Determinants of use of smoking cessation aids in 27 European countries

Determinants of use of smoking cessation aids in 27 European countries
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DOI:
10.1016/j.ypmed.2014.05.004
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发表时间:
2014-08-01
影响因子:
5.1
通讯作者:
Tountas, Yannis
Tountas, Yannis
中科院分区:
医学2区
文献类型:
--
作者:
Filippidis, Filippos T.;Gerovasili, Vasiliki;Tountas, Yannis

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客观的。确定欧盟 (EU) 当前和曾经吸烟者使用戒烟辅助工具的决定因素。方法。对来自 27 个欧洲国家的 9921 名当前吸烟者和戒烟者的数据进行了分析(Eurobarometer 77.1,2012 年 2 月至 3 月)。多变量二元逻辑回归用于评估使用任何已证明有效的推荐援助的相关性,定义为使用药物治疗或心理咨询(p < 0.05)。回归分析评估了社会人口特征、欧盟地区以及国家戒烟政策的范围。结果。在尝试戒烟的当前吸烟者和戒烟者中,19.9% 的人使用过任何推荐且已证明有效的辅助措施。与来自南欧的受访者相比,来自北欧(调整后优势比 [aOR] = 1.90)、西欧(aOR = 3.21)和东欧(aOR = 1.69)的受访者更有可能使用有效的戒烟辅助手段(均 p < 0.05)。在制定了全面戒烟计划并提供费用覆盖的国家戒烟热线、药物和其他戒烟服务的国家中,受访者使用有效戒烟辅助工具的可能性有所增加(OR = 1.29;95% 置信区间:1.07-1.55)。结论。这些调查结果强调,需要加强和持续努力,确保更多人获得戒烟服务和援助,作为综合烟草控制计划的一部分。 (C) 2014 Elsevier Inc. 保留所有权利。
Objective. To identify determinants of use of smoking cessation aids among current and former smokers in the European Union (EU).Methods. Data from n = 9921 current and ex-smokers from 27 European countries (Eurobarometer 77.1, February-March 2012) were analysed. Multivariate binary logistic regression was used to assess for correlates of use of any recommended aid with proven efficacy, defined as use of pharmacotherapy or psychosocial counselling (p < 0.05). The regression analyses assessed for socio-demographic characteristics, EU region, as well as scope of national smoking cessation policies.Results. Among current smokers who had made a quit attempt and ex-smokers, 19.9% had used any recommended aid with proven efficacy. Respondents from Northern (adjusted odds ratio [aOR] = 1.90), Western (aOR = 3.21) and Eastern Europe (aOR = 1.69) were more likely to have used an efficacious smoking cessation aid compared to respondents from Southern Europe (all p < 0.05). Respondents in countries with comprehensive tobacco cessation programmes that offered cost-covered national quit lines, medication, and other cessation services had increased likelihood of using efficacious cessation aids (OR = 1.29; 95% Confidence Interval: 1.07-1.55).Conclusions. These findings underscore the need for enhanced and sustained efforts to ensure increased access to cessation services and aids as part of a comprehensive tobacco control programme. (C) 2014 Elsevier Inc. All rights reserved.