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免费或低价戒烟药物是否能刺激戒烟?来自国际烟草控制(ITC)荷兰和英国调查的发现。

Does free or lower cost smoking cessation medication stimulate quitting? Findings from the International Tobacco Control (ITC) Netherlands and UK Surveys.

机构信息

Department of Family Medicine, Maastricht University (CAPHRI), Maastricht, The Netherlands.

Department of Health Promotion, Maastricht University (CAPHRI), Maastricht, The Netherlands.

出版信息

Tob Control. 2019 May;28(Suppl 1):s61-s67. doi: 10.1136/tobaccocontrol-2017-054023. Epub 2018 Apr 4.

DOI:10.1136/tobaccocontrol-2017-054023
PMID:29618494
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6531679/
Abstract

OBJECTIVE

To investigate whether mentioning free or lower cost smoking cessation medication as a trigger for thinking about quitting is related to higher medication use, more quit attempts and quit success, and whether these associations are modified by education and income.

METHODS

Data were derived from the 2013 and 2014 surveys of the International Tobacco Control Netherlands (n=1164) and UK (n=768) cohort. Logistic regression analyses were used to assess associations between mentioning in 2013 that free/lower cost smoking cessation medication was a trigger for thinking about quitting smoking and the use of medication, quit attempts and smoking cessation in 2014.

RESULTS

37.0% of smokers in the UK and 24.9% of smokers in the Netherlands mentioned free/lower cost medication as a trigger for thinking about quitting. Smokers who mentioned this trigger were more likely to have used cessation medication during a quit attempt both in the UK (OR=4.19, p<0.001) and in the Netherlands (OR=2.14, p=0.033). The association between mentioning free/lower cost medication as a trigger for thinking about quitting and actual quit attempts was significant in the UK (OR=1.45, p=0.030), but not in the Netherlands (OR=1.10, p=0.587). There was no significant association with quit success. Associations did not differ across income and education groups.

CONCLUSION

Free/lower cost smoking cessation medication may increase the use of cessation medication and stimulate quit attempts among smokers with low, moderate and high education and income.

摘要

目的

研究提及免费或较低成本的戒烟药物作为戒烟诱因是否与更高的药物使用、更多的戒烟尝试和戒烟成功有关,以及这些关联是否受到教育和收入的影响。

方法

数据来自 2013 年和 2014 年荷兰(n=1164)和英国(n=768)国际烟草控制队列调查。使用逻辑回归分析评估 2013 年提到免费/低成本戒烟药物是戒烟诱因与 2014 年药物使用、戒烟尝试和戒烟成功之间的关联。

结果

英国有 37.0%的吸烟者和荷兰有 24.9%的吸烟者提到免费/低成本药物是戒烟的诱因。提到这个诱因的吸烟者在戒烟尝试中更有可能使用戒烟药物,无论是在英国(OR=4.19,p<0.001)还是在荷兰(OR=2.14,p=0.033)。提到免费/低成本药物作为戒烟诱因与实际戒烟尝试之间的关联在英国显著(OR=1.45,p=0.030),但在荷兰不显著(OR=1.10,p=0.587)。与戒烟成功率没有显著关联。关联在收入和教育程度不同的群体中没有差异。

结论

免费/低成本戒烟药物可能会增加低、中、高教育和收入吸烟者对戒烟药物的使用,并刺激他们戒烟尝试。

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