Motivation for smoking cessation among drug-using smokers under methadone maintenance treatment in Vietnam.
Motivation for smoking cessation among drug-using smokers under methadone maintenance treatment in Vietnam.
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DOI：
10.1186/s12954-015-0085-7
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发表时间：
2015-10-30
影响因子：
4.4
通讯作者：
Latkin C
中科院分区：
文献类型：
--
作者：
Tran BX;Nguyen LH;Do HP;Nguyen NP;Phan HT;Dunne M;Latkin C
戒烟治疗服务被认为是美沙酮维持治疗（MMT）中的一个重要组成部分，以减少吸烟对健康结果的影响。为了在越南实施戒烟服务，我们研究了MMT患者戒烟的变化阶段，并确定了相关因素。我们在河内和南定省的5个诊所对1016名MMT患者进行了横断面调查，其中932名（91.7%）为既往吸烟者。运用跨理论模型将患者分为四组：“沉思前”、”沉思”、“准备”和“行动与维持”。采用多因素Logistic回归分析影响戒烟意愿和行为的相关因素。总体而言，96%的人没有积极尝试戒烟或保持禁欲。年龄大于45岁、HIV阳性、居住在河内与戒烟意愿呈负相关。同时，较高的尼古丁依赖水平和吸烟年数与戒烟和禁欲呈负相关。研究表明，MMT吸烟者处于考虑前阶段的比例较高，但戒烟和保持戒烟的比例较低。它强调了提供和获得有关戒烟治疗和服务的信息的重要性。应考虑将戒烟计划纳入卫生保健服务，为不同的患者群体提供量身定制的干预措施。
Smoking cessation treatment service is concerned to be a critical element in methadone maintenance treatment (MMT) in order to diminish the effect of smoke on health outcomes. To implement the smoking cessation services in Vietnam, we examined the stages of change to quit and determined associated factors among MMT patients. We conducted a cross-sectional survey with 1016 MMT patients in five clinics in Hanoi and Nam Dinh province, of those, 932 (91.7 %) were ever-smokers. Patients were classified into four groups: “pre-contemplation,” “contemplation,” “preparation,” and “action and maintenance” by using the transtheoretical model. Multivariate logistic regression was applied to determine the associated factor for intention and action to quit smoking. Overall, 96 % were not actively trying to quit or maintain abstinence. Age older than 45, HIV-positive status, and residence in Hanoi were negatively associated with intention to quit. Meanwhile, higher levels of nicotine dependence and number of years of smoking negatively associated with quitting and abstinence. The study indicated the high rate of MMT smokers being in pre-contemplation stage but low proportion of quitting and maintaining abstinence. It emphasizes the importance of availability and accessibility of information about smoking cessation therapies and services. Integrating cessation programs into health-care services should be considered to provide tailored interventions for different patient groups.