Pohl J M, Martinelli A, Antonakos C
University of Michigan, School of Nursing, Ann Arbor 48109-0482, USA.
Addict Behav. 1998 Sep-Oct;23(5):699-704. doi: 10.1016/s0306-4603(98)00017-3.
The predictors of participation in a smoking cessation group among low-income women were examined. Fifty smokers were recruited from a Midwestern community primary care setting serving an uninsured, underinsured, and Medicaid population. Participants completed a questionnaire before the intervention, and eleven women chose to participate in the 6-week sessions. There were few differences between the control group (nonparticipants) and the intervention group. The intervention group had significantly higher intention-to-quit scores. Logistic regression analysis was used to predict group membership with age, self-efficacy, optimism, social support, nicotine dependence, intention-to-quit, and other smokers in the home as the predictor variables. The only two significant predictors of participation in the cessation intervention were self-efficacy and intention-to-quit smoking. The higher the intention-to-quit score and the lower the self-efficacy score (the belief that one can be successful in not smoking); the more likely these women were to participate in the group intervention. Results are discussed in terms of their clinical relevance as well as future research in the area.
对低收入女性参与戒烟小组的预测因素进行了研究。从一个为未参保、参保不足和医疗补助人群服务的中西部社区初级保健机构招募了50名吸烟者。参与者在干预前完成了一份问卷,11名女性选择参加为期6周的课程。对照组(未参与者)和干预组之间几乎没有差异。干预组的戒烟意愿得分显著更高。使用逻辑回归分析,将年龄、自我效能感、乐观主义、社会支持、尼古丁依赖、戒烟意愿以及家中的其他吸烟者作为预测变量来预测小组参与情况。参与戒烟干预的仅有的两个显著预测因素是自我效能感和戒烟意愿。戒烟意愿得分越高且自我效能感得分越低(即相信自己能够成功戒烟),这些女性就越有可能参与小组干预。从临床相关性以及该领域未来研究的角度对结果进行了讨论。