农村社区老年男性吸烟人群尼古丁依赖程度与认知行为的相关性分析
发布时间:2018-08-22 18:02
【摘要】:目的调查农村社区老年男性吸烟人群的尼古丁依赖程度,分析不同依赖程度对其吸烟、戒烟行为以及吸烟危害认知等方面的影响。方法采取多阶段抽样方法,对上海市嘉定区769名免费体检的老人进行一对一询问方式的问卷调查。描述性分析老年男性吸烟者的尼古丁依赖程度现状;根据尼古丁依赖检测量表(FIND)评分进行分组,并对尼古丁依赖程度与认知行为进行相关性分析,对尼古丁依赖程度的人口学影响因素进行分析。结果根据769名老年男性吸烟者的尼古丁依赖程度,分为低依赖组519例(67.5%),高依赖组250例(32.5%)。家庭人均月收入低于中位数是尼古丁高依赖的危险因素(OR=1.984,P0.001);其他社会人口学因素对尼古丁依赖程度均无影响。尼古丁高依赖组与低依赖组比较,认为吸烟有益/无所谓者较多(r=-0.173),开始吸烟年龄较早(r=0.086),平均每月吸烟花费较多(r=-0.295),吸烟持续年限较长(r=-0.088),未尝试过戒烟的比例较高(r=0.076),最近一次戒烟持续时间较短(r=0.140),社交最频繁的5人中吸烟者人数较多(r=-0.151),休闲娱乐方式为打麻将或打牌者较多(r=0.095),饮酒过量者较多(r=-0.171),差异均有统计学意义(P0.05)。结论社会人口学因素对尼古丁依赖程度的影响甚微;尼古丁依赖程度对认知具有一定影响,对吸烟、戒烟行为及生活方式具有重要影响。要改变农村老年男性吸烟人群的吸烟行为,促成戒烟,除提供健康教育及社会支持外,有必要进行适当的临床尼古丁戒断治疗。
[Abstract]:Objective to investigate the nicotine dependence of elderly male smokers in rural communities and to analyze the effects of different degree of dependence on smoking, smoking cessation behavior and smoking hazard cognition. Methods A one-to-one questionnaire survey was conducted on 769 old people with free physical examination in Jiading District of Shanghai. Descriptive analysis of the current status of nicotine dependence in elderly male smokers, according to the nicotine dependence test scale (FIND) score, and the relationship between nicotine dependence and cognitive behavior. The demographic factors of nicotine dependence were analyzed. Results according to the nicotine dependence degree of 769 old male smokers, 519 cases (67.5%) were divided into low dependence group (67.5%) and high dependence group 250 cases (32.5%). The risk factors of high nicotine dependence were found to be below the median per capita monthly income (OR 1.984, P 0.001), while other social demographic factors had no effect on nicotine dependence. The nicotine high dependence group was compared with the low dependent group. More people thought that smoking was beneficial / indifferent (r = 0.173), the age of smoking was earlier (r = 0.086), the average monthly smoking cost was higher (r = 0.295), the duration of smoking was longer (r = 0.088), the proportion of people who had not tried to quit smoking was higher (r = 0.076), the last time to quit smoking was shorter (r = 0.140). Among the five most frequent smokers, the number of smokers was more (r-0.151), the way of leisure and entertainment was playing mahjong or card playing more (r-0.095), the number of excessive drinkers was more (r-0.171), the difference was statistically significant (P0.05). Conclusion Socio-demographic factors have little effect on nicotine dependence, and nicotine dependence has some influence on cognition, smoking, smoking cessation behavior and lifestyle. In order to change the smoking behavior of the aged male smokers in rural areas and promote smoking cessation, it is necessary to provide health education and social support, as well as appropriate clinical nicotine abstinence treatment.
【作者单位】: 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(14CGL077) 上海交通大学医学院研究基金项目(13XJ10043)~~
【分类号】:R163
本文编号:2197882
[Abstract]:Objective to investigate the nicotine dependence of elderly male smokers in rural communities and to analyze the effects of different degree of dependence on smoking, smoking cessation behavior and smoking hazard cognition. Methods A one-to-one questionnaire survey was conducted on 769 old people with free physical examination in Jiading District of Shanghai. Descriptive analysis of the current status of nicotine dependence in elderly male smokers, according to the nicotine dependence test scale (FIND) score, and the relationship between nicotine dependence and cognitive behavior. The demographic factors of nicotine dependence were analyzed. Results according to the nicotine dependence degree of 769 old male smokers, 519 cases (67.5%) were divided into low dependence group (67.5%) and high dependence group 250 cases (32.5%). The risk factors of high nicotine dependence were found to be below the median per capita monthly income (OR 1.984, P 0.001), while other social demographic factors had no effect on nicotine dependence. The nicotine high dependence group was compared with the low dependent group. More people thought that smoking was beneficial / indifferent (r = 0.173), the age of smoking was earlier (r = 0.086), the average monthly smoking cost was higher (r = 0.295), the duration of smoking was longer (r = 0.088), the proportion of people who had not tried to quit smoking was higher (r = 0.076), the last time to quit smoking was shorter (r = 0.140). Among the five most frequent smokers, the number of smokers was more (r-0.151), the way of leisure and entertainment was playing mahjong or card playing more (r-0.095), the number of excessive drinkers was more (r-0.171), the difference was statistically significant (P0.05). Conclusion Socio-demographic factors have little effect on nicotine dependence, and nicotine dependence has some influence on cognition, smoking, smoking cessation behavior and lifestyle. In order to change the smoking behavior of the aged male smokers in rural areas and promote smoking cessation, it is necessary to provide health education and social support, as well as appropriate clinical nicotine abstinence treatment.
【作者单位】: 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(14CGL077) 上海交通大学医学院研究基金项目(13XJ10043)~~
【分类号】:R163
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