Chen Y Y, Zhu L P, Yan W, Liu J, Ji L, Xu Y
Jiangxi Provincial Center for Disease Control and Prevention, Nanchang 330029, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2017 May 10;38(5):577-582. doi: 10.3760/cma.j.issn.0254-6450.2017.05.004.
To describe the prevalence of smoking and smoking cessation in adults of Jiangxi province in 2013. Multi-stage stratified cluster random sampling method was used to select 6 000 individuals aged ≥18 years from 10 chronic and non-communicable disease and risk factor surveillance points of Jiangxi province in 2013. A face-to-face questionnaire survey was carried out to collect information about the risk factors for chronic and non-communicable diseases and 5 997 records were used in final analysis of smoking and smoking cessation. Sample was weighted to represent the adult population of Jiangxi province. The prevalence of different groups were analyzed. The prevalence of current smoking of the sample was 21.53 (1 291/5 997). After complex weighting, the prevalence of smoking was 26.07 in adults in Jiangxi (95:23.48-28.66), and it was much higher in men (50.62, 95: 46.31-54.94) than in women(1.46, 95: 0.57-2.35), the difference was statistically significant (<0.05). The differences in smoking prevalence were significant among different age groups (=0.029), and the smoking prevalence increased with educational level, but decreased with the worse of self-reported health condition. Most current smokers smoked every day (87.16, 95: 83.29-91.03) and averagely 19.27 (95: 17.69-20.85) cigarettes were smoked daily. The proportion of smokers with average daily consumption ≥20 cigarettes was 64.74 (95: 55.79-73.70). The smokers'average age of starting daily smoking was 20.28 (95: 19.74-20.82) years old, which was lower in men [20.11(95: 19.61-20.61) years old] than in women [26.88(95: 24.73-29.03) years old], the difference was statistically significant (<0.05). Among the male smokers, 27.04(9518.91-35.16) of male smokers was less than 18 years old when they started daily smoking, and the proportion was 17.46(95: 0-37.71) in female smokers. The smoking cessation rate was 14.80 (95: 10.88-18.72) and increased with age, the increase of income level and the worse of self-reported health condition. The successful smoking cessation rate was 10.89(95: 8.36-13.42). Only 32.10(95: 21.95-42.25) of current smokers attempted to quit smoking. The prevalence of passive smoking was 54.71 (95: 44.20-65.21). The prevalence of smoking was high in adults in Jiangxi and the proportion of heavy smokers was large. Less smokers quitted smoking and the proportion of current smokers attempting to quit smoking was small. Males and adolescent smokers are targeted populations for tobacco control and special strategy should be taken according to the characteristics of smoking population in Jiangxi.
描述2013年江西省成年人吸烟及戒烟状况。采用多阶段分层整群随机抽样方法,从2013年江西省10个慢性非传染性疾病及危险因素监测点中选取6000名年龄≥18岁的个体。进行面对面问卷调查以收集慢性非传染性疾病危险因素信息,5997份记录用于吸烟及戒烟情况的最终分析。对样本进行加权以代表江西省成年人口。分析不同组别的患病率。样本的当前吸烟率为21.53%(1291/5997)。经过复杂加权后,江西省成年人吸烟率为26.07%(95%CI:23.48 - 28.66),男性吸烟率(50.62%,95%CI:46.31 - 54.94)远高于女性(1.46%,95%CI:0.57 - 2.35),差异有统计学意义(P<0.05)。不同年龄组吸烟率差异有统计学意义(P = 0.029),吸烟率随教育水平升高而升高,但随自我报告健康状况变差而降低。大多数当前吸烟者每天吸烟(87.16%,95%CI:83.29 - 91.03),平均每天吸19.27支(95%CI:17.69 - 20.85)。日均吸烟量≥20支的吸烟者比例为64.74%(95%CI:55.79 - 73.70)。吸烟者开始每日吸烟的平均年龄为20.28岁(95%CI:19.74 - 20.82),男性(20.11岁,95%CI:19.61 - 20.61)低于女性(26.88岁,95%CI:24.73 - 29.03),差异有统计学意义(P<0.05)。男性吸烟者中,27.04%(95%CI:18.91 - 35.16)开始每日吸烟年龄小于18岁,女性吸烟者中该比例为17.46%(95%CI:0 - 37.71)。戒烟率为14.80%(95%CI:10.88 - 18.72),且随年龄、收入水平升高及自我报告健康状况变差而升高。成功戒烟率为10.89%(95%CI:8.36 - 13.42)。仅32.10%(95%CI:21.95 - 42.25)的当前吸烟者尝试过戒烟。被动吸烟率为54.71%(95%CI:44.20 - 65.21)。江西省成年人吸烟率高,重度吸烟者比例大。戒烟者少,当前吸烟者尝试戒烟的比例小。男性和青少年吸烟者是控烟重点人群,应根据江西省吸烟人群特点采取特殊策略。