Valued life activities and readiness to quit smoking among mobility-impaired smokers.
Valued life activities and readiness to quit smoking among mobility-impaired smokers.
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重视行动不便的吸烟者的生活活动和戒烟意愿。
DOI：
10.1037/a0025218
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发表时间：
2012
期刊：
影响因子：
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通讯作者：
Borrelli,Belinda
中科院分区：
文献类型：
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作者：
Busch,AndrewM;Borrelli,Belinda
身体残疾的人吸烟率高于非残疾人，非老年人吸烟率高达28-40%。这些研究结果的一个可能的解释是，限制有价值的生活活动（社会，专业，愉快或其他有意义的），由于流动性障碍干扰cigarettes. MethodsForty七吸烟者（48.9%女性; M年龄= 48.91）与慢性流动性障碍（即，经常使用设备走动）进行了电话采访。我们评估了人口统计学，自我效能戒烟，阶段的变化，目前从事有价值的活动，目前的限制有价值的活动，由于身体的限制，并努力取代限制有价值的活动在一个横截面design.ResultsBivariate结果表明，74%的人在准备阶段有令人满意的替代品，他们最有价值的限制活动，而只有27%在考虑阶段和17%在考虑前阶段有这样令人满意的替代品。多项有序回归分析显示，（a）对因身体残疾而受到限制的活动进行令人满意的替代与更高阶段的变化显着相关，（B）更有当前价值的活动，并且在较小程度上，较少的限制性活动与较高的自我水平显著相关，疗效戒烟。ConclusionsThese结果支持需要发展的治疗戒烟，旨在增加参与有价值的活动，如行为激活。
ObjectivePeople with physical disabilities smoke at a higher rate than their nondisabled peers, with rates as high as 28–40% among nonelderly adults. One possible explanation for these findings is that restriction of valued life activities (social, professional, pleasurable or otherwise meaningful) due to mobility impairment interferes with smoking cessation.MethodsForty-seven smokers (48.9% female; M age= 48.91) with chronic mobility impairments (ie, regularly use equipment to ambulate) were interviewed over the telephone. We assessed demographics, self-efficacy to quit smoking, stage of change, current engagement in valued activities, current restriction of valued activities due to physical limitations, and efforts to replace restricted valued activities in a cross sectional design.ResultsBivariate results indicate that 74% of those in the preparation stage had satisfactory replacements for their most valued restricted activity, whereas only 27% in the contemplation stage and 17% in the precontemplation stage had such satisfactory replacements. Multinomial ordinal regression analyses revealed that (a) having satisfactory replacements for activities restricted due to physical disability was significantly associated with higher stage of change and (b) more current valued activities and, to a lesser extent, fewer restricted activities were significantly associated with higher levels of self-efficacy to quit smoking.ConclusionsThese results support the need for the development of treatments for smoking cessation that aim to increase engagement in valued activities, such as behavioral activation.