A comparison of the Fagerstrom Test for Nicotine Dependence and smoking prevalence across countries
A comparison of the Fagerstrom Test for Nicotine Dependence and smoking prevalence across countries
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DOI：
10.1111/j.1360-0443.2008.02190.x
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发表时间：
2008-05-01
期刊：
影响因子：
6
通讯作者：
Furberg, Helena
中科院分区：
文献类型：
--
作者：
Fagerstrom, Karl;Furberg, Helena
目的研究尼古丁依赖性Fagerstrom测试（FTND）评分与各国吸烟率之间的相关性。设计横断面研究。设置来自13个国家的15项研究的FTND评分数据。参与者通过系统的文献检索、网络查询和同事确定吸烟者样本。如果吸烟者来自基于人群的来源，不寻求戒烟治疗，并且没有显著的合并症，则认为他们代表了他们国家的吸烟人群。吸烟流行率数据来自研究本身或研究年度该国每日吸烟人口比率。皮尔森相关系数用于检查FTND评分与各国吸烟率之间相关性的方向和幅度。结果FTND评分范围为2.8至4.6。德国和挪威的吸烟者的FTND分数最低，而瑞典和美国的吸烟者的FTND分数最高。这些国家的每日吸烟率差异很大：德国和挪威分别为37%和30%，美国和瑞典分别为19%和16%。在吸烟率较低的国家，FTND评分较高呈负相关（r =-0.73，P = 0.001）。目前吸烟者的FTND评分高于既往吸烟者。结论FTND评分与各国吸烟率之间的显著负相关性以及当前吸烟者中较高的FTND评分支持了剩余吸烟者可能正在硬化的观点。依赖性较低的吸烟者可能更容易戒烟，其余的吸烟者可能需要更密集的治疗。
Aims To examine the correlation between the Fagerstrom Test for Nicotine Dependence (FTND) score and smoking prevalence across countries. Design Cross-sectional study. Setting Fifteen studies from 13 countries with FTND score data. Participants Samples of smokers were identified through systematic literature searches, web queries and colleagues. Smokers were considered representative of their country's smoking population if they were drawn from population-based sources, were not seeking smoking cessation treatment and did not have significant comorbidities. Smoking prevalence data were derived from the study itself or the country's population rate of daily smoking for the study year. Measurements A Pearson correlation coefficient was used to examine the direction and magnitude of the correlation between FTND score and smoking prevalence across countries. Findings FTND scores ranged from 2.8 to 4.6. Smokers in Germany and Norway had the lowest FTND scores, while smokers in Sweden and the United States had the highest FTND scores. The prevalence of daily smoking in these countries was very different: 37% and 30% in Germany and Norway, 19% and 16% in the United States and Sweden, respectively. An inverse correlation towards higher FTND scores in countries with lower smoking prevalence was found (r = -0.73, P = 0.001). Current smokers had higher FTND scores than former smokers. Conclusions The significant inverse correlation between FTND score and smoking prevalence across countries and higher FTND score among current smokers supports the idea that remaining smokers may be hardening. Less dependent smokers may quit more easily and remaining dependent smokers may need more intensive treatment.