Secker-Walker R H, Flynn B S, Solomon L J, Vacek P M, Dorwaldt A L, Geller B M, Worden J K, Skelly J M
Office of Health Promotion Research, University of Vermont, Burlington, USA.
Am J Prev Med. 1996 Sep-Oct;12(5):367-77.
Our objectives were (1) to examine the relationship between women's intention of stopping smoking in the next month and a broad range of mediating variables and (2) to assess the implications of these relationships for intervention components of a comprehensive community-wide health education program to help women quit smoking.
In preparation for the community-wide program to help women quit smoking, baseline data were collected through a random digit dialing telephone survey of 6,324 adult women, 18-64 years of age.
At baseline, smoking prevalence, defined as smoking an average of one or more cigarettes per day, was 25.8% and showed clear relationships with age and income, but most strikingly with education, indicating the need for programs for women of childbearing age with low incomes and fewer years of schooling. Among female smokers, knowledge of the health effects of smoking; motivations toward quitting; confidence in controlling weight, or handling stress, anger or boredom; number of strategies named to cope when upset of angry; number of community smoking cessation resources named; perceptions of support for quitting; and perceptions of norms concerning women smoking varied significantly with level of intention to quit smoking in the next month.
These relationships provided support for the broad range of health behavior change strategies proposed for this community-based program to help women quit smoking.
我们的目标是：（1）研究女性下个月戒烟意愿与一系列广泛的中介变量之间的关系；（2）评估这些关系对一项全面的社区健康教育计划干预措施的影响，该计划旨在帮助女性戒烟。
为开展社区女性戒烟计划做准备，通过对6324名18至64岁成年女性进行随机数字拨号电话调查收集基线数据。
在基线时，吸烟率（定义为平均每天吸食一支或更多香烟）为25.8%，且与年龄和收入呈现明显关系，但与教育程度的关系最为显著，这表明需要为低收入且受教育年限较少的育龄女性制定相关计划。在女性吸烟者中，对吸烟健康影响的认知、戒烟动机、控制体重或应对压力、愤怒或无聊情绪的信心、在心烦或生气时能想到的应对策略数量、提及的社区戒烟资源数量、对戒烟支持的认知以及对女性吸烟规范的认知，因下个月戒烟意愿水平的不同而有显著差异。
这些关系为该社区女性戒烟计划所提出的广泛健康行为改变策略提供了支持。
