Li William H C, Chan Sophia S C, Wang Man Ping, Ho Ka Yan, Cheung Yannes T Y, Chan Vivian W F, Lam Tai Hing
School of Nursing, University of Hong Kong, Hong Kong SAR, China.
School of Nursing, University of Hong Kong, Hong Kong SAR, China.
J Adolesc Health. 2017 May;60(5):584-591. doi: 10.1016/j.jadohealth.2016.11.022. Epub 2017 Jan 19.
The psychological and social factors associated with smoking initiation and continuation are different for young and adult smokers. Before 2005, there were no population-based smoking cessation interventions targeting young smokers in Hong Kong, China. This study describes the processes and outcomes of an individualized "Youth Quitline" service for young Hong Kong Chinese smokers over a 10-year period.
A retrospective population-based study was conducted to evaluate the effectiveness of the Quitline and identify the predictors of quitting. Telephone records were used to obtain information of each call. Young smokers of the Quitline completed a questionnaire at baseline and 6-month follow-up. Data were collected between August 2005 and August 2015.
Over the 10-year period, the Youth Quitline received 7,720 telephone inquiries and provided smoking cessation counseling to 1,684 young smokers. At the 6-month follow-up, 16.9% had reduced cigarette consumption by more than 50%, 33.8% had tried quitting, and 23.6% had successfully quit smoking. Logistic regression analyses indicated that 7 factors, including (1) age; (2) daily cigarette consumption; (3) level of nicotine dependence; (4) intention to quit; (5) having made at least one quit attempt; (6) level of self-efficacy; and (7) adherence to telephone counseling, significantly predicted smoking cessation at 6 months.
During the first 10 years of the Youth Quitline, we trained many youths to become smoking cessation peer counselors. The Youth Quitline successfully increased youths' awareness of the risks of smoking and smoking cessation services and provided individualized smoking cessation counseling services to young smokers.
开始吸烟和持续吸烟所涉及的心理及社会因素在年轻吸烟者和成年吸烟者中有所不同。2005年之前，在中国香港没有针对年轻吸烟者的基于人群的戒烟干预措施。本研究描述了一项为年轻的华裔香港吸烟者提供的为期10年的个性化“青少年戒烟热线”服务的过程和结果。
开展一项基于人群的回顾性研究，以评估戒烟热线的有效性并确定戒烟的预测因素。通过电话记录获取每个来电的信息。戒烟热线的年轻吸烟者在基线和6个月随访时完成一份问卷。数据收集时间为2005年8月至2015年8月。
在这10年期间，青少年戒烟热线接到7720次电话咨询，并为1684名年轻吸烟者提供了戒烟咨询。在6个月随访时，16.9%的人香烟消费量减少了50%以上，33.8%的人尝试过戒烟，23.6%的人成功戒烟。逻辑回归分析表明，7个因素，包括（1）年龄；（2）每日香烟消费量；（3）尼古丁依赖程度；（4）戒烟意愿；（5）至少有过一次戒烟尝试；（6）自我效能水平；以及（7）对电话咨询的依从性，显著预测了6个月时的戒烟情况。
在青少年戒烟热线的头10年里，我们培训了许多年轻人成为戒烟同伴咨询师。青少年戒烟热线成功提高了年轻人对吸烟风险和戒烟服务的认识，并为年轻吸烟者提供了个性化的戒烟咨询服务。
