary in the perceived pros and cons of smoking and quitting. Identifying these subgroups could help to develop individualized messages for the group of hardcore smokers. In this study we therefore used the perceived pros and cons of smoking and quitting to identify profiles among hardcore smokers.
A sample of 510 hardcore smokers completed an online survey on the perceived pros and cons of smoking and quitting. We used these perceived pros and cons in a latent profile analysis to identify possible subgroups among hardcore smokers. To validate the profiles identified among hardcore smokers, we analysed data from a sample of 338 non-hardcore smokers in a similar way.
We found three profiles among hardcore smokers. 'Receptive' hardcore smokers (36%) perceived many cons of smoking and many pros of quitting. 'Ambivalent' hardcore smokers (59%) were rather undecided towards quitting. 'Resistant' hardcore smokers (5%) saw few cons of smoking and few pros of quitting. Among non-hardcore smokers, we found similar groups of 'receptive' smokers (30%) and 'ambivalent' smokers (54%). However, a third group consisted of 'disengaged' smokers (16%), who saw few pros and cons of both smoking and quitting.
Among hardcore smokers, we found three distinct profiles based on perceived pros and cons of smoking. This indicates that hardcore smokers are not a homogenous group. Each profile might require a different tobacco control approach. Our findings may help to develop individualized tobacco control messages for the particularly hard-to-reach group of hardcore smokers.
重度吸烟者是指几乎没有或完全没有戒烟意愿的吸烟者。先前的研究表明,重度吸烟者中存在不同的亚组,这些亚组在吸烟和戒烟的感知利弊方面存在差异。识别这些亚组有助于为重度吸烟者群体制定个性化的信息。因此,在本研究中,我们利用吸烟和戒烟的感知利弊来识别重度吸烟者中的不同类型。
510名重度吸烟者的样本完成了一项关于吸烟和戒烟感知利弊的在线调查。我们在潜在类别分析中使用这些感知利弊来识别重度吸烟者中可能的亚组。为了验证在重度吸烟者中识别出的类型,我们以类似的方式分析了338名非重度吸烟者样本的数据。
我们在重度吸烟者中发现了三种类型。“接受型”重度吸烟者(36%)认为吸烟有很多弊端,戒烟有很多益处。“矛盾型”重度吸烟者(59%)对戒烟相当犹豫不决。“抗拒型”重度吸烟者(5%)认为吸烟几乎没有弊端,戒烟几乎没有益处。在非重度吸烟者中,我们发现了类似的“接受型”吸烟者群体(30%)和“矛盾型”吸烟者群体(54%)。然而,第三组由“不关心型”吸烟者(16%)组成,他们认为吸烟和戒烟的利弊都很少。
在重度吸烟者中,我们根据吸烟的感知利弊发现了三种不同的类型。这表明重度吸烟者不是一个同质群体。每种类型可能需要不同的烟草控制方法。我们的研究结果可能有助于为特别难以接触到的重度吸烟者群体制定个性化的烟草控制信息。