湖北省成年居民吸烟与戒烟行为现状调查

Smoking and smoking cessation among adult residents in Hubei province:a cross-sectional survey

目的了解湖北省成年居民吸烟与戒烟行为现状,为有效开展控烟工作提供参考依据。方法于2013年8月—2014年6月采用多阶段整群随机抽样方法在湖北省10个国家疾病监测点抽取6 000名≥18周岁成年居民进行面访调查,并应用湖北省2013年统计人口数据进行加权调整,分析不同特征成年居民的吸烟及戒烟行为。结果经加权调整后,湖北省成年居民吸烟率、现在吸烟率和现在每日吸烟率分别为32.7%(95%CI=27.4%~38.0%)、27.6%(95%CI=22.3%~32.9%)和24.7%(95%CI=19.5%~29.9%);湖北省不同特征成年居民比较,不同性别和年龄成年居民吸烟率、现在吸烟率和现在每日吸烟率不同,差异均有统计学意义(均P<0.05)。经加权调整后,湖北省成年居民戒烟率、成功戒烟率和打算戒烟率分别为15.6%(95%CI=12.6%~18.7%)、10.3%(95%CI=8.4%~12.2%)和39.2%(95%CI=32.2%~46.3%);湖北省不同特征成年居民比较,不同性别和年龄成年居民戒烟率不同,不同性别、年龄和文化程度成年居民成功戒烟率不同,不同年龄和文化程度成年居民打算戒烟率不同,差异均有统计学意义(均P<0.05)。结论湖北省成年居民吸烟率较高,但戒烟意识不强,应针对不同特征居民特点开展控烟工作。

Objective To describe the prevalence of smoking and smoking cessation among adult residents in Hubei province and to provide a reference for implementing tobacco control measures. Methods A face-to-face questionnaire survey was carried out at 10 national disease surveillance points to collect information on smoking behaviors among 6 000 residents aged 18 years and above using stratified multistage random cluster sampling in Hubei province between August2013 and June 2014. Prevalence of smoking and smoking cessation among the residents of different groups were estimated with weighting method based on demographic data of Hubei province. Results With complex weighting, the prevalence rate of smoking, current smoking, and current daily smoking were 32.7%（95% confidence intervl [95% CI]： 27.4% – 38.0%）,27.6%（95% CI： 22.3% – 32.9%）, and 24.7%（95% CI： 19.5% – 29.9%）, respectively. Significant gender and age differences were observed in the prevalence of smoking, current smoking, and current daily smoking among the residents（P〈0.05 for all）. Based on the results of complex weighting, there were 39.2%（95% CI： 32.2% – 46.3%） of current smokers intending to quit smoking, 15.6%（95% CI： 12.6% – 18.7%） of current smokers conducting smoking cessation, but only 10.3%（95% CI：8.4% – 12.2%） of smokers quitting smoking successfully. Among the smokers, the rate of smoking cessation and successful smoking cessation significantly differed by gender and age（both P〈0.05）; the rate of smoking cessation intention differed significantly by age and education level（P〈0.05）. Conclusion The prevalence of smoking was high among adult residents but the smoking cessation consciousness was low among smokers in Hubei province. The implementation of tobacco control measures should be promoted specifically among the residents with different characteristics.