Department of Epidemiology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Division of Cancer Prevention and Population Sciences, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Front Public Health. 2024 Jul 26;12:1392065. doi: 10.3389/fpubh.2024.1392065. eCollection 2024.
Cigarette smoking is the major preventable cause of premature deaths in the United States. Attempting to quit smoking is an important step toward smoking cessation. Although it has been studied extensively, limited information on the association between attempts to quit smoking and neighborhood air quality problems is available. Therefore, we examined the association between attempts to quit smoking in the past year and perceived neighborhood air quality problems among adult Texans who smoke.
In 2018, a cross-sectional multistage area probability design-based survey was administered to collect sociodemographic, behavioral, and health-related information from a representative sample of 2050 Texas residents. The current study included 486 adult respondents who reported smoking within the past 12 months. The association between attempts to quit smoking and perceived neighborhood air quality (measured by self-reported problems with neighborhood air quality) was examined using a population-weighted multivariable logistic regression analysis.
Overall, 60.7% of the 486 respondents attempted to quit cigarette smoking. The prevalence of attempting to quit was 74.6% for those reporting perceived neighborhood air quality problems. In the multivariable analysis, a higher likelihood of attempting to quit smoking was found among individuals with perceived neighborhood air quality problems (AOR: 1.906 [1.104-3.289]) and those who were married or living as married (AOR: 1.876 [1.161-3.033]). The likelihood of attempts to quit smoking was lower among males (AOR: 0.629 [0.397-0.995]) and decreased with age (AOR: 0.968 [0.951-0.984]).
The perceived neighborhood air quality problems were found to independently predict attempts to quit cigarette smoking in Texas. To encourage quitting smoking among individuals living in neighborhoods with poor air quality, such neighborhoods should receive tailored and evidence-based interventions to improve community education, social support, and healthcare professionals' assistance to quit smoking.
在美国，吸烟是导致过早死亡的主要可预防原因。尝试戒烟是戒烟的重要一步。尽管已经对此进行了广泛研究，但有关尝试戒烟与邻里空气质量问题之间关联的信息有限。因此，我们研究了过去一年中尝试戒烟与吸烟的德克萨斯成年人感知到的邻里空气质量问题之间的关系。
在 2018 年，采用多阶段区域概率设计的横断面调查，从 2050 名德克萨斯州居民的代表性样本中收集社会人口统计学，行为和与健康相关的信息。当前的研究包括 486 名在过去 12 个月内报告吸烟的成年受访者。使用人口加权多变量逻辑回归分析，研究了尝试戒烟与感知邻里空气质量（通过自我报告的邻里空气质量问题来衡量）之间的关联。
总体而言，486 名受访者中有 60.7％尝试戒烟。报告有感知的邻里空气质量问题的人尝试戒烟的比例为 74.6％。在多变量分析中，有感知的邻里空气质量问题的个体（AOR：1.906 [1.104-3.289]）和已婚或已婚同居者（AOR：1.876 [1.161-3.033]）尝试戒烟的可能性更高。男性（AOR：0.629 [0.397-0.995]）和年龄较大的人（AOR：0.968 [0.951-0.984]）尝试戒烟的可能性较低。
发现感知的邻里空气质量问题独立预测德克萨斯州的戒烟尝试。为了鼓励居住在空气质量较差的社区中的个人戒烟，应针对这些社区提供量身定制和基于证据的干预措施，以改善社区教育，社会支持和医疗保健专业人员的戒烟协助。
