上海市青浦区成年男性吸烟者戒烟意愿及影响因素

Quitting Smoking Intention and Its Influencing Factors in Adult Male Smokers in Qingpu District, Shanghai

  • 摘要:
    目的 了解上海市青浦区男性吸烟者的戒烟意愿及影响因素,为青浦区相关部门制定控烟措施提供依据。
    方法 采用多阶段整群随机抽样方法,2015年9月在青浦区11个街道/乡镇中抽取5个街道/乡镇中各2个村/居委,以其中全部男性吸烟者共660名进行戒烟意愿问卷调查。调查问卷采用复旦大学公共卫生学院设计的吸烟的认知和态度调查表,问卷内容包括一般人口学特征、吸烟的基本情况和Fagerstrom尼古丁依赖检验量表等内容。研究设计采用横断面调查研究设计,对戒烟意愿的影响因素进行logistic回归分析。
    结果 实际回收问卷652份,问卷回收率为98.8%。调查对象持有戒烟意愿的占72.5%;Fagerstrom尼古丁依赖检验量表得分为(3.30±1.97)分,低、中、高度尼古丁依赖比例分别为70.9%、12.3%、16.8%。logistic回归分析显示,年龄(OR=0.738,95% CI:0.623~0.875)、尼古丁依赖程度(OR=0.761,95% CI:0.603~0.961)、家庭经济状况(OR=0.717,95% CI:0.528~0.975)、对周围人评价的在意程度(OR=0.664,95% CI:0.497~0.887)对吸烟者的戒烟意愿呈负面影响,而婚姻状况(OR=3.393,95% CI:1.147~10.043)对吸烟者的戒烟意愿呈正面影响。
    结论 在青浦区男性吸烟者中,有戒烟意愿的吸烟者比例较高。针对男性吸烟者开展戒烟干预活动时应综合考虑其年龄、婚姻状况、尼古丁依赖程度、家庭经济状况和对周围人评价的在意程度这些因素,而采取针对性的措施,效果可能会更加明显。

     

    Abstract:
    Objective To study quitting smoking intention and related influencing factors in adult male smokers in Qingpu District of Shanghai, and to provide evidence for related government agencies to make effective control measures.
    Methods In September 2015, 660 male smokers were selected by multistage cluster random sampling from 2 villages/neighborhoods each from 5 out of 11 subdistricts/towns of Qingpu District to conduct a questionnaire survey about quitting smoking intention. The questionnaire was designed by the School of Public Health of Fudan University, and contained demographics, smoking status, and Fagerstrom Test for Nicotine Dependence (FTND) scale. The study employed a cross-sectional design. Logistic regression analysis was used for influencing factors of quitting smoking intention.
    Results Eventually, 652 questionnaires were returned with a response rate of 98.8%. The prevalence rate was 72.5% for male with quitting smoking intention. The score of FTND was 3.30±1.97. The proportions of low, medium, and high nicotine dependence were 70.9%, 12.3%, and 16.8%, respectively. Based on logistic regression model, age (OR=0.738, 95%CI:0.623-0.875), FTND (OR=0.761, 95%CI:0.603-0.961), family economic level (OR=0.717, 95%CI:0.528-0.975), and care level of others' comments (OR=0.664, 95%CI:0.497-0.887) showed a negative effect on the quitting smoking intention, but marriage (OR=3.393, 95%CI:1.147-10.043) showed a positive impact.
    Conclusion Among the male smokers in Qingpu District, a high proportion of smokers present quitting smoking intention. We should prioritize allocation of quitting smoking intervention resources in consideration of age, marriage, FTND, family economic level, and care level of others' comments, which would be more effective.

     

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