Patterns of motivations and ways of quitting smoking among Polish smokers: a questionnaire study.

Patterns of motivations and ways of quitting smoking among Polish smokers: a questionnaire study.
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DOI:
10.1186/1471-2458-8-274
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发表时间:
2008-08-04
期刊:
影响因子:
4.5
通讯作者:
Chelminska M
Chelminska M
中科院分区:
医学2区
文献类型:
--
作者:
Sieminska A;Buczkowski K;Jassem E;Lewandowska K;Ucinska R;Chelminska M

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大多数波兰吸烟者表示愿意戒烟,其中许多人试图戒烟。虽然与烟草有关的疾病的发病率和死亡率是世界上最高的,但缺乏对吸烟者的全面戒烟支持。我们的目的是调查波兰人,包括医学疾病患者,如何应对戒烟以及他们戒烟的动机是什么。出于研究目的,使用便利取样。对参加多个医疗机构的个人进行了筛查,以确定其是否有戒烟尝试史。戒烟者被定义为以前每天至少吸一支烟,但至少一个月不再吸烟。尝试戒烟定义为至少一天戒烟。采用问卷调查的方法,收集了618名符合这些标准的受试者(385名前吸烟者和233名当前吸烟者)的社会人口统计学、烟草使用、戒烟行为和戒烟原因的数据。为了比较比例,使用了卡方检验。在整个研究人群中,77%的吸烟者试图自己戒烟,相似比例的吸烟者(76%)在戒烟时使用冷火鸡方法。目前吸烟者比以前吸烟者更有可能使用某种形式的援助(p = 0.0001),主要是尼古丁替代疗法(68%)。戒烟的最重要原因是:一般健康问题(57%),个人健康问题(32%)和社会原因(32%)。然而,41%的吸烟者因与吸烟有关的个人健康问题而戒烟,他们认为两者之间没有联系。一小部分戒烟超过一年的戒烟者(3%)对自己的自我效能感没有信心,无法继续戒烟。大多数波兰吸烟者,包括患有烟草相关疾病的患者,试图在没有戒烟帮助的情况下戒烟,因此需要为他们提供更广泛的专业帮助。还缺乏关于烟草危害的一般性信息,需要在媒体上开展进一步的反烟草运动。最后,应给予前吸烟者更多的关注,定期询问吸烟习惯是值得的。
The majority of Polish smokers declare their will to quit smoking and many of them attempt to quit. Although morbidity and mortality from tobacco-related diseases are among the highest in the world, there is a lack of comprehensive cessation support for smokers. We aimed to investigate how Poles, including the medically ill, cope with quitting cigarettes and what their motivations to quit are. Convenience sampling was used for the purpose of the study. Individuals attending several health care units were screened for a history of quit attempts. Ex-smokers were defined as smoking previously at least one cigarette/day but who have no longer been smoking for at least one month. Attempts at quitting were defined as abstaining from cigarettes for at least one day. Data on socio-demographics, tobacco use, quitting behaviors and reasons to quit from 618 subjects (385 ex- and 233 current smokers) who fulfilled these criteria were collected with the use of a questionnaire. For the comparison of proportions, a chi-square test was used. In the entire study population, 77% of smokers attempted to quit smoking on their own and a similar proportion of smokers (76%) used the cold turkey method when quitting. Current smokers were more likely than former smokers to use some form of aid (p = 0.0001), mainly nicotine replacement therapy (68%). The most important reasons for quitting smoking were: general health concern (57%), personal health problems (32%) and social reasons (32%). However, 41% of smokers prompted to quitting by personal health problems related to tobacco smoking did not see the link between the two. A small proportion of ex-smokers (3%) abstaining from cigarettes for longer than a year were not confident about their self-efficacy to sustain abstinence further. The majority of Polish smokers, including patients with tobacco-related diseases, attempt to quit without smoking cessation assistance, thus there is a need for a broader professional help for them. There is also a lack of general information on hazards related to tobacco and further anti-tobacco campaigns in media are needed. Finally, former smokers should be given more attention and periodic inquiries regarding the smoking habit are worthwhile.
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发表时间: 2006-10-01
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