Villanti Andrea C, Bover Manderski Michelle T, Gundersen Daniel A, Steinberg Michael B, Delnevo Cristine D
The Schroeder Institute for Tobacco Research and Policy Studies at Truth Initiative, Washington, DC, Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Center for Tobacco Studies, Rutgers School of Public Health, New Brunswick, NJ.
Fam Pract. 2016 Apr;33(2):133-9. doi: 10.1093/fampra/cmv103. Epub 2016 Jan 4.
Young adulthood provides an enormous opportunity to alter trajectories of smoking behaviour for a large public health impact.
The purpose of this study was to examine correlates of perceived barriers to quitting smoking and reasons to quit in a sample of young adult current and former smokers.
This study used data from the 2011 National Young Adult Health Survey, a random-digit-dial cellphone survey. Participants were US young adult current smokers aged 18-34 (n = 699) and young adults who were either current smokers who had made a quit attempt in the past-year (n = 402) or former smokers (n = 289). Correlates of barriers to quitting smoking and reasons for quitting smoking were assessed using bivariate and multivariable analyses.
More than half of current smokers identified 'loss of a way to handle stress' (59%) and 'cravings or withdrawal' (52%) as barriers to quitting. Female gender, daily smoking and intention to quit remained significantly associated with endorsing 'loss of a way to handle stress' as a barrier to quitting in multivariable analyses. The two most popular reasons for quitting smoking were physical fitness (64%) and the cost of tobacco (64%).
These findings highlight barriers to cessation and the reasons that young smokers give for quitting. This information may be helpful to physicians as they counsel their young adult patients to quit smoking.
青年时期为改变吸烟行为轨迹提供了巨大机遇，对公共卫生具有重大影响。
本研究旨在调查青年时期当前吸烟者和既往吸烟者样本中，感知到的戒烟障碍及戒烟原因的相关因素。
本研究使用了2011年全国青年健康调查的数据，这是一项随机数字拨号手机调查。参与者为年龄在18 - 34岁的美国青年时期当前吸烟者（n = 699），以及过去一年中有过戒烟尝试的当前吸烟者（n = 402）或既往吸烟者（n = 289）。使用双变量和多变量分析评估戒烟障碍和戒烟原因的相关因素。
超过一半的当前吸烟者认为“失去应对压力的方式”（59%）和“渴望或戒断反应”（52%）是戒烟的障碍。在多变量分析中，女性、每日吸烟以及戒烟意愿与将“失去应对压力的方式”视为戒烟障碍仍显著相关。最常见的两个戒烟原因是身体健康（64%）和烟草成本（64%）。
这些发现突出了戒烟的障碍以及年轻吸烟者给出的戒烟原因。这些信息可能有助于医生为青年成年患者提供戒烟咨询。
