Ayo-Yusuf Olalekan A, Omole Olufemi B
Africa Centre for Tobacco Industry Monitoring and Policy Research, Sefako Makgatho Health Sciences University, Pretoria, South Africa.
Division of Family Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Tob Induc Dis. 2021 Feb 11;19:11. doi: 10.18332/tid/132148. eCollection 2021.
The aim of this study was to determine trends in receiving quit advice from healthcare professionals among current smokers in South Africa, pre- and post-adoption of Article 14 guidelines of the WHO FCTC in 2010, and to determine the association between quit advice, e-cigarette use and quit attempt.
This study was a secondary data analysis involving 2206 ever-smokers aged ≥16 years who participated in the South African Social Attitude Surveys conducted in 2007, 2010 and 2017. Data included participants' sociodemographics, tobacco, and/or e-cigarette use (for years 2010 and 2017 only), exposure to others' smoking at home and/or work or public places, quit advice, and quit attempts. Analyses included chi-squared test and logistic regression.
The mean cigarettes smoked per day, the proportions of smokers offered quit advice, planning to quit and who made a quit attempt did not change significantly between 2007 and 2017 (p=0.67, p=0.70, p=0.09 and p=0.40, respectively). However, there was a marginally significant increase in e-cigarette uptake between 2010 and 2017 (p=0.05). In a bivariate analysis, quit advice was significantly associated with making a quit attempt across all survey years. In the final multivariable-adjusted regression model, having received a quit advice (OR=1.967; 95% CI: 1.255-3.083) compared to not, and being Colored/mixed race (OR=0.467; 95% CI: 0.298-0.732) compared to self-identifying as Black African, remained independently associated with making a quit attempt.
Except for marginally increased e-cigarette use, there was no significant change in smoking or quitting behavior in South Africa post-adoption of Article 14 guidelines. The study findings highlight the importance of quit advice in promoting quitting behavior and suggest the need to scale it up in South Africa.
本研究的目的是确定在南非，2010年世界卫生组织《烟草控制框架公约》第14条准则采用前后，当前吸烟者从医疗保健专业人员处获得戒烟建议的趋势，并确定戒烟建议、电子烟使用与戒烟尝试之间的关联。
本研究是一项二次数据分析，涉及2206名年龄≥16岁的曾经吸烟者，他们参与了2007年、2010年和2017年进行的南非社会态度调查。数据包括参与者的社会人口统计学、烟草和/或电子烟使用情况（仅2010年和2017年）、在家中和/或工作场所或公共场所接触他人吸烟的情况、戒烟建议和戒烟尝试。分析包括卡方检验和逻辑回归。
2007年至2017年期间，每天吸烟的平均支数、接受戒烟建议的吸烟者比例、计划戒烟的吸烟者比例以及尝试戒烟的吸烟者比例均无显著变化（p分别为0.67、0.70、0.09和0.40）。然而，2010年至2017年期间，电子烟的使用略有显著增加（p = 0.05）。在双变量分析中，在所有调查年份，戒烟建议与尝试戒烟均显著相关。在最终的多变量调整回归模型中，与未接受戒烟建议相比，接受戒烟建议（比值比=1.967；95%置信区间：1.255 - 3.083），以及与自认为是黑人非洲人相比，属于有色人种/混血种族（比值比=0.467；95%置信区间：0.298 - 0.732），仍然与尝试戒烟独立相关。
除了电子烟使用略有增加外，采用第14条准则后，南非的吸烟或戒烟行为没有显著变化。研究结果突出了戒烟建议在促进戒烟行为方面的重要性，并表明在南非有必要扩大其规模。
