泰国弗吉尼亚和白肋烟农生活质量恶化，渴望停止种植烟草。

Deteriorating Quality of Life and a Desire to Stop Growing Tobacco Among Virginia and Burley Tobacco Farmers in Thailand.

机构信息

Department of Community Health, Faculty of Public Health, Naresuan University, Phitsanulok, Thailand.

Tobacco Control Research Unit (Northern Region), Naresuan University, Phitsanulok, Thailand.

出版信息

JCO Glob Oncol. 2022 Aug;8:e2200180. doi: 10.1200/GO.22.00180.

DOI:10.1200/GO.22.00180

PMID:36049151

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9470139/

Abstract

PURPOSE

This study aimed to examine the quality of life of tobacco farmers and their desire to stop growing tobacco.

METHODS

A cross-sectional home-based survey was conducted between October 2021 and January 2022 among 2,970 Virginia and Burley tobacco farmers in Northern Thailand. Multivariate logistic regression models were used to determine the association between farmers' characteristics and their quality of life and a desire to stop planting tobacco.

RESULTS

In total, 58.5% of the participants wanted to stop growing tobacco, and most had a lower quality of life than the mean. Nine independent variables were associated with a desire to stop tobacco farming: having a low level of economic quality of life (adjusted odds ratio [ORAdj], 5.42; 95% CI, 3.8 to 7.8); having a high environmental quality of life (ORAdj, 4.60; 95% CI, 3.3 to 6.5); belonging to the Tobacco Farmers' Association (ORAdj, 3.04; 95% CI, 2.1 to 4.5); growing tobacco on their own land (ORAdj, 2.12; 95% CI, 1.8 to 2.6); having a low social quality of life (ORAdj, 1.69; 95% CI, 1.4 to 2.1); having a low health quality of life (ORAdj, 1.69; 95% CI, 1.4 to 2.1); having a low spiritual quality of life (ORAdj, 1.41; 95% CI, 1.2 to 1.7); being Burley tobacco farmers (ORAdj, 1.33; 95% CI, 1.0 to 1.8); and having a low family quality of life (ORAdj, 0.49; 95% CI, 0.4 to 0.6).

CONCLUSION

The majority of the tobacco farmers had a declining quality of life, particularly economic and environmental quality of life, resulting in reducing growing tobacco. National and regional support are needed to help these farmers effectively grow alternative crops, and financial support to make such conversions.

摘要

目的

本研究旨在调查烟草种植者的生活质量及其戒烟意愿。

方法

2021 年 10 月至 2022 年 1 月，在泰国北部对 2970 名弗吉尼亚和白肋烟种植者进行了一项基于家庭的横断面调查。采用多变量逻辑回归模型，确定了农民特征与生活质量和戒烟意愿之间的关系。

结果

共有 58.5%的参与者希望停止种植烟草，且大多数人的生活质量低于平均值。9 个独立变量与停止种植烟草的意愿相关：经济生活质量较低（调整后的优势比[ORAdj]，5.42；95%置信区间，3.8 至 7.8）；环境生活质量较高（ORAdj，4.60；95%置信区间，3.3 至 6.5）；属于烟草种植者协会（ORAdj，3.04；95%置信区间，2.1 至 4.5）；在自有土地上种植烟草（ORAdj，2.12；95%置信区间，1.8 至 2.6）；社会生活质量较低（ORAdj，1.69；95%置信区间，1.4 至 2.1）；健康生活质量较低（ORAdj，1.69；95%置信区间，1.4 至 2.1）；精神生活质量较低（ORAdj，1.41；95%置信区间，1.2 至 1.7）；种植白肋烟（ORAdj，1.33；95%置信区间，1.0 至 1.8）；家庭生活质量较低（ORAdj，0.49；95%置信区间，0.4 至 0.6）。