Department of Public Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands.
Int J Environ Res Public Health. 2019 Jan 29;16(3):378. doi: 10.3390/ijerph16030378.
From 2014, the 28-day smoking abstinence campaign 'Stoptober' is held in the Netherlands. Each year, more than 50,000 people participate in what has become a nation-wide collective cessation attempt. This study aims to determine the short-term effects of 'Stoptober' on participants' smoking behavior and behavioral determinants. Stoptober participants completed online surveys before the start of the campaign ( = 6856) and three months later ( = 1127). Descriptive statistics and t-tests were performed to determine changes in smoking and behavioral determinants. Logistic regression analyses were used to identify differences between subgroups. After three months, 71.8% of respondents had quit smoking and consumption was reduced among sustained smokers. Cessation rates were similar for subgroups by age, sex and educational level. Cessation was positively associated with confidence and self-efficacy at baseline and negatively associated with past year quit attempts and addiction level at baseline. For quitters, we found favorable changes in attitude towards cessation related stress, social norms, social pressure to smoke, self-efficacy to quit, smoking habit strength and smoker identity. For sustained smokers, we found favorable changes in attitude towards cessation related stress, self-efficacy and smoking habit strength. These results suggest that an abstinence campaign with a wide reach in a national population may be effective in decreasing smoking prevalence and cigarette consumption among a broad range of participants.
从 2014 年开始,荷兰举办了为期 28 天的戒烟活动“Stoptober”。每年有超过 50000 人参与到这场全国性的集体戒烟尝试中来。本研究旨在确定“Stoptober”对参与者吸烟行为和行为决定因素的短期影响。Stoptober 参与者在活动开始前(=6856)和三个月后(=1127)完成了在线调查。采用描述性统计和 t 检验来确定吸烟和行为决定因素的变化。使用逻辑回归分析来识别亚组之间的差异。三个月后,71.8%的受访者已经戒烟,持续吸烟者的吸烟量也有所减少。按年龄、性别和教育水平划分的亚组之间的戒烟率相似。戒烟与基线时的信心和自我效能感呈正相关,与过去一年的戒烟尝试和成瘾水平呈负相关。对于戒烟者,我们发现与戒烟相关的压力、社会规范、吸烟压力、戒烟自我效能、吸烟习惯强度和烟民身份的态度发生了有利的变化。对于持续吸烟者,我们发现与戒烟相关的压力、自我效能感和吸烟习惯强度的态度也发生了有利的变化。这些结果表明,在全国范围内开展广泛参与的禁欲运动,可能会有效降低吸烟率和香烟消费。
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