广州工厂职工健康自评和吸烟者戒烟意愿研究

目的 调查工厂职工的健康状况和戒烟意愿,为开展控烟工作提供科学依据.方法 采用横断面调查方法对668名广州不同工作类型工厂职工的吸烟行为、自评健康状况和戒烟意愿进行问卷调查,吸烟者尼古丁依赖性用fTND问卷进行调查,自评健康和戒烟难度与某些因素的关系用logistic回归模型分析.结果 (1)男性工人吸烟者348人,吸烟率为65.0%;女性工人吸烟者4人,吸烟率为3.0%.与朋友或其他吸烟者在一起、在家或休闲时以及饭后吸烟最常见,占男性经常吸烟者的90.6%.(2)男性经常吸烟和戒烟者自评健康状况比普通同龄人差者占10.7%,高于偶吸和从不吸烟者(5.1%),调整年龄和文化程度后,OR值为2.22(95%CI 1.08～4.59).(3)男性经常吸烟者想过戒烟的占50.5%,其中自评健康状况比同龄人差、差不多和好者分别占73.3%、50.0%和37.2%,差异有统计学意义(P=O.009).自评戒烟难度≤30分、31～60分和60分以上的分别占26.9%、24.9%和48.2%,自评戒烟难度(≤30分和＞30分)比数比随周围同事吸烟人数和尼古丁依赖性的增加而增大.结论 男性职工经常吸烟或戒烟者自评健康较偶吸或从不吸烟者差,自评健康较差者多数想过戒烟,戒烟难度主要与周围同事吸烟和尼古丁依赖有关.

A cross-sectional study on self-reported health and intention of quitting smoking of smokers in Guangzhou factory workers

Objective To investigate the health status and intention of quitting smoking in factory workers,so as to provide scientific evidence for smoking control.Methods A cross-sectional survey was carried out on smoking behavior,self-reported health status(SRHS),and intention of quitting smoking in 668 Guangzhou factory workers with different job types.Fagerstrom Test for Nicotine Dependence(FTND)wag used on current smokers.Logistic regression model was used to analyze the association of SRHS.difl3culty of quitting smoking(DQS)with some risk factors.Results (1)65.0%(n=348)male and 3.O%(n=4)female workers were ever-smokem.90.6%of male smokers Usually smoked when getting together with friends or smokers,staying at home,or at leisure time,or just after a meal.(2)10.7%of the daily smokers and ex-smokers had a worse SRHS than the general same-age people.which is significantly higher than 5.1%of the occasional smokers and those who were never smoking.The OR was 2-22(95%CI 1.08～4.59)after adjusting age and education.(3)Of male daily smokers.50.5%ever thought of quitting smoking.The proportions of ever-thought of quitting smoking were 73.3%,50.0%and 37.2%respectively in those with better,pretty the same and worse SRHS than the general same-age people(P=0.009).The proportions of DQS self-scored 30 or less,31 to 60 and 60 or more were 26.9%,24.9%and 48.2%respectively in male daily smokers.The OR for DQS(self-scored＞30 vs≤30)increased with increasing number of colleague smoked and worked around,and with nicotine dependence.Conclusion Daily smokers and former smokers have worse SRHS than those who are occasional smokers or never smokers in male workers.and most of those with worse SRHS who ever thought of quitting smoking.The DQS is mainly significantly associated with number of colleague smoking and working around,and with nicotine dependence.