Center for Behavioral Science Research, Department of Health Policy and Health Services Research, Boston University Henry M. Goldman School of Dental Medicine, Boston, MA, USA.
Section of General Internal Medicine, School of Medicine, Boston University, Boston, MA, USA.
Transl Behav Med. 2021 Apr 7;11(3):882-890. doi: 10.1093/tbm/ibab005.
People with mobility impairments (MIs; use assistive devices to ambulate) have twice the smoking prevalence versus the general population. A Facebook intervention could improve reach to smokers with MIs, but use and patterns of use are unknown. The study examined: (a) Facebook use and relationship with Facebook-based social support and (b) whether Facebook use differs by motivation to quit smoking. Participants (N = 510; 56.3% female, mean age = 42.4 years) were recruited via a recruitment company to complete a one-time online survey assessing motivation to quit within 30 days, Facebook use (Facebook Activities Scale), reasons for use (Facebook Motives Scale), attitudes (Facebook Intensity Scale), and social support (Facebook Measure of Social Support). The vast majority said that Facebook is part of their daily routine (92.9%), 83% checked Facebook >once a day, and 69% spent >30 min/day on Facebook. Facebook was used to connect with similar others (68.4%), participate in groups (72.9%), decrease loneliness (69.2%), and obtain health information (62.5%); 88% said that they would join a Facebook program to help them quit smoking. A greater number of Facebook friends (rs = .18-.22, p < .001) and greater Facebook use (rs = .20 to rs = .59; p < .001) were correlated with greater perceived social and emotional support. Those motivated to quit posted more frequently (odds ratio [OR] = 1.56, 95% confidence interval [CI] = 1.10, 2.22) and were more likely to indicate that they would join a Facebook group for smoking cessation (OR = 4.15, 95% CI = 2.05, 8.38) than those not motivated. Facebook could circumvent disability and environmental barriers to accessing cessation among this health disparity population.
行动障碍者（使用助行器进行活动）的吸烟率是一般人群的两倍。基于 Facebook 的干预措施可能会增加与行动障碍吸烟者的接触，但使用情况和使用模式尚不清楚。本研究考察了：（a）Facebook 的使用情况以及与基于 Facebook 的社会支持之间的关系；（b）Facebook 的使用情况是否因戒烟动机而异。研究对象（N=510；56.3%为女性，平均年龄为 42.4 岁）通过招聘公司招募，完成了一项一次性在线调查，评估他们在 30 天内戒烟的动机、Facebook 使用情况（Facebook 活动量表）、使用原因（Facebook 动机量表）、态度（Facebook 强度量表）和社会支持（Facebook 社会支持量表）。绝大多数人表示 Facebook 是他们日常生活的一部分（92.9%），83%的人每天至少检查一次 Facebook，69%的人每天在 Facebook 上花费超过 30 分钟。Facebook 的使用目的是与相似的人建立联系（68.4%）、参与群组（72.9%）、减少孤独感（69.2%）和获取健康信息（62.5%）；88%的人表示他们将加入 Facebook 计划来帮助他们戒烟。Facebook 上拥有更多的朋友（rs=0.18-0.22，p<0.001）和更多的 Facebook 使用量（rs=0.20 到 rs=0.59；p<0.001）与更高的感知社会和情感支持相关。那些有戒烟动机的人发布的内容更频繁（优势比[OR]=1.56，95%置信区间[CI]=1.10，2.22），更有可能表示他们将加入一个戒烟的 Facebook 群组（OR=4.15，95%CI=2.05，8.38），而那些没有戒烟动机的人则不然。Facebook 可以规避残疾和环境障碍，为这一健康差异人群提供戒烟服务。
