Department of Health Education, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China.
Department of Health Education, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China
BMJ Open. 2022 Oct 13;12(10):e062799. doi: 10.1136/bmjopen-2022-062799.
The current study aimed to assess the level of nicotine dependence and its influencing factors among daily smokers in Zhejiang, China.
The 2020 Global Adult Tobacco Survey was conducted in Zhejiang, China.
1244 daily smokers aged ≥15 years.
Respondents were asked questions regarding their age, sex, residence, education level, occupation, household income, age of starting daily smoking and nicotine dependence.
The findings revealed that 17.4% of daily smokers were highly dependent on nicotine, and the mean Fagerström Test for Nicotine Dependence score of daily smokers was (3.1±2.4). Age, educational level, occupation and age of starting daily smoking had significant effects on high nicotine dependence, whereas residence, sex and yearly household income were not significant factors. Compared with the age group ≥60 years, the proportion of respondents with a higher nicotine dependence level was lower in the age group of 15-39 years (OR=0.45). Daily smokers with a higher education level had a lower nicotine dependence level than those with a lower education level: primary or less (OR=3.07) and secondary (OR=2.62). Government institution staff (OR=4.02), unemployed persons (OR=3.08) and industrial workers (OR=2.46) had significantly higher nicotine dependence levels than did workers in the other occupation categories. People who started daily smoking at ≤18 years of age had a higher nicotine dependence level (OR=2.25) than those who started later.
This study elucidated that nearly one-fifth of daily smokers in Zhejiang, China, have high nicotine dependence levels. Improved health information on tobacco smoking is needed to encourage daily smokers to quit smoking, particularly among young males, unemployed persons and those with lower education levels.
本研究旨在评估中国浙江地区日吸烟人群尼古丁依赖程度及其影响因素。
2020 年中国开展了全球成人烟草调查（Global Adult Tobacco Survey，GATS），本研究利用该调查数据进行分析。
中国浙江。
年龄≥15 岁的 1244 名日吸烟人群。
通过问卷调查了解受访者年龄、性别、居住地、受教育程度、职业、家庭收入、开始日吸烟年龄和尼古丁依赖程度等信息。
结果显示，17.4%的日吸烟人群尼古丁依赖程度较高，日吸烟人群尼古丁依赖量表（Fagerström Test for Nicotine Dependence，FTND）平均评分为（3.1±2.4）分。年龄、受教育程度、职业和开始日吸烟年龄对尼古丁依赖程度有显著影响，而居住地、性别和家庭年收入对尼古丁依赖程度无显著影响。与≥60 岁年龄组相比，15-39 岁年龄组人群尼古丁依赖程度较高的比例较低（OR=0.45）。与受教育程度较低者相比，受教育程度较高者尼古丁依赖程度较低：小学及以下（OR=3.07）和初中（OR=2.62）。与其他职业人群相比，机关事业单位人员（OR=4.02）、失业人员（OR=3.08）和工业工人（OR=2.46）尼古丁依赖程度更高。与晚于 18 岁开始日吸烟人群相比，≤18 岁开始日吸烟人群尼古丁依赖程度更高（OR=2.25）。
中国浙江地区近五分之一的日吸烟人群尼古丁依赖程度较高。需要进一步加强健康信息宣传，鼓励日吸烟人群戒烟，尤其是年轻男性、失业人员和受教育程度较低者。
