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孟加拉国成年吸烟者戒烟意愿的决定因素:国际烟草控制(ITC)孟加拉国第二轮调查结果

Determinants of intentions to quit smoking among adult smokers in Bangladesh: findings from the International Tobacco Control (ITC) Bangladesh wave 2 survey.

作者信息

Driezen Pete, Abdullah Abu S, Quah Anne C K, Nargis Nigar, Fong Geoffrey T

机构信息

Department of Psychology, University of Waterloo, Waterloo, ON Canada.

Global Health Program, Duke Kunshan University, Kunshan, Jiangsu Province 215347 China.

出版信息

Glob Health Res Policy. 2016 Aug 17;1:11. doi: 10.1186/s41256-016-0012-9. eCollection 2016.

Abstract

BACKGROUND

With about 22 million adult smokers, Bangladesh needs strong measures that would promote smoking cessation. Using data from Wave 2 of the International Tobacco Control (ITC) Survey, this study examined the factors associated with intention to quit smoking among Bangladeshi smokers.

METHODS

Data from Wave 2 of the International Tobacco Control (ITC) Survey in Bangladesh, a face to face survey of adult smokers, were analysed. In the ITC survey, households were sampled using a stratified multistage design and interviewed using a structured questionnaire.

RESULTS

Of the respondents ( = 2982), most were male (96 %), married (80 %), and Muslim (83 %); 33 % were illiterate and 54 % were aged below 40. Almost two-thirds were from areas outside Dhaka, 78 % smoked cigarettes exclusively; and 36 % had an intention to quit smoking in the future. This study identified several predictors, comparable to other international studies, of intention to quit smoking: area of residence, number of cigarettes smoked daily, previous quit attempt, visiting a doctor in the past, having child aged 5 or below at home, perceived benefit from quitting, being worried about own health, knowledge of SHS, not enjoying smoking and workplace smoking policy.

CONCLUSIONS

These findings suggest that the prevalence of intention to quit smoking is lower among Bangladeshi smokers than those among smokers in developed countries. However, the factors relating to quit intentions among Bangladeshi smokers are comparable to those found in Western countries. Population based tobacco control programs and policies should consider these predictors in the design of interventions to increase quitting among smokers in Bangladesh.

摘要

背景

孟加拉国约有2200万成年吸烟者,因此需要采取有力措施来促进戒烟。本研究利用国际烟草控制(ITC)调查第二轮的数据,调查了孟加拉国吸烟者中与戒烟意愿相关的因素。

方法

对孟加拉国国际烟草控制(ITC)调查第二轮的数据进行了分析,该轮调查是对成年吸烟者的面对面调查。在ITC调查中,采用分层多阶段设计对家庭进行抽样,并使用结构化问卷进行访谈。

结果

在2982名受访者中,大多数为男性(96%)、已婚(80%)且为穆斯林(83%);33%为文盲,54%年龄在40岁以下。近三分之二来自达卡以外地区,78%只吸烟;36%打算未来戒烟。本研究确定了与其他国际研究相当的几个戒烟意愿预测因素:居住地区、每日吸烟量、既往戒烟尝试、过去看过医生、家中有5岁及以下儿童、认为戒烟有益、担心自身健康、对二手烟的了解、不喜欢吸烟以及工作场所吸烟政策。

结论

这些研究结果表明,孟加拉国吸烟者的戒烟意愿患病率低于发达国家吸烟者。然而,孟加拉国吸烟者中与戒烟意愿相关的因素与西方国家发现的因素相当。基于人群的烟草控制项目和政策在设计干预措施以增加孟加拉国吸烟者的戒烟率时应考虑这些预测因素。

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