Do smokers know how to quit? knowledge and perceived effectiveness of cessation assistance as predictors of cessation behavior
Do smokers know how to quit? knowledge and perceived effectiveness of cessation assistance as predictors of cessation behavior
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DOI：
10.1111/j.1360-0443.2004.00754.x
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发表时间：
2004-08-01
期刊：
影响因子：
6
通讯作者：
Borland, R
中科院分区：
文献类型：
--
作者：
Hammond, D;McDonald, PW;Borland, R
尽管存在有效的戒烟方法，但绝大多数吸烟者都试图自己戒烟。迄今为止，几乎没有证据可以解释有效戒烟援助形式（包括药物援助）采用率低的原因。本研究旨在评估吸烟者对戒烟方法的认识和感知效果，并探讨这些知识与戒烟行为的关系。设计一项随机数字拨号电话调查在加拿大西南部安大略，对616名每日吸烟的成年人进行了3个月的随访（应答率= 76%）。以及吸烟者对戒烟帮助的认识和感知效果。一项后续调查测量吸烟行为的变化，并通过戒烟assistance at 3 months.Findings参与者表现出不良的回忆戒烟方法：45%的参与者不记得尼古丁口香糖，33%不记得尼古丁贴片和57%不记得安非他酮。此外，许多参与者不相信以下戒烟方法会增加他们戒烟的可能性：尼古丁替代疗法（36%），安非他酮（35%），健康专业人员的咨询（66%）和团体咨询/戒烟计划（50%）。此外，78%。的吸烟者表示，他们自己戒烟的可能性与在帮助下戒烟的可能性一样。最重要的是，在基线时认为戒烟方法有效的参与者更有可能打算戒烟（OR = 1.80，95%CI：1.12-2.90），随访时尝试戒烟（OR = 1.80，95%CI：1.03-3.16），并在戒烟时采取戒烟辅助措施（OR = 3.62，95% CI：结论这项研究表明，许多吸烟者可能不知道有效的戒烟方法，大多数低估了他们的好处。此外，这种知识的缺乏可能是采用治疗的一个重大障碍。
Aims Despite the existence of effective cessation methods, the vast majority of smokers attempt to quit on their own. To date, there is little evidence to explain the low adoption rates for effective forms of cessation assistance, including pharmaceutical aids. This study sought to assess smokers' awareness and perceived effectiveness of cessation methods and to examine the relationship of this knowledge to cessation behaviour.Design A random-digit-dial telephone survey (response rate = 76%) with 3-month follow-up was conducted with 616 adult daily smokers in South-Western Ontario, Canada.Measurements A baseline survey assessed smoking behaviour, as well as smokers' awareness and perceived effectiveness of cessation assistance. A follow-up survey measured changes in smoking behaviour and adoption of cessation assistance at 3 months.Findings Participants demonstrated a poor recall of cessation methods: 45% of participants did not recall nicotine gum, 33% did not recall the nicotine patch and 57% did not recall bupropion. Also, many participants did not believe that the following cessation methods would increase their likelihood of quitting: nicotine replacement therapies (36%), bupropion (35%), counselling from a health professional (66%) and group counselling/quit programmes (50%). In addition, 78%. of smokers indicated that they were just as likely to quit on their own as they were with assistance. Most important, participants who perceived cessation methods to be effective at baseline, were more likely to intend to quit (OR = 1.80, 95% CI: 1.12-2.90), make a quit attempt at follow-up (OR = 1.80, 95% CI: 1.03-3.16) and to adopt cessation assistance when doing so (OR = 3.62, 95% CI: 1.04-12.58).Conclusions This research suggests that many smokers may be unaware of effective cessation methods and most underestimate their benefit. Further, this lack of knowledge may represent a significant barrier to treatment adoption.