Individual, social-normative, and policy predictors of smoking cessation: a multilevel longitudinal analysis.
Individual, social-normative, and policy predictors of smoking cessation: a multilevel longitudinal analysis.
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DOI：
10.2105/ajph.2008.150078
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发表时间：
2010-03
影响因子：
12.7
通讯作者：
Sullivan EM
中科院分区：
文献类型：
--
作者：
Biener L;Hamilton WL;Siegel M;Sullivan EM
我们评估了个人、社会规范和政策预测因素对马萨诸塞州成年人戒烟尝试和戒烟的预期影响。我们在2001年到2002年期间通过电话采访了马萨诸塞州当前和近期吸烟者的代表性样本然后每隔两年再采访两次。分析的单位是从第1波到第2波和从第2波到第3波的2年过渡。采用多水平分析对戒烟尝试和戒烟时间超过3个月的预测因素进行分析。预测因素包括个人因素、社会规范因素和政策因素。2年过渡期的多变量分析显示，强烈反吸烟城镇规范的观念可预测戒烟（优势比= 2.06;P < 0.01）。家庭禁烟令是唯一与戒烟相关的政策，但在工作场所禁烟令是戒烟尝试的重要预测因素。虽然先前的研究显示地方政策和规范之间存在很强的关系，但我们没有发现2年内地方政策对戒烟的可观察到的前瞻性影响。我们的研究结果为强有力的反吸烟社会规范作为戒烟促进者的重要性提供了明确的支持。
We assessed the prospective impact of individual, social-normative, and policy predictors of quit attempts and smoking cessation among Massachusetts adults. We interviewed a representative sample of current and recent smokers in Massachusetts by telephone in 2001 through 2002 and then again twice at 2-year intervals. The unit of analysis was the 2-year transition from wave 1 to wave 2 and from wave 2 to wave 3. Predictors of quit attempts and abstinence of longer than 3 months were analyzed using multilevel analysis. Predictors included individual, social-normative, and policy factors. Multivariate analyses of 2-year transitions showed that perceptions of strong antismoking town norms were predictive of abstinence (odds ratio = 2.06; P < .01). Household smoking bans were the only policy associated with abstinence, but smoking bans at one's worksite were significant predictors of quit attempts. Although previous research showed a strong relation between local policy and norms, we found no observable, prospective impact of local policy on smoking cessation over 2 years. Our findings provide clear support for the importance of strong antismoking social norms as a facilitator of smoking cessation.