福建省2006年参加国际戒烟竞赛者1个月及1年戒烟效果随访研究

Follow-up Study on the One-month's and One-year's Effect of 2006' Fujian International "Quit & Win" Competition

目的了解福建省2006年参加国际戒烟竞赛者1个月和1 a后戒烟效果,并探讨其戒烟行为的影响因素,为今后开展控烟工作提供依据。方法对参加竞赛的全省4619名报名者于1个月和1 a后通过电话、邮寄等方式进行等距抽样随访。调查内容包括一般个人资料及吸烟情况、戒烟情况和复吸情况。调查数据用EpiData 3.1软件录入,并用SPSS11.5软件包进行χ^2检验和Logistic回归分析。结果持续戒烟1个月者占51.9%,持续戒烟1 a者占38.0%。单因素分析中,影响参赛者持续戒烟1个月的主要因素是参赛目的（χ^2=75.799,P=0.000）;影响持续戒烟1 a的主要因素包括吸烟量（χ^2=9.953,P=0.019）、参赛目的（χ^2=52.227,P=0.000）、戒烟措施（χ^2=7.882,P=0.019）。多因素分析中,影响参赛者持续戒烟1个月的主要因素包括年龄、戒烟态度、参赛目的,OR（95%CI）分别为0.98（0.964-0.997）,1.198（1.195-3.080）,2.812（2.152-3.675）;影响参赛者持续戒烟1 a的主要因素包括婚姻、吸烟量、戒烟态度、参赛目的、戒烟措施,OR（95%CI）分别为1.915（1.085-3.381）,0.720（0.546-0.951）,0.529（0.330-0.847）,3.171（2.233-4.501）,1.901（1.294-2.793）。参赛者复吸的主要原因有周围人吸烟、缺乏支持等。结论2006年福建省开展的国际戒烟竞赛活动已经取得一定成效,今后仍应加大宣传力度,积极争取相关政策支持,并充分发挥社区、家庭和社会等各方力量,以减少烟草危害。

Objective To study the one-month and one-year effect of 2006＇ Fujian International ＂Quit＆Win＂ Competition,and to explore the influencing factors for smoking-quitting behaviors.Methods A equidistant sampling survey was conducted among the 4619 participants at the end of one-month and one-year after the competition by telephone,mailing and face to face interview.The survey contents include personal information,smoking-quitting and relapse information.The data were input with EPIDA3.1 software,χ^2 test and logistic stepwise regression were done with SPSS 11.5.Result The rate of smoking-quitting sustained for one-month was 51.9%,and the rate of smoking-quitting sustained for one-year was 38.0%.With one-way Chi-square test,the influencial factor on smoking-quitting succession for one-month was their intention of joining in the competition（χ^2=75.799,P=0.000）;and the influencing factors on smoking-quitting succession for one-year were cigarette consumption per day（χ^2=9.953,P=0.019）,their intention of joining in the competition（χ^2=52.227,P=0.000） and the method of smoking-quitting（χ^2=7.882,P=0.019）.With logistic regression analysis,the influencial factors on smoking-quitting succession for one-month were age,their intention of joining in the competition and the method of smoking-quitting,the OR values were 0.98（0.964～0.997）,1.198（1.195～3.080） and 2.812（2.152～3.675）,respectively;the influencial factors on smoking-quitting succession for one-year were marriage,cigarette consumption per day,their intention of joining in the competition and the method of smoking-quitting,the OR values were 1.915（1.085～3.381）,0.720（0.546～0.951）,0.529（0.330～0.847）,3.171（2.233～4.501） and 1.901（1.294～2.793）,respectively.The major factors for relapse were the surrounding people smoking,lack of support,et al.Conclusion The 2006＇ Fujian International ＂Quit ＆ Win＂ Competition gained a great success and has important significance for smoking-control work.