Shanghai Skin Disease Hospital, Tongji University, Shanghai, China.
College of Public Health, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Front Public Health. 2021 Sep 27;9:740476. doi: 10.3389/fpubh.2021.740476. eCollection 2021.
Tobacco consumption produces a heavy disease burden worldwide, and tobacco price increase, an advertisement for tobacco-induced harm, graphic warning labels on cigarette packages and advice of physicians for quitting are policies that have been proved as effective smoking cessation measures. But evidence on the estimated effect of advice of physicians for quitting and assumed tobacco retail price increase on smoking cessation intention among smokers is still limited in China. From January to April of 2021, we recruited 664 current smokers in Songjiang district of Shanghai by a multistage sampling design. We implemented a logistic regression analysis to calculate the odds ratio (OR) and 95% confidence interval (CI) to explore how smoking cessation intention would be influenced by the assumed tobacco retail price increase as well as advice of physicians for quitting, and used the paired tabulation method to identify the salient tobacco control measures among smokers as well. A total of 664 current smokers included 548 males (82.53%), with an average smoking duration of 22.50 years (SD: 11.52 years). About 68.79 and 43.67% of current smokers reported smoking cessation intention due to advice of physicians for quitting and the assumed tobacco retail price increase, respectively. Logistic regression analysis indicated that female smokers (OR = 2.85 and 4.55), smokers with previous smoking cessation attempt (OR = 3.71 and 3.07), longer smoking duration (OR = 2.26 and 2.68), lower smoking intensity (OR = 1.82 and 1.69), and heavier tobacco burdens (OR = 1.67 and 2.22) had the higher intention of smoking cessation both due to advice of physicians for quitting and due to assumed tobacco price increase, respectively. Meanwhile, the advice of physicians for quitting was more effective and acceptable (over 80%) than the assumed tobacco price increase for inducing smokers to consider quitting in Shanghai. Smokers have a high intention of smoking cessation in Shanghai, and the advice of physicians for quitting is a potentially more salient tobacco control measure than the assumed tobacco retail price increase. Incorporating smoking duration, intensity, personal burden as well as noncommunicable disease (NCD) status of smokers into the implementation of tobacco control measures is beneficial for descending smoking prevalence.
烟草消费在全球范围内造成了沉重的疾病负担，而提高烟草价格、宣传烟草危害、在烟盒上使用图形警示标签以及医生建议戒烟等都是已被证实的有效的戒烟措施。然而，在中国，关于医生建议戒烟和假设烟草零售价格上涨对吸烟者戒烟意愿的影响的证据仍然有限。
2021 年 1 月至 4 月，我们通过多阶段抽样设计在上海市松江区招募了 664 名当前吸烟者。我们实施了逻辑回归分析，计算了比值比（OR）和 95%置信区间（CI），以探讨假设烟草零售价格上涨和医生建议戒烟对戒烟意愿的影响，并使用配对制表法确定吸烟者中显著的控烟措施。
共有 664 名当前吸烟者，其中 548 名男性（82.53%），平均吸烟年限为 22.50 年（SD：11.52 年）。约 68.79%和 43.67%的当前吸烟者分别因医生建议戒烟和假设烟草零售价格上涨而有戒烟意愿。逻辑回归分析表明，女性吸烟者（OR=2.85 和 4.55）、有戒烟尝试史的吸烟者（OR=3.71 和 3.07）、吸烟年限较长的吸烟者（OR=2.26 和 2.68）、吸烟强度较低的吸烟者（OR=1.82 和 1.69）以及烟草负担较重的吸烟者（OR=1.67 和 2.22）因医生建议戒烟和假设烟草价格上涨而有更高的戒烟意愿。同时，医生建议戒烟比假设烟草价格上涨更有效和更被接受（超过 80%），可以促使吸烟者考虑戒烟。
上海的吸烟者有很高的戒烟意愿，医生建议戒烟是比假设烟草零售价格上涨更有效的控烟措施。将吸烟者的吸烟年限、强度、个人负担以及非传染性疾病（NCD）状况纳入控烟措施的实施中，有利于降低吸烟率。
