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[中国农村地区现吸烟者戒烟意愿及其影响因素研究]

[Study on the willingness to quit smoking and its influencing factors among current smokers in rural areas in China].

作者信息

Cheng L, Ji N, Xu J W, Jia A N, Liang X F, Wu Jing

机构信息

School of Public Health, Shanxi Medical University, Taiyuan 030001, China National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.

National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2022 Dec 10;43(12):1887-1892. doi: 10.3760/cma.j.cn112338-20220525-00460.

Abstract

To study the willingness of current smokers to quit smoking in rural areas and related factors to provide a reference for tobacco control. The data were collected from the China Chronic Disease and Risk Factor Surveillance in 2018. A multi-stage stratified cluster sampling was used to select 184 509 residents (≥18 years old); among the residents, 10 241 current smokers in rural areas were included in the study. / test was used to analyze the factors such as willingness to quit smoking and demographic information, tobacco use, cognition of tobacco-related hazard knowledge, the prevalence of chronic diseases, and other factors. Unconditional multifactor logistic regression analysis was used in multivariate analysis. A total of 3 453 (37.46%) considered quitting smoking in the next 12 months. Logistic regression analysis showed that occasional smokers were more willing to quit smoking than daily smokers (=0.693 95%: 0.494-0.971), and those who smoked less than 1 pack per day were more willing to quit than those who smoked 1 pack or more per day (=0.62895%: 0.511-0.771), those who had quit smoking within 12 months were more willing to quit than those who had not quit within 12 months (=0.438 95%: 0.357-0.537), and those with high awareness of tobacco hazards were more willing to quit smoking (=1.056 95%: 1.028-1.086). The differences were statistically significant (<0.05). The willingness of current smokers in rural areas to quit smoking is related to the smoking situation, smoking intensity, previous smoking cession experience, and knowledge of the specific health effects of smoking. It suggests that health education should be strengthened through more efficient health communication methods in rural areas and provide brief smoking cessation interventions to improve rural smokers' willingness to quit smoking.

摘要

为研究农村地区现吸烟者的戒烟意愿及相关因素,为烟草控制提供参考。数据来源于2018年中国慢性病与危险因素监测。采用多阶段分层整群抽样方法选取184509名(≥18岁)居民;其中,10241名农村现吸烟者纳入本研究。采用/检验分析戒烟意愿、人口学信息、烟草使用、烟草相关危害知识认知、慢性病患病率等因素。多因素分析采用非条件多因素logistic回归分析。共有3453人(37.46%)考虑在未来12个月内戒烟。logistic回归分析显示,偶尔吸烟者比每日吸烟者更愿意戒烟(=0.693,95%置信区间:0.494 - 0.971),每天吸烟少于1包者比每天吸烟1包及以上者更愿意戒烟(=0.628,95%置信区间:0.511 - 0.771),在12个月内已戒烟者比未在12个月内戒烟者更愿意戒烟(=0.438,95%置信区间:0.357 - 0.537),对烟草危害认知高者更愿意戒烟(=1.056,95%置信区间:1.028 - 1.086)。差异有统计学意义(<0.05)。农村地区现吸烟者的戒烟意愿与吸烟情况、吸烟强度、既往戒烟经历以及对吸烟具体健康影响的知晓情况有关。提示应通过更有效的健康传播方式加强农村地区的健康教育,并提供简短戒烟干预措施,以提高农村吸烟者的戒烟意愿。

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