Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina(MUSC), Charleston, SC, USA.
East Tennessee State University, Johnson City, TN, USA.
J Appl Gerontol. 2023 Jul;42(7):1477-1485. doi: 10.1177/07334648231158228. Epub 2023 Feb 16.
Older adults are a high priority population for smoking cessation. This study observed the influence of older age on the relationship between quitting predictors and cessation. Secondary analysis was conducted of a primary care trial of adults who smoke cigarettes randomized to standard advice to quit or advice plus 2 week supply of nicotine replacement therapy. Logistic regressions assessed interactions of age (<60 vs. ≥ 60 years) by predictors in relation to quit attempts and 6-month cessation controlling for treatment. Predicting quit attempts, there was an interaction of age by motivation ( = .025) and trend of age by nicotine dependence ( = .057). Predicting 6-month cessation, an interaction of age by motivation was observed ( = .020) and a trend of age by dependence ( = .067). For those with high nicotine dependence, older adults had less successful outcomes compared to younger counterparts. Yet among participants unmotivated to quit, older adults had more successful outcomes than those younger.
老年人是戒烟的重点人群。本研究观察了年龄对戒烟预测因素与戒烟效果之间关系的影响。对一项主要针对成年人的初级保健试验进行了二次分析，这些成年人吸烟，随机分配到接受标准戒烟建议或建议加 2 周尼古丁替代疗法。使用逻辑回归评估了年龄（<60 岁与≥60 岁）与预测因素之间的交互作用与戒烟尝试和 6 个月戒烟的关系，同时控制了治疗。在预测戒烟尝试方面，动机与年龄的交互作用（=0.025）和尼古丁依赖与年龄的趋势的交互作用（=0.057）。在预测 6 个月戒烟方面，观察到动机与年龄的交互作用（=0.020）和依赖与年龄的趋势的交互作用（=0.067）。对于尼古丁依赖程度高的人来说，与年轻患者相比，老年患者的戒烟效果较差。然而，在那些没有戒烟意愿的参与者中，老年患者的戒烟效果要好于年轻患者。
