Characterizing and identifying "Hard-Core" smokers: Implications for further reducing smoking prevalence

Characterizing and identifying "Hard-Core" smokers: Implications for further reducing smoking prevalence
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DOI:
10.2105/ajph.90.3.387
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发表时间:
2000-03-01
影响因子:
12.7
通讯作者:
Pierce, JP
Pierce, JP
中科院分区:
医学2区
文献类型:
--
作者:
Emery, S;Gilpin, EA;Pierce, JP

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目标.有些吸烟者可能永远不会戒烟。根据这些“铁杆”吸烟者的数量,烟草控制工作可能会达到最低限度的吸烟流行率。我们将“硬核”定义为有着微弱戒烟史的重度吸烟者,他们永远不会戒烟。我们将他们与其他吸烟者进行了比较,并分析了他们是否代表了进一步降低吸烟率的有意义的障碍。我们使用的数据来自1996年加州烟草调查(18616名成年人;应答率= 72.9%)。1996年,5.2%的加州26岁及以上的吸烟者(占加州人口的1.3%)是铁杆吸烟者。与其他吸烟者相比,铁杆吸烟者不太可能是退休的非西班牙裔白色男性,受教育时间不超过12年,年收入低于3万美元,独居。他们开始吸烟在年轻的年龄和归因于吸烟的负面健康后果比其他吸烟者。目前的烟草控制工作在“碰壁”之前还有很长的路要走。“尽管如此,这群顽固的吸烟者是一个挑战,因为他们似乎基本上不受烟草控制信息的影响。
Objectives. Some smokers may never quit. Depending on how many of these "hard-core" smokers exist tobacco control efforts could reach the limits of a minimum achievable smoking prevalence. We defined the hard core as heavy smokers with weak quitting histories who expect never to quit smoking. We compared them with other smokers and analyzed whether they represent a meaningful barrier to Further reducing smoking prevalence.Methods. We used data from the 1996 California Tobacco Surveys (18616 adults; response rate = 72.9%).Results. In 1996, 5.2% of California smokers 26 years: and older (1.3% of the California population) were hardcore smokers. Compared with other smokers, hard-core smokers were mon likely to be retired non-Hispanic White males, with 12 years or less of education and incomes below $30 000 a year, who live alone. They began smoking at younger ages and attributed fewer negative health consequences to smoking than other smokers.Conclusions. Current tobacco control efforts have a long way to go before they "hit the wall." Nonetheless, the group of hard-core smokers represents a challenge because they appear to be largely unaffected by the messages of tobacco control.