Department of Health Services Management, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, Saudi Arabia.
Department of Respiratory Therapy, College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Subst Abuse Treat Prev Policy. 2023 Jun 15;18(1):33. doi: 10.1186/s13011-023-00543-0.
Tobacco use remains a leading cause of premature death. To combat tobacco use, the Ministry of Health (MOH) improved access to smoking cessation clinics (SCCs) by developing fixed SCCs and mobile SCCs, which move based on demand across locations. The goal of this study was to investigate awareness and utilization of SCCs among tobacco users in Saudi Arabia and the factors that influence their awareness and utilization.
This cross-sectional study used the 2019 Global Adult Tobacco Survey. Three outcome variables were employed, including tobacco users' awareness of fixed SCCs, mobile SCCs, and utilization of fixed SCCs. Several independent variables were examined, including sociodemographic characteristics and tobacco use. Multivariable logistic regression analyses were performed.
One thousand six hundred sixty-seven tobacco users were included in this study. There were 60%, 26%, and 9% of tobacco users who were aware of fixed SCCs, aware of mobile SCCs, and visited fixed SCCs, respectively. The likelihood of being aware of SCCs increased among users residing in urban areas (fixed SCCs: OR = 1.88; 95% CI = 1.31-2.68; mobile SCCs: OR = 2.09; CI = 1.37-3.17) while it decreased among those reported self-employed (fixed SCCs: OR = 0.31; CI = 0.17-0.56; mobile SCCs: OR = 0.42; CI = 0.20-0.89). The likelihood of visiting fixed SCCs increased among educated tobacco users aged 25-34 (OR = 5.61; CI = 1.73-18.21) and 35-44 (OR = 4.22; CI = 1.07-16.64) while the odds of visiting SCCs decreased among those who were working in the private sector (OR = 0.26; CI = 0.09-0.73).
The decision to quit smoking must be supported by an effective healthcare system that provides accessible and affordable smoking cessation services. Knowing the factors that influence the awareness and utilization of SCCs would help policymakers dedicate efforts targeting those who desire to quit smoking yet face limitations in using SCCs.
吸烟仍然是导致过早死亡的主要原因。为了打击吸烟行为，卫生部通过设立固定戒烟诊所和流动戒烟诊所来改善戒烟诊所的可及性，这些诊所根据需求在不同地点移动。本研究的目的是调查沙特阿拉伯的烟草使用者对戒烟诊所的认知和使用情况，以及影响他们认知和使用的因素。
本横断面研究使用了 2019 年全球成人烟草调查的数据。使用了三个结局变量，包括烟草使用者对固定戒烟诊所、流动戒烟诊所的认知以及对固定戒烟诊所的使用情况。检查了几个独立变量，包括社会人口学特征和烟草使用情况。进行了多变量逻辑回归分析。
本研究纳入了 1667 名烟草使用者。分别有 60%、26%和 9%的烟草使用者知道固定戒烟诊所、知道流动戒烟诊所和使用过固定戒烟诊所。居住在城市地区的使用者对戒烟诊所的认知度更高（固定戒烟诊所：OR=1.88；95%CI=1.31-2.68；流动戒烟诊所：OR=2.09；CI=1.37-3.17），而自营职业者的认知度更低（固定戒烟诊所：OR=0.31；CI=0.17-0.56；流动戒烟诊所：OR=0.42；CI=0.20-0.89）。年龄在 25-34 岁（OR=5.61；CI=1.73-18.21）和 35-44 岁（OR=4.22；CI=1.07-16.64）的受教育程度较高的烟草使用者更有可能去固定戒烟诊所就诊，而在私营部门工作的人就诊的可能性较小（OR=0.26；CI=0.09-0.73）。
戒烟的决定必须得到有效的医疗保健系统的支持，该系统提供可及和负担得起的戒烟服务。了解影响戒烟诊所认知和使用的因素将有助于政策制定者集中精力针对那些希望戒烟但在使用戒烟诊所方面面临限制的人群。
