School of Medicine and Public Health, Faculty of Health and Medicine, Hunter Medical Research Institute, University of Newcastle, Newcastle, Australia.
Priority Research Centre for Health Behaviour and Health Behaviour Research Group, Hunter Medical Research Institute, University of Newcastle, Newcastle, Australia.
Drug Alcohol Rev. 2018 Feb;37(2):170-179. doi: 10.1111/dar.12561. Epub 2017 Jun 14.
This study aimed to compare current and ex-smokers' sociodemographic and psychosocial characteristics, use of cessation aids and abrupt versus gradual quitting approaches.
A cross-sectional survey of financially disadvantaged adults attending a community service organisation was conducted in New South Wales, Australia, between February 2012 and December 2013. Sociodemographic and psychosocial factors, use of cessation aids and gradual versus abrupt quit approach were assessed. χ tests and logistic regression compared characteristics of current and ex-smokers.
Of 905 individuals who completed the survey, 639 (71%) were current smokers and 107 (12%) were ex-smokers. Ex-smokers were older [odds ratio (OR) = 1.03, 95% confidence interval (CI) = 1.01, 1.05], had higher odds of being female (OR = 1.67, 95% CI = 1.06, 2.65), lower odds of being financially stressed (OR = 0.87, 95% CI = 0.76, 0.99), lower odds of anxiety and depression symptoms (OR = 0.91, 95% CI = 0.84, 0.98) and lower odds of having friends and family who were smokers (ORs ranged from 0.30-0.43). Ex-smokers had lower odds of using cessation aids and higher odds of reporting abrupt quitting during their last quit attempt (OR = 4.48, 95% CI = 2.66, 7.54).
Lower levels of disadvantage, less smoking in social networks, less use of cessation aids and abrupt (vs. gradual) quitting approaches were associated with being an ex-smoker. Lower use of evidence based methods to quit by disadvantaged ex-smokers requires further exploration. [Twyman L, Bonevski B, Paul C, Bryant J, West R, Siahpush M, D'este C, Oldmeadow C, Palazzi K. What factors are associated with abstinence amongst socioeconomically disadvantaged smokers? A cross-sectional survey of use of cessation aids and quitting approach. Drug Alcohol Rev 2017;00:000-000].
本研究旨在比较当前吸烟者和已戒烟者的社会人口学和心理社会特征、戒烟辅助手段的使用情况以及突然戒烟与逐渐戒烟方法。
2012 年 2 月至 2013 年 12 月，在澳大利亚新南威尔士州的一个社区服务组织中，对经济困难的成年人进行了一项横断面调查。评估了社会人口学和心理社会因素、戒烟辅助手段的使用情况以及逐渐戒烟与突然戒烟方法。χ检验和逻辑回归比较了当前吸烟者和已戒烟者的特征。
在完成调查的 905 人中，639 人（71%）为当前吸烟者，107 人（12%）为已戒烟者。与当前吸烟者相比，已戒烟者年龄更大[优势比（OR）=1.03，95%置信区间（CI）=1.01，1.05]、女性比例更高（OR=1.67，95%CI=1.06，2.65）、经济压力较小（OR=0.87，95%CI=0.76，0.99）、焦虑和抑郁症状较轻（OR=0.91，95%CI=0.84，0.98）、吸烟的朋友和家人较少（OR 范围为 0.30-0.43）。与当前吸烟者相比，已戒烟者使用戒烟辅助手段的比例较低，且在最近一次戒烟尝试中突然戒烟的比例较高（OR=4.48，95%CI=2.66，7.54）。
较少的劣势、社交网络中较少的吸烟、较少使用戒烟辅助手段以及突然（而非逐渐）戒烟与成为已戒烟者有关。需要进一步探讨经济劣势的已戒烟者对基于证据的戒烟方法的使用较少的原因。
