Yang Tingzhong, Cottrell Randall R, Wu Dan
Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, People's Republic of China.
Center for Tobacco Control Research, School of Medicine, Zhejiang University, Hangzhou, People's Republic of China.
Tob Induc Dis. 2024 Oct 14;22. doi: 10.18332/tid/193606. eCollection 2024.
Unassisted smoking cessation (USC) is a method of quitting smoking driven by self-determination without the support of professional cessation assistance. This approach may contribute to a potential decrease in overall smoking prevalence within a population. However, the factors potentially influencing smokers' choice of USC and their success remain unclear. This study examined the associations between mental stress and USC choice and success.
Between June and September 2016, a cross-sectional multistage sampling design was used to interview subjects from six selected cities in China. A standardized questionnaire was used to obtain information on sociodemographic characteristics, USC choice, and success. Mental stress was measured by the Chinese version of the Perceived Stress Scale (CPSS). Multivariate logistic regression models were used to examine the association between mental stress, USC choice, and success, with adjustments for relevant covariates.
Among 1647 smokers who had attempted or had quit, 91.6% (95% CI: 90.9-97.5) reported that they had done so without assistance, and 42.1% (95% CI: 32.4-61.3) of them achieved abstinence. While mental stress was not significantly associated with USC success (χ=2.02, p=0.1547), smokers experiencing high levels of mental stress were 0.34 times less likely (95% CI: 0.23-0.50) to attempt USC compared to those with low levels of mental stress. Moreover, a significant negative linear association was observed between varying levels of mental stress and the prevalence of USC use (R=0.910, p<0.001).
The study findings should help to understand USC and its role in reducing smoking prevalence in the Chinese population. These findings can inform future tobacco control programs and policies in China. Government and social agencies should prioritize understanding smokers' preferences for USC and providing USC services to promote success within the population.
自主戒烟是一种在没有专业戒烟辅助支持的情况下，由自我决心驱动的戒烟方法。这种方法可能有助于总体吸烟率在人群中潜在下降。然而，潜在影响吸烟者选择自主戒烟及其成功率的因素仍不清楚。本研究调查了心理压力与自主戒烟选择及成功率之间的关联。
2016年6月至9月期间，采用横断面多阶段抽样设计，对来自中国六个选定城市的受试者进行访谈。使用标准化问卷获取社会人口学特征、自主戒烟选择及成功率等信息。心理压力采用中文版感知压力量表（CPSS）进行测量。多元逻辑回归模型用于检验心理压力、自主戒烟选择及成功率之间的关联，并对相关协变量进行调整。
在1647名尝试戒烟或已戒烟的吸烟者中，91.6%（95%置信区间：90.9 - 97.5）报告他们是在没有帮助的情况下戒烟的，其中42.1%（95%置信区间：32.4 - 61.3）成功戒烟。虽然心理压力与自主戒烟成功率无显著关联（χ=2.02，p = 0.1547），但与低心理压力水平的吸烟者相比，高心理压力水平的吸烟者尝试自主戒烟的可能性降低0.34倍（95%置信区间：0.23 - 0.50）。此外，不同水平的心理压力与自主戒烟使用率之间存在显著的负线性关联（R = 0.910，p < 0.001）。
研究结果应有助于理解自主戒烟及其在中国人群中降低吸烟率的作用。这些发现可为中国未来的烟草控制项目和政策提供参考。政府和社会机构应优先了解吸烟者对自主戒烟的偏好，并提供自主戒烟服务以提高人群中的成功率。
