武汉市男性每日吸烟者戒烟意愿和尝试戒烟的影响因素分析

Factors associated with quitting intention and attempts among male daily smokers in Wuhan

目的探讨武汉市男性每日吸烟者戒烟意愿和尝试戒烟的影响因素,为控烟干预提供科学依据。方法 2015年11-12月,在武汉市14个区采用分层多阶段整群概率抽样法选取符合标准的调查对象进行入户问卷调查。结果共抽取调查对象男性现在每日吸烟者872人(20.2%),样本加权后,代表了武汉市1 493 855的男性每日吸烟者。在过去12个月中,37.2%(95%CI:32.269～42.073)的男性每日吸烟者有戒烟意愿,仅21.6%的男性每日吸烟者尝试过戒烟。在过去12个月内看过医生且被建议戒烟的男性每日吸烟者(50.2%,95%CI:40.911～59.486),其戒烟意愿高于未看过医生(33.6%,95%CI:28.188～39.012)和看过医生未被建议戒烟(32.2%,95%CI:19.933～44.440)者,且差异具有统计学意义(P<0.05)。多因素Logistic回归分析显示,在过去12个月内被医生建议戒烟者(OR=2.062,95%CI:1.159～3.672)比未看过医生的男性每日吸烟者更有可能尝试戒烟,且差异具有统计学意义(P<0.05)。结论武汉市男性现在每日吸烟者总体戒烟意愿弱,尝试戒烟行为少。医生建议戒烟能激发男性每日吸烟者的戒烟意愿和尝试戒烟行为。

Objective To study the smokers＇ intention and attempts to quit smoking and related factors in Wu- han, so as to provide scientific basis ior intelention on tobacco eontrol. Methods Subjects were selected through a stratiried multistage cluster random sampling method to collect information by questionnaires, （luring November to December, 2015. Results The sample contains 872 （20. 2% ） male daily smokers, representing i 493 855 one in Wuhan. 37.2% （95% CI： 32. 269 -42. 073 ） of male daily smokers were interested in quitting smoking and only 21.6% male daily smokers tried to quit in the 12 months prior to the survey. Male daily smokers, being advised to quit by a doctor （50. 2% , 95% CI： 40. 911 -59. 486） in the past 12 months, had nlore intention of quit than tbose who had not seen a doctor （33.6% , 95% Cl： 28. 188 -39. 012） and those who had not advised to quit by a doctor （32.2% , 95% CI： 19. 933 -44. 440） , and the difference was statistically significant （P 〈 0. 05）. The multivariate logistic regression analysis indicated being advised to quit by a health care provider in the past 12 months was significantly associated with making a quit attempt （OR = 2. 062, 95% CI： 1. 159 -3. 672, P 〈 0. 05）. Conclusion The rate eft intention and attempts to quit smoking among male daily smokers remained low in Wuhan. Being advised to quit by a doctor can increase quit attempt among male daily smokers.