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预测年轻男性愿意放弃鼻烟和香烟使用的因素。

Factors predicting willingness to quit snus and cigarette use among young males.

机构信息

The Finnish Defence Forces, Kasarminkatu 17, 00130, Helsinki, Finland.

Doctoral Programme in Population Health, University of Helsinki, P.O. BOX 3, 00014, Helsinki, Finland.

出版信息

Sci Rep. 2023 Sep 13;13(1):15126. doi: 10.1038/s41598-023-42233-8.

Abstract

The health hazards of smoking are well recognised and recently knowledge about the harmful effects of nicotine and snus is accumulating. We investigated the factors increasing the willingness of young Finnish males to quit snus and cigarette smoking. We conducted a questionnaire study conducted in 3 out of 16 Finnish Defence Forces units which included 6508 male conscripts, of whom 4706 responded (response rate 72%, mean age 19.4 years). Factors related to the willingness to quit use were analysed by ordinal regression models. Backward selection following the Akaike information criterion (AIC) was used for the model. The prevalence figures of daily snus use and smoking were 17% and 25%, respectively. 16% of the daily snus users were also daily smokers and 29% were occasional smokers. Multivariate analysis showed that the willingness to quit snus use was associated with the perception of health hazards (OR 3.09, 95% CI 1.94-4.93) and with ≥ 2 quit attempts (OR 3.63, 95% CI 2.44-5.40). The willingness to quit smoking was associated with ≥ 2 quit attempts (OR 3.22, 95% CI 2.32-4.49), and with advice to quit smoking (OR 1.65, 95% CI 1.17-2.32). We created a brief two-question assessment model for snus dependence. With this model, nicotine dependence of daily snus users was congruent with that of nicotine dependence of smokers. A direct comparison with serum cotinine levels is necessary before our assessment model can be used as a proxy for dependence. Regular snus use predisposes to nicotine addiction and accumulated health hazards. Our findings underscore the importance of health promotion efforts in early adolescence and of active support for quitting snus use. Easily applicable tools to estimate nicotine addiction are needed for everyday clinical use.

摘要

吸烟的健康危害众所周知,最近关于尼古丁和鼻烟危害的知识也在不断增加。我们调查了增加年轻芬兰男性戒烟意愿的因素,包括鼻烟和香烟。我们在芬兰国防军的 3 个单位进行了问卷调查,共有 6508 名应征入伍的男性,其中 4706 人(回应率 72%,平均年龄 19.4 岁)回答了问题。通过有序回归模型分析了与戒烟意愿相关的因素。采用基于赤池信息量准则(AIC)的向后选择法进行模型选择。每天使用鼻烟和吸烟的流行率分别为 17%和 25%。16%的每日鼻烟使用者也是每日吸烟者,29%的是偶尔吸烟者。多变量分析表明,戒烟意愿与对健康危害的认知(OR 3.09,95%CI 1.94-4.93)和≥2 次戒烟尝试(OR 3.63,95%CI 2.44-5.40)有关。戒烟意愿与≥2 次戒烟尝试(OR 3.22,95%CI 2.32-4.49)和戒烟建议(OR 1.65,95%CI 1.17-2.32)有关。我们创建了一个简短的两问题鼻烟依赖评估模型。使用这个模型,每日鼻烟使用者的尼古丁依赖与吸烟者的尼古丁依赖一致。在我们的评估模型可以作为依赖的替代物之前,需要与血清可替宁水平进行直接比较。定期使用鼻烟会导致尼古丁成瘾和累积的健康危害。我们的研究结果强调了在青少年早期进行健康促进努力和积极支持戒烟的重要性。需要易于使用的工具来估计尼古丁成瘾,以便在日常临床中使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26fc/10499985/2118a06585b7/41598_2023_42233_Fig1_HTML.jpg

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