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在医疗保健咨询中提及戒烟辅助很重要:来自荷兰调查研究的结果。

Mentioning smoking cessation assistance during healthcare consultations matters: findings from Dutch survey research.

机构信息

The Netherlands Expertise Centre for Tobacco Control, Trimbos Institute, Utrecht, The Netherlands.

Department of Health Promotion, Maastricht University, Maastricht, The Netherlands.

出版信息

Eur J Public Health. 2022 Oct 3;32(5):747-752. doi: 10.1093/eurpub/ckac106.

Abstract

BACKGROUND

Smoking cessation assistance (SCA) can help smokers to successfully quit smoking. It is unclear to what extent hearing about SCA from a healthcare professional is associated with using SCA during a quit attempt.

METHODS

We used pooled survey data from the 2016, 2018 and 2020 'Module Substance Use' survey in the Netherlands (N = 5928). Multivariate logistic regression analyses were used to determine the association between having heard about SCA from one or more healthcare professionals in the last year and the use of SCA during the most recent quit attempt in the last year. We used two models: model 1 included any type of assistance; model 2 included assistance typically recommended by treatment guidelines (i.e. counselling and pharmacotherapy).

RESULTS

Hearing about any type of SCA from a healthcare professional in the last year was significantly associated with using any type of SCA during the most recent quit attempt [odds ratio (OR) = 2.96; 95% confidence interval (CI) 2.16-4.06; P < 0.001]. We found the strongest association between hearing about counselling and/or pharmacotherapy and using counselling and/or pharmacotherapy (OR = 5.40; 95% CI 4.11-11.60; P < 0.001). The odds of using SCA was not significantly higher for smokers who had heard about it from two or more healthcare professionals compared to one healthcare professional (OR = 1.38; 95% CI 0.79-2.42; P = 0.26).

CONCLUSIONS

Healthcare professionals can play a greater role in stimulating the use of SCA, especially counselling and pharmacotherapy, by mentioning it to smokers during consultations.

摘要

背景

戒烟辅助(SCA)可以帮助吸烟者成功戒烟。目前尚不清楚从医疗保健专业人员那里了解 SCA 在多大程度上与在戒烟尝试期间使用 SCA 相关。

方法

我们使用了荷兰 2016 年、2018 年和 2020 年“模块药物使用”调查的汇总调查数据(N=5928)。多变量逻辑回归分析用于确定在过去一年中从一位或多位医疗保健专业人员那里听说过 SCA 与在过去一年中最近一次戒烟尝试中使用 SCA 之间的关联。我们使用了两种模型:模型 1 包括任何类型的辅助;模型 2 包括治疗指南中通常推荐的辅助(即咨询和药物治疗)。

结果

在过去一年中从医疗保健专业人员那里听说过任何类型的 SCA 与在最近一次戒烟尝试中使用任何类型的 SCA 显著相关[比值比(OR)=2.96;95%置信区间(CI)2.16-4.06;P<0.001]。我们发现,听说过咨询和/或药物治疗与使用咨询和/或药物治疗之间的关联最强(OR=5.40;95%CI 4.11-11.60;P<0.001)。与从一位医疗保健专业人员那里听说过 SCA 的吸烟者相比,从两位或更多医疗保健专业人员那里听说过 SCA 的吸烟者使用 SCA 的几率并没有显著更高(OR=1.38;95%CI 0.79-2.42;P=0.26)。

结论

医疗保健专业人员可以通过在咨询期间向吸烟者提及 SCA,在刺激使用 SCA 方面发挥更大的作用,特别是咨询和药物治疗。

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