Research Division, Institute of Mental Health, Singapore.
Ministry of Health, Singapore, Singapore.
Ann Acad Med Singap. 2024 Oct 15;53(10):608-620. doi: 10.47102/annals-acadmedsg.2024177.
Singapore has implemented an evidence-based smoking cessation framework to support smokers in quitting. Our study investigated the prevalence and correlates of (1) quit attempts (QA) and quit intentions (QI) among current smokers, and (2) smoking cessation (SC) among ever-smokers in Singapore.
Data was collected from a nationwide survey conducted between 2020 and 2022. QA was defined as attempting to stop smoking at least once in the past 12 months, while QI was defined as planning to quit smoking within the next 30 days or the next 6 months. SC referred to individuals who quit smoking over 6 months ago. Sociodemographic factors, doctor's advice to quit and perceived harm from smoking were assessed using logistic regression among current smokers (n=1024) and ever-smokers (n=1457).
Among current smokers, 31.3% and 41.2% reported QI and QA, respectively. Smokers with secondary or pre-tertiary education were less likely to report QI compared to those with a degree or higher. Doctor's advice to quit was associated with a higher likelihood of QA. Among ever-smokers, 25.3% reported SC, and this was more likely when they perceived smoking 1 or more packs of cigarettes daily as posing a moderate or high health risk.
Educational campaigns should focus on simplifying messages for individuals with lower literacy levels. Smoking cessation training can be incorporated into medical education, and graphic health warnings on cigarette packs can help effectively communicate the dangers of smoking.
新加坡实施了基于证据的戒烟框架，以支持吸烟者戒烟。我们的研究调查了当前吸烟者（1）戒烟尝试（QA）和戒烟意愿（QI）的流行率和相关因素，以及（2）新加坡曾经吸烟者的戒烟率。
数据来自于 2020 年至 2022 年期间进行的一项全国性调查。QA 定义为过去 12 个月至少尝试过一次戒烟，而 QI 定义为计划在未来 30 天或 6 个月内戒烟。SC 指的是过去 6 个月以上戒烟的人。使用逻辑回归对当前吸烟者（n=1024）和曾经吸烟者（n=1457）评估社会人口因素、医生戒烟建议和对吸烟危害的认知。
在当前吸烟者中，分别有 31.3%和 41.2%报告了 QI 和 QA。与具有学位或更高学历的人相比，具有中等或高等教育程度的人不太可能报告 QI。医生戒烟建议与更高的 QA 可能性相关。在曾经吸烟者中，25.3%报告了 SC，当他们认为每天吸烟 1 包或更多包烟对健康构成中度或高度风险时，更有可能戒烟。
教育运动应侧重于为文化程度较低的人简化信息。可以将戒烟培训纳入医学教育，香烟包装上的图形健康警示可以有效地传达吸烟的危害。
