Motivation to quit smoking in parental smokers in the pediatric emergency department.
Motivation to quit smoking in parental smokers in the pediatric emergency department.
复制标题
在小儿急诊室中戒烟的动机。
DOI：
10.1097/pec.0000000000000179
复制
发表时间：
2014-08
影响因子：
1.4
通讯作者：
Mahabee-Gittens EM
中科院分区：
文献类型：
--
作者：
Kanis J;Byczkowski T;Mahabee-Gittens EM
研究戒烟动机是否与父母吸烟者认为存在个人或儿童健康疾病或烟草使用风险有关。这是一个横断面研究的方便样本的218父母吸烟谁提出了儿科急诊科与他们的孩子。我们评估了与戒烟动机相关的因素，包括个人和儿童吸烟相关的疾病，感知的个人和儿童健康风险，吸烟行为和人口统计学特征。戒烟的动机是用沉思阶梯评分来衡量的。沉思阶梯的平均得分为6.2（SD，2.5），代表的反应是：考虑减少或戒烟。84名参与者（39%）有很高的戒烟动机（沉思阶梯评分8）。双变量分析显示，高动机戒烟和感知儿童健康风险与继续吸烟和感知个人和儿童健康效益戒烟后显着相关。戒烟动机高的父母更有可能对自己的戒烟能力、先前的戒烟尝试和较低的尼古丁依赖性有较高的自我效能感和信心。除种族/民族外，人口统计学变量与戒烟动机无关。一个显着比例的父母吸烟者谁出席儿科急诊赞同强烈的动机戒烟。那些支持孩子健康风险或戒烟相关健康益处的父母更有可能有很高的戒烟动机。未来的研究需要确定高动机是否会转化为戒烟。
To examine if motivation to quit is associated with parental smoker’s perceived presence of a personal or child health illness or risk due to tobacco use. This was a cross-sectional study of a convenience sample of 218 parental smokers who presented to the pediatric emergency department with their child. We assessed factors related to motivation to quit, including personal and child smoking-related illness, perceived personal and child health risk, smoking behaviors, and demographic characteristics. Motivation to quit was measured using the Contemplation Ladder score. The mean score on the Contemplation Ladder was 6.2 (SD, 2.5), representing the response: thinking about cutting down or quitting. Eighty-four participants (39%) had high motivation to quit (Contemplation Ladder score 8). Bivariate analysis showed significant associations between high motivation to quit and perceived child health risk with continued smoking and perceived personal and child health benefit following smoking cessation. Parents with high motivation to quit were more likely to have high perceived self-efficacy and confidence in their ability to quit, prior quit attempts, and lower nicotine dependence. With the exception of race/ethnicity, demographic variables were not associated with motivation to quit. A significant proportion of parental smokers who present to the pediatric emergency department endorse strong motivation to quit. Parents who endorse health risk or quitting-related health benefits in their child are more likely to have high motivation to quit smoking. Future studies are needed to determine if high motivation translates into smoking cessation.