戒烟意图:个人和家庭成员出现癌症诊断的作用
2010/08/11
诊断为癌症的患者及其家庭成员可能是健康干预计划的优先对象。基于“受教时刻”的启发式模型和来自于2003年美国国家癌症研究所的健康信息全国趋势调查的数据,我们研究癌症病史或家庭成员癌症病史是否与戒烟意图相关。
结果显示,个人癌症病史与戒烟意图并不相关而家庭成员癌症病史则与戒烟意图相关(chi2= 7.08, P < 0.01)。Path分析显示,个体意识到癌症风险,介导了家庭人员癌症病史与戒烟意图的相关性:除意识到癌症风险增加外,有癌症病史家庭成员的吸烟者主诉有戒烟意图的人较对照人群多36%。这些初步数据显示,癌症患者的家庭成员可能是戒烟干预的目标人群,特别是当其意识到存在癌症风险时。但尚需强有力的、对照试验证实上述结果。
(刘国梁 审校)
Health Educ Res. 2010 Jun 2. [Epub ahead of print]
Intention to quit smoking: role of personal and family member cancer diagnosis.
Patterson F, Wileyto EP, Segal J, Kurz J, Glanz K, Hanlon A.
1Center for Health Behavior Research, School of Medicine, University of Pennsylvania, 802 Blockley Hall, Philadelphia, PA 19104, USA.
Abstract
Individuals who have ever experienced a cancer diagnosis and their family members may be priority audiences for health improving interventions. Guided by the heuristic model of the ’teachable moment’ and using data from the 2003 National Cancer Institute’s Health Information National Trends Survey, we explored whether having a lifetime history of cancer or having a family member with a lifetime history of cancer was associated with intention to quit smoking. Results showed that having a personal lifetime history of cancer was not associated with intention to quit, while having a family member with a lifetime history of cancer was (chi(2) = 7.08, P < 0.01). Path analysis showed that individual perceived risk of cancer mediated the relationship between having a family member with a history of cancer and quitting intention: smokers who had a family member with a history of cancer in addition to an elevated level of perceived cancer risk were 36% more likely to report intending to quit. These preliminary data suggest that family members of cancer patients may be a viable target population for smoking cessation interventions, especially when they have heightened levels of perceived cancer risk. An adequately powered, controlled trial is needed to fully evaluate this hypothesis.
Health Educ Res. 2010 Jun 2. [Epub ahead of print]
结果显示,个人癌症病史与戒烟意图并不相关而家庭成员癌症病史则与戒烟意图相关(chi2= 7.08, P < 0.01)。Path分析显示,个体意识到癌症风险,介导了家庭人员癌症病史与戒烟意图的相关性:除意识到癌症风险增加外,有癌症病史家庭成员的吸烟者主诉有戒烟意图的人较对照人群多36%。这些初步数据显示,癌症患者的家庭成员可能是戒烟干预的目标人群,特别是当其意识到存在癌症风险时。但尚需强有力的、对照试验证实上述结果。
(刘国梁 审校)
Health Educ Res. 2010 Jun 2. [Epub ahead of print]
Intention to quit smoking: role of personal and family member cancer diagnosis.
Patterson F, Wileyto EP, Segal J, Kurz J, Glanz K, Hanlon A.
1Center for Health Behavior Research, School of Medicine, University of Pennsylvania, 802 Blockley Hall, Philadelphia, PA 19104, USA.
Abstract
Individuals who have ever experienced a cancer diagnosis and their family members may be priority audiences for health improving interventions. Guided by the heuristic model of the ’teachable moment’ and using data from the 2003 National Cancer Institute’s Health Information National Trends Survey, we explored whether having a lifetime history of cancer or having a family member with a lifetime history of cancer was associated with intention to quit smoking. Results showed that having a personal lifetime history of cancer was not associated with intention to quit, while having a family member with a lifetime history of cancer was (chi(2) = 7.08, P < 0.01). Path analysis showed that individual perceived risk of cancer mediated the relationship between having a family member with a history of cancer and quitting intention: smokers who had a family member with a history of cancer in addition to an elevated level of perceived cancer risk were 36% more likely to report intending to quit. These preliminary data suggest that family members of cancer patients may be a viable target population for smoking cessation interventions, especially when they have heightened levels of perceived cancer risk. An adequately powered, controlled trial is needed to fully evaluate this hypothesis.
Health Educ Res. 2010 Jun 2. [Epub ahead of print]
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术前戒烟干预
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戒烟研究中,点戒断率和长期戒断是否产生相似的结果:系统综述