老年慢性病吸烟者戒烟意愿调查及控烟策略分析

发布时间：2018-04-18 11:46

本文选题：慢性病 + 戒烟意愿　；参考：《上海交通大学学报(医学版)》2015年02期

【摘要】：目的调查社区老年慢性病吸烟人群的戒烟史及戒烟意愿,分析政策相关影响因素,探索慢性病吸烟者控烟策略的新思路。方法以嘉定区外冈社区老年慢性病吸烟人群为调研对象,采用自行设计的问卷进行一对一询问方式调查。使用EpiData 3.1进行数据录入,采用SPSS 20.0进行统计学描述性分析。结果样本人群共430人,有138人(32.1%)曾戒过烟,其中69人(50.0%)仅戒过1次,68人(49.3%)戒烟次数在2次及以上。但有近一半的尝试戒烟者在3个月以内的关键期中断了戒烟。目前愿意戒烟的有56人,戒烟意愿率仅为13.0%,定好具体戒烟日期的人数更少,仅16人。未享受高血压免费药物的234名受访者中,有70人愿意为享受免费高血压药物而戒烟,戒烟意愿率从14.1%提升至29.9%(P=0.000,OR=10.208,95%CI=4.305~24.204)。1个月内接受过控烟教育者,其戒烟意愿率为20.5%,高于未接受过教育者的8.8%(P=0.001,OR=2.677,95%CI=1.512~4.741)。结论外冈社区的老年慢病吸烟者烟草危害意识较为薄弱,戒烟意愿低,但控烟教育对戒烟意愿有一定影响,宜针对疾病开展专题教育;采用免费药物激励慢性病患者戒烟或也可作为农村社区老人控烟的一种新思路。
[Abstract]:Objective to investigate the smoking cessation history and willingness of the elderly smokers in the community, analyze the related factors of the policy, and explore the new thinking of smoking control strategy for chronic smokers.Methods A one-to-one questionnaire was used to investigate the elderly smoking population with chronic diseases in Waigang District of Jiading District.EpiData 3.1 was used for data entry and SPSS 20.0 was used for statistical descriptive analysis.Results there were 430 people in the sample, 138 of them (32. 1) had given up smoking, 69 of them had given up smoking only once and 68 had given up smoking 49.3) the number of smoking cessation was 2 or more.But nearly half of those who tried to quit stopped during a critical period of less than three months.At present, 56 people are willing to give up smoking, the rate of willingness to quit is only 13.0, and the number of people who have set a specific date for quitting smoking is even less, only 16.Of the 234 respondents who did not receive free drugs for hypertension, 70 were willing to quit smoking in order to enjoy free hypertension drugs. The rate of willingness to give up smoking rose from 14.1% to 29.90.000. The rate of willingness to quit rose from 10.208% to 10.208%. They received a smoking control education within one month.The rate of willingness to give up smoking was 20.5, which was higher than that of 8.8B, which was not educated.Conclusion the awareness of tobacco harm is weak and the willingness to quit is low in the elderly chronic smokers in Waigang community, but the smoking control education has some influence on the smoking cessation intention, so it is appropriate to carry out special education on the disease.The use of free drugs to encourage people with chronic diseases to give up smoking may also be a new way to control tobacco for the elderly in rural communities.
【作者单位】：上海市嘉定区外冈镇社区卫生服务中心;上海交通大学公共卫生学院;
【基金】：国家社会科学基金青年项目(14CGL07) 上海市嘉定区卫生局科研项目(20121215)~~
【分类号】：R163

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