上海交通大学学报（医学版）

上海交通大学学报（医学版）

• 专题· 控烟 • 上一篇    下一篇

上海市孕期家庭中吸烟丈夫的戒烟意愿及影响因素分析

谭天宇 1，蔡雨阳 1，施莉莉 2   

  1. 上海交通大学 1. 公共卫生学院，上海 200025；2. 医学院附属新华医院科研部，上海 200092
  • 出版日期:2017-02-28 发布日期:2017-02-28
  • 通讯作者: 蔡雨阳，电子信箱: caiyuyang@sjtu.edu.cn；施莉莉，电子信箱: shi-lili@live.cn。
  • 作者简介:谭天宇（1991—），男，硕士生；电子信箱：ttycherry@sjtu.edu.cn。
  • 基金资助:

    国家社会科学基金青年项目 (14CGL077)；上海市哲学社会科学规划课题（2015BGL011）

Intention of quitting smoking and influencing factors among the husbands in gestational households in Shanghai

TAN Tian-yu1, CAI Yu-yang1, SHI Li-li2   

  1. 1. Shanghai Jiao Tong University School of Public Health, Shanghai 200025, China; 2. Research Department, Xinhua Hospital Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
  • Online:2017-02-28 Published:2017-02-28
  • Supported by:

    Young Scientists Project of National Social Science Foundation，14CGL077；Planning Project for Philosophy and Social Sciences in Shanghai，2015BGL011

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摘要：

目的 ·调研孕期家庭中吸烟丈夫的戒烟意愿及影响因素，为制定有效的孕期家庭控烟干预措施提供科学依据。方法 ·选取在上海市5家医院进行产检的门诊孕产妇或住院待产的孕产妇及其配偶为调查对象，向孕产妇发放孕产妇版调查问卷，配偶发放配偶版调查问卷，调查人口学基本情况及吸烟丈夫的吸烟史、戒烟史和戒烟意愿。采用EpiData 3.1软件录入数据，用SPSS 22.0统计软件进行数据分析，主要采用描述性分析、卡方检验（单因素）、Logistic回归（多因素）等分析方法。结果 ·实际向吸烟丈夫发放问卷282份，回收有效问卷266份，有效率为94.3%。34.2%的吸烟丈夫有戒烟意愿，其中18.4%的人已经有戒烟行为，曾经有过戒烟行为的人占22.9%。单因素分析结果显示，每日吸烟量、对吸烟的总体看法、是否清楚二手烟对孕妇及胎儿的危害、是否曾经戒烟、除家人外最常交往的5人中有几人吸烟等因素与戒烟意愿呈现相关性，差异具有统计学意义（均P<0.05）。多因素Logistics回归分析结果显示，每日吸烟量（OR = 0.456，95%CI：0.245～0.852）、对吸烟的总体看法（OR =2.443，95%CI：1.008～5.921）、是否曾经戒烟（OR =0.316，95%CI：0.162～0.616）与吸烟丈夫的戒烟意愿存在相关性（均P<0.05）。结论 ·孕期家庭中有吸烟史的丈夫其戒烟意愿较强，建议加强对这个时期内吸烟丈夫的控烟宣教，鼓励有戒烟经历的吸烟者再次戒烟。

关键词: 孕期家庭, 吸烟丈夫, 戒烟意愿, 影响因素

Abstract:

Objective · To investigate the intention of quitting smoking and influencing factors among husbands in gestational households in Shanghai and provide a scientific basis for establishing smoking cessation strategies. Methods · Pregnant women and their spouses who received antenatal examination in 5 hospitals in Shanghai were asked to finish two versions of questionnaires respectively. Basic demographic information, smoking history, history of smoking cessation and intention of quitting smoking were investigated. The database was set up by EpiData 3.1, and data were analyzed by SPSS 22.0, such as descriptive analysis, χ2 test (univariate), and Logistic regression analysis (multivariate). Results · A total of 282 questionnaires were sent to smoking husbands and 266 effective questionnaires got back with the effective rate of 94.3%. Among them 34.2% smoking husbands had intention of quitting smoking, 18.4% were trying to quit, and 22.9% had tried to quit before. Single-factor analysis showed that influencing factors for intention of quitting smoking among smoking husbands in gestational households included the daily cigarette consumption, overall opinion for smoking, the knowledge about the harm of passive smoking to pregnant women and fetuses, having smoking cessation experience or not, how many people smoking among five intimate friends except family members (P<0.05). Multivariate Logistic regression analysis showed that intention of quitting smoking had relationship with the daily cigarette consumption (OR = 0.456, 95% CI: 0.245～0.852), overall opinion for smoking(OR=2.443, 95% CI: 1.008～5.921), having smoking cessation experience or not (OR =0.316, 95% CI: 0.162～0.616). Conclusion · Intention of quitting smoking is relatively strong in gestational households. It is recommended to strengthen the education of tobacco control for smoking husband in gestational households, and encourage smokers who had smoking cessation experience before to quit smoking again.

Key words: gestational household, smoking husband, intention to quit smoking, influencing factors