Sornpaisarn Bundit, Parvez Nadia, Chatakan Werayut, Thitiprasert Weena, Precha Pattanapong, Kongsakol Ronnachai, Saengow Udomsak, Rehm Jürgen
Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada.
Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Tob Induc Dis. 2022 Jul 25;20:67. doi: 10.18332/tid/150345. eCollection 2022.
Despite comprehensive tobacco control policies being in place since 1992, smoking prevalence in Thailand has not declined since 2009, indicating a potential need for individual-level measures. This study examined factors influencing successful smoking cessation attempts in Thailand.
With a case-control design, smoking cessation experiences of 284 successful (defined as having quit smoking for at least six months) and 837 unsuccessful quitters, who were all lifetime daily smokers, were compared, using sociodemographic data, smoking behaviors, and smoking cessation experiences from their last quitting attempt. Data were collected between August and December 2020. Multivariate-adjusted logistic regressions were employed.
Unaided smoking cessation was the most popular method among Thais attempting to quit smoking; more than 99% of both successful and unsuccessful quitters used this method. A significantly higher proportion of successful quitters favored stopping their smoking abruptly than did unsuccessful quitters. Depending on the cessation phases (nicotine withdrawal or relapse prevention), cessation-supporting factors included a doctor's recommendation to stop smoking due to smoker's sickness (OR=2.6; 95% CI: 1.9-3.6), having a grandchild (OR=2.5; 95% CI: 1.1-5.6) or child (OR=2.0; 95% CI: 1.2-3.1), exercising (OR=13.9; 95% CI: 7.2-26.9), avoiding smokers (OR=6.7; 95% CI: 4.1-11.1), self-efficacy (OR=8.5; 95% CI: 3.6-20.0), having a good appetite (OR=1.9; 95% CI: 1.3-2.8), wishing to avoid the unpleasant smell of other people's smoking after cessation (OR=3.7; 95% CI: 2.5-5.5), smoking prohibitions in public places (OR=2.8; 95% CI: 1.2-6.4) and workplaces (OR=4.5; 95% CI: 1.9-10.3), and expensive tobacco (OR=1.9; 95% CI: 1.3-2.9). Barriers to successful cessation included using roll-your-own (OR=0.4; 95% CI: 0.3-0.5), insomnia (OR=0.3; 95% CI: 0.2-0.5), social pressure to smoke (OR=0.4; 95% CI: 0.3-0.6), associating smoking with a habit/specific activity (OR=0.4; 95% CI: 0.3-0.5), and pleasure of smoking (OR=0.5; 95% CI: 0.3-0.7).
This study highlights several factors found to influence successful smoking cessation among Thai smokers which can be used to design a guideline for unaided smoking cessation, and for smoking cessation enhancement programs and policies.
尽管自1992年以来泰国就实施了全面的烟草控制政策，但自2009年以来泰国的吸烟率并未下降，这表明可能需要采取针对个人层面的措施。本研究调查了影响泰国人成功戒烟尝试的因素。
采用病例对照设计，比较了284名成功戒烟者（定义为已戒烟至少六个月）和837名未成功戒烟者的戒烟经历，这些人都是长期每日吸烟者，使用了社会人口统计学数据、吸烟行为以及他们上次戒烟尝试的戒烟经历。数据收集于2020年8月至12月期间。采用多变量调整逻辑回归分析。
在试图戒烟的泰国人中，自主戒烟是最常见的方法；超过99%的成功和未成功戒烟者都采用了这种方法。与未成功戒烟者相比，成功戒烟者中倾向于突然戒烟的比例显著更高。根据戒烟阶段（尼古丁戒断或预防复吸），有助于戒烟的因素包括因吸烟者患病医生建议戒烟（比值比[OR]=2.6；95%置信区间[CI]：1.9 - 3.6）、有孙子（OR=2.5；95% CI：1.1 - 5.6）或孩子（OR=2.0；95% CI：1.2 - 3.1）、进行体育锻炼（OR=13.9；95% CI：7.2 - 26.9）、避开吸烟者（OR=6.7；95% CI：4.1 - 11.1）、自我效能感（OR=8.5；95% CI：3.6 - 20.0）、食欲良好（OR=1.9；95% CI：1.3 - 2.8）、希望戒烟后避免他人吸烟的难闻气味（OR=3.7；95% CI：2.5 - 5.5）、公共场所（OR=2.8；95% CI：1.2 - 6.4）和工作场所（OR=4.5；95% CI：1.9 - 10.3）的吸烟禁令以及烟草价格昂贵（OR=1.9；95% CI：1.3 - 2.9）。成功戒烟的障碍包括吸自卷烟（OR=0.4；95% CI：0.3 - 0.5）、失眠（OR=0.3；95% CI：0.2 - 0.5）、吸烟的社会压力（OR=0.4；95% CI：0.3 - 0.6）、将吸烟与一种习惯/特定活动联系起来（OR=0.4；95% CI：0.3 - 0.5）以及吸烟的愉悦感（OR=0.5；95% CI：0.3 - 0.7）。
本研究突出了一些被发现影响泰国吸烟者成功戒烟的因素，这些因素可用于制定自主戒烟指南以及戒烟强化项目和政策。
