2013-2014年安徽省成人吸烟和戒烟行为状况分析

目的 了解安徽省成人居民吸烟和戒烟行为状况，为制定烟草控制措施提供依据。方法 利用2013-2014年安徽省成人慢性病及其危险因素监测项目调查数据，使用事后分层权重调整和复杂抽样设计方法进行统计分析。结果 有效样本量为7 182人，现在吸烟率为26.2%（95% CI：23.9%~28.4%），男性高于女性，分别为51.2%（95% CI：45.5%~56.8%）和1.4%（95% CI：0.5%~2.4%）；男性现在吸烟率随文化程度提高出现降低趋势（P<0.001）。现在每日吸烟率为23.7%（95% CI：21.4%~26.0%），男性（46.5%，95% CI：41.7%~51.3%）高于女性（1.2%，95% CI：0.5%~1.9%）。现在吸烟者日均吸烟量为17.1（95% CI：16.5~17.6）支，男女分别为17.2（95% CI：16.7~17.8）支和10.5（95% CI：9.4~11.7）支，且男性日均吸烟量随着年龄升高而增加（P=0.048），随文化程度升高而减少的趋势（P=0.003）。二手烟暴露率为57.6%（95% CI：51.2%~64.0%）。男性现在吸烟者中仅有37.6%（95% CI：25.0%~50.2%）打算戒烟，男性戒烟率为13.8%（95% CI：7.5%~20.1%），成功戒烟率为9.1%（95% CI：5.1%~13.0%）。结论 安徽省成人居民吸烟行为普遍存在，二手烟暴露率较高，成年男性烟草使用率高，戒烟和成功戒烟率水平低。

Analysis on smoking and smoking cessation behaviors among adults from Anhui Province in 2013-2014

Objective To understand the smoking prevalence and smoking cessation among adults in Anhui and provide reference for tobacco prevention and control measures.Methods Data from the China non-communicable and chronic disease risk factor surveillance in Anhui in 2013-2014 was used and the analytical method accounted for the complex sampling design.Results A total of 7 182 subjects aged ≥18 years were included in the study.The prevalence of current smoking was 26.2％ (95％ CI:23.9％-28.4％),which was much higher among men 51.2％ (95％ CI:45.5％-56.8％) than in women 1.4％ (95％ CI:0.5％-2.4％).For male,the current smoking rate was decreased along with higher education level (P ＜ 0.001).The prevalence of daily smoking was 23.7％ (95％ CI:21.4％-26.0％),with a significantly higher ratio among men (46.5％,95％ CI:41.7％-51.3％) than in women (1.2％,95％ CI:0.5％-1.9％).The current smokers smoked an average of 17.1 (95％ CI:16.5-17.6) cigarettes per day;men and women was 17.2 (95％ CI:16.7-17.8) and 10.5 (95％ CI:9.4-11.7) per day,respectively.The daily consumed cigarettes number increased with the age (P =0.048),while decreased with the increase of education level (P =0.003).The prevalence of people who exposed to secondhand smoking was 57.6％ (95％ CI:51.2％-64.0％).Among male current smokers,the prevalence on intending to quit smoking,quitting smoking,and quitting smoking successfully was 37.6％ (95％ CI:25.0％-50.2％),13.8％ (95％ CI:7.5％-20.1％) and 9.1％ (95％ CI:5.1％-13.0％),respectively.Conclusions The estimated prevalence of smoking and exposed to secondhand smoking among adults from Anhui Province were high.The prevalence of smoking was very high among men,meanwhile few male current smokers intended to quit smoking and the prevalence of quitting smoking and quitting smoking successfully were low.