Public Health and Primary Care, Leiden University Medical Center, Hippocratespad 21, 2333 ZD Leiden, The Netherlands.
National Institute for Health Innovation, School of Population Health, The University of Auckland, 261 Morrin Rd, St Johns, Auckland 1072, New Zealand; Centre for Longitudinal Research-He Ara ki Mua, School of Population Health, The University of Auckland, 261 Morrin Rd, St Johns, Auckland 1072, New Zealand.
Patient Educ Couns. 2018 Apr;101(4):730-737. doi: 10.1016/j.pec.2017.11.009. Epub 2017 Nov 17.
We examined smoker and non-smoker self-identities among smokers visiting their general practitioner (GP) for other reasons than smoking cessation counselling. We determined whether identity impacted on patients' appreciation of GP-initiated conversations about smoking and quit advice, and subsequent quit attempts, and examined the role of gender.
Secondary analyses of a cluster-randomised controlled trial in which baseline and 12-month follow-up data were collected among 527 daily (n=450) and non-daily smokers (n=77).
Participants identified more with smoking than non-smoking. Participants with stronger non-smoker self-identities were more often female, appreciated the conversation about smoking more, were more likely to receive quit-advice and to have attempted to quit at 12-month follow-up. Participants with stronger smoker self-identities were also more often female, and appreciated the conversation more. Men with stronger non-smoker self-identities were more often asked about smoking and advised to quit, and appreciated the conversation more than women.
Non-smoker identity was more important for receiving quit-advice, appreciation, and quit attempts than smoker identity. Future research needs to unravel why female smokers appreciated the conversation less than male smokers.
We suggest to incorporate an identity-component in smoking cessation interventions. GPs should increase their focus on female patients who smoke.
我们研究了因戒烟咨询以外的其他原因而就诊于全科医生（GP）的吸烟者和非吸烟者的自我认同。我们确定身份是否会影响患者对 GP 主动提出的关于吸烟和戒烟建议的谈话的看法，以及随后的戒烟尝试，并探讨了性别的作用。
对一项集群随机对照试验进行二次分析，该试验在基线和 12 个月随访期间收集了 527 名每日吸烟者（n=450）和非每日吸烟者（n=77）的数据。
参与者更认同自己是吸烟者而不是非吸烟者。自我认同为非吸烟者的参与者更多为女性，更欣赏关于吸烟的对话，更有可能在 12 个月的随访中获得戒烟建议并尝试戒烟。自我认同为吸烟者的参与者也更多为女性，且更欣赏该对话。自我认同为非吸烟者的男性比女性更常被问及吸烟情况并被建议戒烟，且比女性更欣赏该对话。
与吸烟者身份相比，非吸烟者身份更能影响获得戒烟建议、认同和尝试戒烟。未来的研究需要阐明为什么女性吸烟者不如男性吸烟者欣赏该对话。
我们建议在戒烟干预措施中纳入身份因素。全科医生应更加关注吸烟的女性患者。
