政府的戒烟治疗补贴政策与利用情况：台湾一项基于人群的横断面研究

Government's subsidisation policy and utilisation of smoking cessation treatments: a population-based cross-sectional study in Taiwan.

作者信息

Wang Sheng-Kuang, Kao Chi-Wen, Chuang Hui-Wan, Tseng Yi-Kai, Chen Wan-Chun, Yeh Chien-Chih, Lai Chung-Yu, Yen Li-Chen, Chiu Yu-Lung

机构信息

Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei, Taiwan.

Medical Administrative Department, Taichung Army Forces General Hospital, Taichung, Taiwan.

出版信息

BMJ Open. 2021 Jan 13;11(1):e040424. doi: 10.1136/bmjopen-2020-040424.

DOI:10.1136/bmjopen-2020-040424

PMID:33441354

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7812102/

Abstract

OBJECTIVES

This study examined the associations between the Second-Generation Cessation Payment Scheme (SCPS) and the use of smoking cessation treatments. Furthermore, these associations were compared between light and heavy smokers in Taiwan.

DESIGN

This study had a cross-sectional design.

SETTING

Data were obtained from the Taiwan Adult Smoking Behaviour Surveillance System 2010-2011 and 2013-2014; data for each year consisted of a nationally representative sample of adults aged 18 years and older.

PARTICIPANTS

Current smokers who had either quit or made a serious attempt to quit smoking were selected for the analysis.

PRIMARY OUTCOME MEASURE

The primary outcome measure was the use of a smoking cessation clinic or pharmacy in a twice daily to quit smoking.

RESULTS

According to multivariate analysis, the SCPS was positively associated with the combined use of a smoking cessation clinic and a pharmacy (OR=3.947; 95% CI: 1.359 to 11.463) when individual-level predictors (gender, age, education level, marital status, monthly household income, daily cigarette consumption, smoking status and self-reported health) were controlled. Heavy smokers showed a signiﬁcant increase in the sole use of a pharmacy (OR=1.676; 95% CI: 1.094 to 2.569) and combined use of a smoking cessation clinic and pharmacy (OR=8.984; 95% CI: 1.914 to 42.173) after the SCPS was introduced. In addition, when related factors were controlled, the use of smoking cessation services was more frequent among heavy smokers than light smokers, including any treatment (OR=1.594; 95% CI: 1.308 to 1.942), a smoking cessation clinic (OR=1.539; 95% CI: 1.232 to 1.922), a pharmacy (OR=1.632; 95% CI: 1.157 to 2.302) and the combination of a smoking cessation clinic and pharmacy (OR=4.608; 95% CI: 1.331 to 15.949) .

CONCLUSIONS

The SCPS subsidisation policy increased the use of smoking cessation treatments, particularly among heavy smokers.

摘要

目的

本研究探讨了第二代戒烟支付计划（SCPS）与戒烟治疗使用之间的关联。此外，还比较了台湾轻度和重度吸烟者之间的这些关联。

设计

本研究采用横断面设计。

背景

数据来自2010 - 2011年和2013 - 2014年台湾成人吸烟行为监测系统；每年的数据均由18岁及以上成年人的全国代表性样本组成。

参与者

选择已戒烟或已认真尝试戒烟的当前吸烟者进行分析。

主要结局指标

主要结局指标是使用戒烟诊所或药房进行每日两次戒烟。

结果

根据多变量分析，在控制个体水平预测因素（性别、年龄、教育水平、婚姻状况、家庭月收入、每日吸烟量、吸烟状况和自我报告的健康状况）后，SCPS与联合使用戒烟诊所和药房呈正相关（OR = 3.947；95% CI：1.359至11.463）。引入SCPS后，重度吸烟者单独使用药房（OR = 1.676；95% CI：1.094至2.569）以及联合使用戒烟诊所和药房（OR = 8.984；95% CI：1.914至42.173）有显著增加。此外，在控制相关因素后，重度吸烟者比轻度吸烟者更频繁地使用戒烟服务，包括任何治疗（OR = 1.594；95% CI：1.308至1.942）、戒烟诊所（OR = 1.539；95% CI：1.232至1.922）、药房（OR = 1.632；95% CI：1.157至2.302）以及戒烟诊所和药房联合使用（OR = 4.608；95% CI：1.331至15.949）。