Cheung Chung-Mei M, Vardavas Constantine I, Filippidis Filippos T
Public Health Policy Evaluation Unit, School of Public Health, Imperial College London, London, United Kingdom.
School of Medicine, University of Crete, Heraklion, Greece.
Tob Prev Cessat. 2020 Jan 25;7:5. doi: 10.18332/tpc/132123. eCollection 2021.
There is a lack of information regarding factors associated with successful smoking cessation on a population and European Union (EU)-wide level. Our study seeks to explore individual and country-level factors associated with abstinence after a recent smoking cessation attempt across the EU.
We obtained data from the March 2017 Special Eurobarometer 87.1 (n=27901). Regression analysis was performed on a subset of 1472 individuals who made quit attempts in the past 12 months. Sociodemographic, policy and country-level factors were assessed using logistic regression among smokers and ex-smokers who attempted to quit approximately 12 months before the survey date. We defined and examined the Cessation Ratio (ratio of number of recent quitters to those who did not succeed) across 28 EU Member States.
In all, 14.9% (n=1018) of current smokers and 8.80% (n=454) of ex-smokers attempted to quit in approximately the last 12 months (n=1472). Cessation Ratios ranged from 0.182 (95% CI: 0.045-0.319) in Estonia to 1.060 (95% CI: 0.262-1.860) in Sweden. There is a quadratic, U-shaped relationship between odds of quitting and smoking prevalence. The lowest odds of cessation were observed at a prevalence of 26.3%, with higher odds of cessation observed above and below this point. Respondents who reported financial difficulties were less likely to quit (AOR=0.66; 95% CI: 0.52-0.83). There was no association of likelihood of success with other sociodemographic factors or the Tobacco Control Scale treatment score.
These findings highlight a need for exploring reasons behind the variation in likelihood of abstinence following a recent quit attempt, in order to design policies targeted at population groups or countries that need greater support.
在总体人群以及整个欧盟层面，关于与成功戒烟相关因素的信息较为匮乏。我们的研究旨在探究整个欧盟范围内近期戒烟尝试后与戒烟相关的个体和国家层面因素。
我们获取了2017年3月特别欧洲晴雨表87.1的数据（n = 27901）。对过去12个月内尝试戒烟的1472名个体的子集进行了回归分析。在调查日期前约12个月尝试戒烟的吸烟者和已戒烟者中，使用逻辑回归评估了社会人口统计学、政策和国家层面的因素。我们定义并研究了28个欧盟成员国的戒烟率（近期戒烟者数量与未成功戒烟者数量之比）。
总体而言，在过去约12个月内，14.9%（n = 1018）的当前吸烟者和8.80%（n = 454）的已戒烟者尝试戒烟（n = 1472）。戒烟率范围从爱沙尼亚的0.182（95%置信区间：0.045 - 0.319）到瑞典的1.060（95%置信区间：0.262 - 1.860）。戒烟几率与吸烟流行率之间存在二次U型关系。在流行率为26.3%时观察到最低的戒烟几率，在此点之上和之下观察到更高的戒烟几率。报告有经济困难的受访者戒烟的可能性较小（调整后比值比 = 0.66；95%置信区间：0.52 - 0.83）。成功可能性与其他社会人口统计学因素或烟草控制量表治疗得分之间没有关联。
这些发现凸显了有必要探究近期戒烟尝试后戒烟可能性差异背后的原因，以便针对需要更多支持的人群或国家制定政策。
