Tubák Nimród, Ábrám Zoltán, Lorand Ferencz Iozsef, Nadasan Valentin, Ferencz Melinda, Balázs Péter, Pénzes Melinda, Foley Kristie L
Department of Hygiene, University of Medicine, Pharmacy, Sciences and Technology of Targu Mures, Targu Mures, Romania.
Psychiatric Clinic No. 2, University of Medicine, Pharmacy, Sciences and Technology of Targu Mures, Targu Mures, Romania.
Cent Eur J Public Health. 2020 Mar;28(1):13-17. doi: 10.21101/cejph.a5724.
Few studies have investigated smoking habits among foster care home children and employees, who are at high risk for smoking. Additionally, there are no published studies on the intention to quit smoking among employees of the Romanian Child Protection system, a gap we address in this manuscript.
A repeated cross-sectional survey was conducted among foster care employees in three Transylvanian counties (Mures, Sibiu, Covasna) in January 2014 to February 2015 (baseline) and September-December 2016 (follow-up). A foster home-based smoking prevention and cessation intervention targeting employees and children was conducted between the two waves. Multivariate logistic regression analysis was conducted to determine associations between socio-demographics, reasons for smoking, tobacco use patterns, reasons for quitting, and tobacco policy attitudes on intention to quit (dependent variable), controlling for participation in the smoking prevention intervention.
305 employees participated in the baseline (76.4% of females, 23.6% of males) and 304 employees in the follow-up surveys (68.8% of females, 31.2% of males) after the smoking prevention and cessation intervention. At baseline, 34.8% of respondents reported that no one was smoking within the foster care home, which increased to 59.1% at follow-up (p < 0.001). Being male and a high level of professional satisfaction were the only correlates of intention to quit in the bivariate models at baseline. Professional satisfaction and a belief that smoking is bad for one's health were the only correlates of intention to quit at follow-up. In multivariable models, professional satisfaction was the only consistent predictor of intention to quit at both time points (OR 5.63, 95% CI 1.71-18.56; OR 4.98, 95% CI 1.43-17.30).
Efforts should be made to promote cessation among foster care employees that includes evidence-based support, along with compliance to policies that prohibit smoking indoors to reinforce cessation efforts.
很少有研究调查寄养家庭儿童和员工的吸烟习惯，他们属于吸烟高危人群。此外，关于罗马尼亚儿童保护系统员工戒烟意愿的研究尚未发表，本手稿填补了这一空白。
2014年1月至2015年2月（基线）以及2016年9月至12月（随访），在特兰西瓦尼亚的三个县（穆列什、锡比乌、科瓦斯纳）对寄养员工进行了重复横断面调查。在两次调查期间，针对员工和儿童开展了以寄养家庭为基础的吸烟预防和戒烟干预。进行多变量逻辑回归分析，以确定社会人口统计学、吸烟原因、烟草使用模式、戒烟原因和烟草政策态度与戒烟意愿（因变量）之间的关联，并控制参与吸烟预防干预的情况。
在吸烟预防和戒烟干预后，305名员工参与了基线调查（女性占76.4%，男性占23.6%），304名员工参与了随访调查（女性占68.8%，男性占31.2%）。在基线时，34.8%的受访者表示寄养家庭内无人吸烟，随访时这一比例增至59.1%（p<0.001）。在基线的双变量模型中，男性和高度的职业满意度是戒烟意愿的唯一相关因素。职业满意度和认为吸烟有害健康是随访时戒烟意愿的唯一相关因素。在多变量模型中，职业满意度是两个时间点戒烟意愿的唯一一致预测因素（比值比5.63，95%置信区间1.71-18.56；比值比4.98，95%置信区间1.43-17.30）。
应努力促进寄养员工戒烟，包括提供循证支持，并遵守禁止在室内吸烟的政策，以加强戒烟工作。
