上海交通大学学报（医学版）

上海交通大学学报（医学版）

• 专题报道（SJTU-YALE中国社区现场研究） • 上一篇    下一篇

上海市嘉定区老年吸烟人群戒烟意愿及影响因素分析

陈霄雯，娄洁琼，施莉莉，蔡雨阳   

  1. 上海交通大学 公共卫生学院， 上海 200025
  • 出版日期:2015-02-28 发布日期:2015-02-27
  • 通讯作者: 施莉莉, 电子信箱: llshi@sjtu.edu.cn; 蔡雨阳, 电子信箱: caiyuyang@sjtu.edu.cn。
  • 作者简介:陈霄雯（1989—）， 女， 硕士生; 电子信箱: susanwen@sjtu.edu.cn。
  • 基金资助:

    国家社会科学基金青年项目（14CGL077）

Analysis of quitting intention and relevant influencing factors of elderly smokers in the Jiading district of Shanghai

CHEN Xiao-wen, LOU Jie-qiong, SHI Li-li, CAI Yu-yang   

  1. School of Public Health, Shanghai Jiao Tong University, Shanghai 200025, China
  • Online:2015-02-28 Published:2015-02-27
  • Supported by:

    National Social Science Fund (Youth Projects), 14CGL077

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摘要：

目的 了解老年吸烟人群的戒烟意愿及影响因素，为探索重点控烟人群及制定个性化控烟策略提供依据。方法 采用多阶段抽样方法，选取在社区接受体检的老年吸烟者作为调查对象，以一对一问询的方式进行问卷调查。采用描述性分析、χ2检验（单因素）和logistic回归（多因素）等方法分析调查对象的戒烟意愿及其影响因素。结果 本次调查的戒烟意愿率为12.1%。单因素分析结果显示：戒烟意愿与吸烟年限、平均每日吸烟量、平均每月吸烟花费、晨起吸第1支烟时间、既往戒烟经历、对烟草中危害物质及其引起呼吸系统疾病的认知、自我健康评分、控烟宣教及免费给药刺激等因素有关（P<0.05）。进一步的多因素分析结果表明：既往戒烟经历（OR=2.940，95%CI：1.098~7.867）、对吸烟引起呼吸系统疾病的认知（OR=4.343，95%CI：1.503~12.551）及免费给药刺激（OR=17.658，95%CI：6.380~48.877）是戒烟意愿的影响因素。结论 老年吸烟者是一个特殊的吸烟群体，应充分考虑个人及环境因素对戒烟意愿的影响，加强健康宣教，配合有效的政策干预措施，促使其戒烟。

关键词: 老年, 吸烟者, 戒烟意愿, 影响因素

Abstract:

Objective To investigate the quitting intention of elderly smokers and relevant influencing factors and to provide evidences for exploring key populations of tobacco control and developing personalized tobacco control strategies. Methods The elderly who underwent the community medical examination were selected and multi-stage sampling method was adopted to conduct the questionnaire survey. The quitting intention and relevant influencing factors were analyzed by methods such as descriptive analysis, χ2 test (univariate), and logistic regression analysis (multivariate). Results The quitting intention rate was 12.1%. The univariate analysis showed that the quitting intention was relevant to years of smoking, average daily amount of smoking, average monthly cost of smoking, time of the first cigarette smoking in the morning, previous experience of quitting, recognition of hazardous substances in tobacco, awareness of respiratory diseases caused by smoking, self-rating of health, propaganda and education of tobacco control, and free administration stimulation (P<0.05). The multivariate analysis showed that previous experience of quitting (OR=2.940, 95%CI: 1.098-7.867), awareness of respiratory diseases caused by smoking (OR=4.343, 95%CI: 1.503-12.551), and free medication stimulation (OR=17.658, 95%CI: 6.380-48.877) were influencing factors of the quitting intention. Conclusion Elderly smokers are a special group that the effects of their personal and environmental factors on the quitting intention should be fully considered. Health propaganda and education must be strengthened with effective intervention measures for quitting smoking.

Key words: elderly, smokers, quitting intention, influence factors