Department of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA.
Division of Biobehavioral Health Sciences, College of Nursing, University of Arizona, Tucson, AZ, USA.
Health Educ Res. 2019 Jun 1;34(3):345-355. doi: 10.1093/her/cyz008.
Home smoking bans may be an effective way to promote tobacco cessation among treatment seeking smokers. Few studies have examined this relationship in a quitline setting. Data were obtained from 14,296 adults who were enrolled in a state quitline between January 2011 and July 2016. This study investigated whether cessation rates varied by changes in home smoking ban implementation between enrollment and 7-month follow-up. The impact of changes in home smoking bans on cessation at follow-up was significantly modified by having other smokers living in the home at follow-up (P < 0.0001). Among callers who did not live with other smokers in the home, the highest odds ratio of 30-day cessation was for callers who reported bans at follow-up only (OR = 10.50, 95%CI: 8.00, 13.70), followed by callers who reported bans at both enrollment and follow-up (OR = 8.02, 95%CI: 6.27, 10.30) and callers who reported bans at enrollment only (OR = 2.06, 95% CI: 1.47, 2.89) compared with callers with no home smoking bans. When callers reported that they lived with other smokers in the home, the effect of home smoking bans on cessation was much smaller. Quitlines should support the implementation of home smoking bans as a part of callers' goal setting activities to achieve tobacco cessation.
家庭禁烟令可能是促进寻求治疗的吸烟者戒烟的有效方法。很少有研究在戒烟热线环境中研究这种关系。本研究的数据来自于 2011 年 1 月至 2016 年 7 月期间参加州立戒烟热线的 14296 名成年人。本研究调查了在登记和 7 个月随访期间家庭吸烟禁令实施的变化是否会导致戒烟率的变化。家庭吸烟禁令的变化对随访时戒烟的影响显著受到随访时家中是否有其他吸烟者的影响（P<0.0001）。在不在家中与其他吸烟者同住的来电者中，报告随访时禁令的来电者 30 天戒烟的几率最高（OR=10.50，95%CI：8.00，13.70），其次是报告登记和随访时禁令的来电者（OR=8.02，95%CI：6.27，10.30）和仅报告登记时禁令的来电者（OR=2.06，95%CI：1.47，2.89），与家中无吸烟禁令的来电者相比。当来电者报告他们与家中的其他吸烟者同住时，家庭吸烟禁令对戒烟的影响要小得多。戒烟热线应支持实施家庭禁烟令，作为来电者设定戒烟目标的一部分。
