Stability of smoking status in the US population: a longitudinal investigation.
Stability of smoking status in the US population: a longitudinal investigation.
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美国人口吸烟状况的稳定性：纵向调查。
DOI：
10.1111/add.12647
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发表时间：
2014
期刊：
影响因子：
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通讯作者：
McKee,SherryA
中科院分区：
文献类型：
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作者：
Weinberger,AndreaH;Pilver,CoreyE;Mazure,CarolynM;McKee,SherryA
目的确定美国成年人中有代表性的吸烟转变的样本。使用全国酒精及相关疾病流行病学调查的数据设计纵向研究(第一波，2001-02； 共有33名成年人(53.6%的女性)被归类为第一波现在每天、现在不每天、以前每天、以前不每天吸烟或从不吸烟。测量根据第一波和第二波数据确定吸烟转变。发现大多数现在每天(79.8%)、以前每天(95.8%)、以前不每天(96.3%)和从不(97.1%)吸烟者的吸烟状态保持稳定。在目前不每天吸烟的人中，54.5%的人戒烟，22.5%的人增加到每天吸烟。目前每日吸烟者年龄较大[30~44岁，优势比(OR) = 0.62；95%可信区间(CI) = 0.49~0.78；45+，OR = 0.75；95%CI = 0.61~0.93]和未婚(OR = 0.80，95%CI = 0.66~0.96)较少报告戒烟。西班牙裔(OR = 2.15，95%CI = 1.6 5-2.81)和受过大学教育(OR = 1.2 7，95%CI = 1.0 5-1.5 3)的日常吸烟者报告戒烟的可能性更大。女性(OR = 1.44，95%CI = 1.01~2.06)和老年人(OR = 0.44；95%CI = 0.27~0.74)的复发率较高。女性(OR = 0.65；95%CI = 0.49~0.87)和西班牙裔成年人(OR = 0.57；95%CI = 0.36~0.91)较少吸烟，未婚成年人(OR = 1.84；95%CI = 1.37~2.47)和受教育程度较低的成年人(OR = 1.63；95%CI = 1.09~2.44)较多。具体的性别、种族和教育群体需要加强预防和干预努力。
AimsTo determine smoking transitions in a representative sample of US adults.DesignLongitudinal study using data from the National Epidemiologic Survey on Alcohol and Related Conditions (wave 1, 2001–02; wave 2, 2004–05).SettingThe general US adult population.ParticipantsA total of 33 309 adults (53.6% female) classified as wave 1 current daily, current non‐daily, former daily, former non‐daily or never smokers.MeasurementsSmoking transitions were determined from waves 1 and 2 data.FindingsSmoking status remained stable for the majority of current daily (79.8%), former daily (95.8%), former non‐daily (96.3%) and never (97.1%) smokers. Among current non‐daily smokers, 54.5% quit smoking while 22.5% increased to daily smoking. Current daily smokers who were older [30–44, odds ratio (OR) = 0.62; 95% confidence interval (CI) = 0.49–0.78; 45+, OR = 0.75; 95% CI = 0.61–0.93] and unmarried (OR = 0.80, 95% CI = 0.66–0.96) were less likely to report smoking cessation. Current daily smokers who were Hispanic (OR = 2.15, 95% CI = 1.65–2.81) and college educated (OR = 1.27, 95% CI = 1.05–1.53) were more likely to report smoking cessation. Relapse in former daily smokers was greater in women (OR = 1.44, 95% CI = 1.01–2.06) and lower in older adults (OR = 0.44; 95% CI = 0.27–0.74). Smoking initiation occurred less in women (OR = 0.65; 95% CI = 0.49–0.87) and Hispanic adults (OR = 0.57; 95% CI = 0.36–0.91) and more in unmarried adults (OR = 1.84; 95% CI = 1.37–2.47) and adults with less education (OR = 1.63; 95% CI = 1.09–2.44).ConclusionsFrom 2001 to 2005, smoking status was extremely stable in the US population. Specific gender, race and educational groups need increased prevention and intervention efforts.