Hwang Jun Hyun, Park Soon-Woo
Department of Preventive Medicine, Catholic University of Daegu School of Medicine, Daegu 42472, Korea.
Int J Environ Res Public Health. 2021 Mar 12;18(6):2899. doi: 10.3390/ijerph18062899.
Few studies have simultaneously considered the effects of significant others and medical professionals' advice to quit smoking on smoking cessation intention. The present study involved 3841 current adult Korean smokers, divided into four groups with an intention to quit within 1 month, within 6 months, someday, and without intention to quit. Multinomial multiple logistic regression analysis was conducted according to smoking cessation intention level, adjusted for potential confounders, including past smoking cessation attempts. Smokers who had been advised to quit smoking by both significant others and medical professionals, significant others only, and medical professionals only were 2.63 (95% confidence interval (CI): 1.62-4.29), 1.84 (95% CI: 1.17-2.89), and 1.44 (95% CI: 0.70-2.94) times more likely to intend to quit within 1 month, respectively, than those who were not advised to quit. The odds ratios of an intention to quit within 6 months were 2.91 (95% CI: 1.87-4.54), 2.49 (95% CI: 1.69-3.68), and 0.94 (95% CI: 0.44-2.05), respectively. To promote smokers' intention to quit, the role of significant others should be considered. Medical professionals' advice to quit smoking remains important, increasing the effects of significant others' advice.
很少有研究同时考虑重要他人及医学专业人员的戒烟建议对戒烟意愿的影响。本研究纳入了3841名成年韩国吸烟者,根据其戒烟意愿分为四组:打算在1个月内戒烟、打算在6个月内戒烟、有朝一日打算戒烟以及无意戒烟。根据戒烟意愿水平进行多项多元逻辑回归分析,并对包括既往戒烟尝试在内的潜在混杂因素进行了调整。同时得到重要他人及医学专业人员戒烟建议的吸烟者、仅得到重要他人戒烟建议的吸烟者以及仅得到医学专业人员戒烟建议的吸烟者,打算在1个月内戒烟的可能性分别是未得到戒烟建议者的2.63倍(95%置信区间(CI):1.62 - 4.29)、1.84倍(95%CI:1.17 - 2.89)和1.44倍(95%CI:0.70 - 2.94)。打算在6个月内戒烟的比值比分别为2.91(95%CI:1.87 - 4.54)、2.49(95%CI:1.69 - 3.68)和0.94(95%CI:0.44 - 2.05)。为提高吸烟者的戒烟意愿,应考虑重要他人的作用。医学专业人员的戒烟建议仍然很重要,它能增强重要他人建议的效果。