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中国5城乡居民吸烟行为变化情况及影响因素研究

Change in smoking behaviour and its influencing factors among residents in five provinces of China

  • 摘要:
    目的 调查5城乡居民吸烟行为的变化情况,以及影响研究对象吸烟行为变化的相关因素。
    方法 在2007年城市农村流行病学前瞻型研究(PURE)调查基础上,自江西、陕西、山西、江苏、青海5省中方便抽取3 379位研究对象于2016年进行再调查,调查吸烟行为变化情况及其影响因素。根据既往文献与PURE研究已调查变量选择合适的混杂因素纳入模型,同时确定目标人群的纳入排出标准。
    结果 2007年吸烟率为20.2 %,2016年吸烟率为15.7 %,现在平均每日吸烟量为16支,同时有12.44 %的研究对象吸烟行为发生变化。其中,有231位选择戒烟,不同性别的研究对象戒烟的原因不同,随着年龄的增长,越容易引发戒烟行为(OR = 1.10 95 % CI = 1.01~1.20)。对男性来说,受教育程度越高,越容易引发戒烟行为(OR = 1.27 95 % CI = 1.06~1.53)。
    结论 在倡导禁烟运动时,应多关注受教育水平较低的人群,而同时具有饮酒行为的研究对象潜意识里更愿意选择戒烟来保持健康。

     

    Abstract:
    Objective To investigate the change in smoking behaviour and its influencing factors among residents in 5 provinces of China.
    Methods We selected participants for the study from the cohort of Prospective Urban Rural Epidemiology (PURE) Study conducted in 2007; we determined the inclusion and exclusion criteria of the participants and data analysis model based on the results of PURE study and researches on previous literatures. Then we conducted a questionnaire survey mainly on change in smoking behaviour and its related factors in 2016 among totally 3 379 residents in Jiangxi, Shaanxi, Shanxi, Jiangsu, and Qinghai province.
    Results Among the participants, the smoking rate was 15.7% and 20.2% in 2007 and 2016. Averagely 16 cigarettes were smoked per day by current smoking participants. There were 12.44% of the participants reporting changes in smoking behaviour, of which, 231 reported smoking cessation. There was a gender difference in the reason of smoking cessation. For the female smoking participants, elder age was a promoting factor for smoking cessation (odds ratio OR = 1.10, 95% confidence interval 95% CI: 1.01 – 1.20); while for male smoking participants, with high education was a promoting factor for smoking cessation (OR = 1.27, 95% CI: 1.06 – 1.53).
    Conclusion More concerns should be paid to the people with low education when conducting smoking cessation promotion. The smokers with alcohol drinking experience are more likely to quit smoking for improving their health.

     

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