| 甘肃省15～69岁现在吸烟者戒烟意愿及影响因素 |
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| 引用本文： | 陆一鸣,鲁培俊,朱泽善,康国荣,李晋芳. 甘肃省15～69岁现在吸烟者戒烟意愿及影响因素[J]. 中华疾病控制杂志, 2019, 23(9): 1092-1096,1113. DOI: 10.16462/j.cnki.zhjbkz.2019.09.015 |
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| 作者姓名： | 陆一鸣 鲁培俊 朱泽善 康国荣 李晋芳 |
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| 作者单位： | 730020兰州,甘肃中医药大学中西医结合学院;730020兰州,甘肃省医院管理中心医疗质量管理科;甘肃省医院管理中心医疗质量管理科,兰州,730020 |
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| 基金项目： | 2015年中央补助地方健康素养促进行动项目 |
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| 摘 要： | 目的 了解甘肃省现在吸烟者的戒烟意愿以及影响因素，为烟草防控工作提供科学依据。 方法 采用多阶段抽样方法，随机抽取15~69岁现在吸烟者作为调查对象。采用《全国居民吸烟情况调查问卷》开展面对面调查，分析不同特征现在吸烟者的戒烟意愿，采用Logistic回归分析模型分析现在吸烟者戒烟意愿的影响因素。 结果 甘肃省现在吸烟者的戒烟意愿为16.4%（95%CI:15.5%~17.3%），农村地区（OR=1.199，95%CI:1.022~1.408，P=0.026）、家中禁止吸烟（OR=1.767，95%CI:1.273~2.454，P=0.001）、12个月内就医时医务人员劝阻吸烟（OR=1.599，95%CI:1.359~1.842，P < 0.001）、去过戒烟门诊（OR=3.089，95%CI:2.031~4.698，P < 0.001）、初中、高中、大专及以上文化程度（OR=1.383，95%CI:1.101~1.736；OR=1.627，95%CI:1.252~2.116；OR=1.374，95%CI:1.009~1.873，均有P < 0.05）、高烟草危害知识得分为1~，3~，5~6（OR=1.248，95%CI:1.030~1.514；OR=1.574，95%CI:1.289~1.922；OR=2.288，95%CI:1.879~2.786，均有P < 0.05）是现在吸烟者戒烟意愿的促进因素；年龄20~、30~岁组以及烟龄20~、30~年是现在吸烟者戒烟意愿的阻碍因素。 结论 甘肃省现在吸烟者戒烟意愿总体不高，今后应进一步在全社会普及烟草危害知识，加强医务人员戒烟服务能力培训，在诊疗过程中开展戒烟服务，同时应鼓励和支持医疗机构加快戒烟门诊建设。
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| 关 键 词： | 戒烟意愿 劝阻吸烟 戒烟门诊 戒烟服务 烟草危害知识 |
| 收稿时间： | 2019-04-12 |
Study on intention to quit smoking and influencing factors among current smokers aged 15 to 69 years in Gansu Province |
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| Affiliation: | 1.School of Integrated Chinese and Western Medicine, Gansu University of Chinese Medicine, Lanzhou 730020, China2.Department of Medical Quality Management, Gansu Provincial Hospital Management Center, Lanzhou 730020, China |
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| Abstract: | Objective To understand the intention to quit smoking and its influencing factors among current smokers in Gansu Province, so as to provide scientific basis for tobacco control. Methods A multi-stage sampling method was used to extract current smokers aged 15-69 years, and a face-to-face survey was conducted using the questionnaire on smoking among residents in China. Intention to quit smoking between current smokers with different characteristics was analyzed. Logistic regression was used to explore influencing factors of intention to quit smoking. Results The intention of current smokers to quit smoking in Gansu Province was 16.4% (95% CI: 15.5%-17.3%). Multivariate logistic regression analysis showed that current smokers who were in rural areas (OR=1.199, 95% CI: 1.022-1.408, P=0.026); family smoking prohibited (OR=1.767, 95% CI: 1.273-2.454, P=0.001), medical staff discouraged smoking within 12 months (OR=1.599, 95% CI: 1.359-1.842, P < 0.001), visited smoking clinics (OR=3.089, 95% CI: 2.031-4.698, P < 001), higher educational level of junior high school, senior high school and college or above (OR=1.383, 95% CI: 1.101-1.736; OR=1.627, 95% CI: 1.252-2.116; OR=1.374, 95% CI: 1.009-1.873, all P < 0.05), tobacco hazards knowledge with higher scores of 1-, 3- and 5-6 (OR=1.248, 95% CI: 1.030-1.514; OR=1.574, 95% CI: 1.289-1.922; OR=2.288, 95% CI: 1.879-2.786, all P < 0.05) were more likely to quit smoking; furthermore, smokers aged 20-, 30- years or smoking 20-, 30- years had a lower chance of quit smoking (all P < 0.05). Conclusions The intention of current smokers to quit smoking in Gansu province is generally not high. In the future, knowledge of tobacco hazards should be further promoted, medical staff should provide more smoking cessation services during the treatment process, and more smoking cessation clinics should be established. |
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