浙江省4城市备孕男吸烟者短信戒烟干预效果评价

Effectiveness of a text message in smoking cessation among male smokers before pregnancy in four cities of Zhejiang

目的 评价备孕男吸烟者短信戒烟干预的效果,为戒烟干预的普及提供科学依据.方法 采用干预研究设计,以2016年6至11月在浙江省4城市新婚登记处登记的552名备孕男吸烟者作为研究对象,其中干预组307名,接受短信戒烟干预,并使其配偶介入戒烟干预计划;对照组245名,不接受干预.运用卡方检验比较随访后1、6个月时两组的自我健康评估、烟草使用情况的差异.结果 戒烟干预后,研究对象中自我健康评估为＂非常好＂的比例整体呈先下降到上升的趋势,干预组从原来的26.4%到1个月的15.3%再到6个月的21.8%,对照组从原来的19.2%到1个月的11.4%再到6个月的20.4%;干预组的戒烟率（1个月为13.0%,6个月为16.3%）高于对照组（1个月、6个月均为8.2%）,差异有统计学意义;干预组中研究对象认为戒烟成功主要原因是＂自己决心＂（1个月为61.9%,6个月为60.9%）,未成功戒烟的主要戒烟阻碍是＂烟瘾发作＂（1个月为47.2%,6个月为48.9%）,受到＂身边有其他吸烟者＂对戒烟影响（1个月为8.1%,6个月为5.2%）.结论 通过对备孕男吸烟者开展短信戒烟干预和配偶介入干预计划,极大地加大了支持其戒烟信念,强化其戒烟动机,提高其戒烟率.

Objective To evaluate the effectiveness of a text message for smoking cessation among male smokers before their wives＇ pregnancy, and to provide evidence for smoking cessation strategies. Methods A prospective observational study was conducted in four cities of Zhejiang province from April to October 2016. A total of 552 male smokers were assessed using data from structured questionnaires at baseline and were followed up at 1 and 6 months. A total of 307 participants were provided a text message （SMS） for smoking cessation intervention, along with wives＇ involvement in husbands＇ quitting programs. The intervention group was compared with the control group without intervention. Outcomes were self-reported 7-day point prevalence abstinence rates at 1-month and 6-months follow up. Results In the intervention group, the proportion of participants who self-reported to be healthy reduced from 26.4% to 15.3% at 1-month follow-up and increased to 21.8% at 6-month follow-up; in the control group, it was reduced from 19.2% to 11.4% at 1-month follow-up, and increased to 20.4% at 6-month follow-up. The 7-day point prevalence abstinence rate of the intervention group at l and 6 months were higher than that of the control group： at 1-month follow-up, 13.0% vs. 8.2%; at 6-month follow-up, 16.3% vs. 8.2%, respectively. Compared to the control group, the intervention group considered ＂determination＂ as the most important support （61.9% at 1 month, 60.9% at 6 months）; ＂addiction cycle＂ was the main barrier （47.2% at 1 month, 48.9% at 6 months）, and they were less influenced by other smokers （8.1% at 1 month, 5.2% at 6 months）. Conclusion SMS smoking cessation intervention, along with wife＇s involvement in husband＇s quitting programs had a positive effect on the quitting rates.