在俄罗斯癌症患者中，持续吸烟和戒烟动机的关系
2010/12/29
摘要
背景：癌症患者吸烟与不良的健康预后相关。有关发展中国家（包括俄罗斯）癌症患者的吸烟情况受到的关注较少，在这些国家中的烟草使用量非常大，而且在公共卫生基础体系中也很少对此问题进行讨论。
目的：本试验在新近诊断的俄罗斯癌症患者中研究医学、社会-人口统计学和心理学因素与吸烟状态及戒烟动机的关系。
方法：本试验为横断面研究，294名新近诊断的癌症患者入选，这些患者为当前吸烟者或既往吸烟者。
结果：与戒烟者相比，持续吸烟患者更可能报告出现急于吸烟，以满足自己吸烟欲望的情况。与那些不打算在未来3个月内戒烟的吸烟患者相比，在打算戒烟的吸烟者中感知到持续吸烟相关风险的患者比例较高，自我戒烟的效率也较高。
结论：在俄罗斯，已经有承诺针对癌症患者开发戒烟治疗项目，这些数据有助于指导行为干预措施的开发，帮助患者戒烟，增加患者改善临床预后的机会。
(林江涛 审校)
Int J Behav Med. 2010 Nov 14. [Epub ahead of print]
Correlates of Continued Tobacco Use and Intention to Quit Smoking Among Russian Cancer Patients.
Schnoll RA, Subramanian S, Martinez E, Engstrom PF.
Department of Psychiatry, University of Pennsylvania, 3535 Market Street, 4th Floor, Philadelphia, PA, 19104, USA, schnoll@mail.med.upenn.edu.
Abstract
BACKGROUND: Tobacco use among cancer patients is associated with adverse health outcomes. Little attention has been paid to tobacco use among cancer patients in developing countries, including Russia, where tobacco use is extremely high, and there is little public health infrastructure to address this issue.
PURPOSE: This study examined medical, socio-demographic, and psychological correlates of smoking status and intention to quit smoking among newly diagnosed Russian cancer patients.
METHOD: A cross-sectional study was conducted with 294 current or former smokers newly diagnosed with cancer.
RESULTS: Compared with patients who quit smoking, patients who continued to smoke were more likely to report urges to smoke to satisfy positive reinforcing aspects of tobacco use. Compared with patients who were smoking and reported no intention to quit smoking in the next 3 months, patients who were smoking but intended to quit smoking reported higher levels of perceived risks associated with continued smoking and higher levels of self-efficacy to quit smoking.
CONCLUSION: As commitment to developing smoking cessation treatment programs for cancer patients in Russia emerges, these data can help guide the development of behavioral interventions to assist patients with quitting smoking, enhancing their chances for improved clinical outcomes.
Int J Behav Med. 2010 Nov 14. [Epub ahead of print]
背景：癌症患者吸烟与不良的健康预后相关。有关发展中国家（包括俄罗斯）癌症患者的吸烟情况受到的关注较少，在这些国家中的烟草使用量非常大，而且在公共卫生基础体系中也很少对此问题进行讨论。
目的：本试验在新近诊断的俄罗斯癌症患者中研究医学、社会-人口统计学和心理学因素与吸烟状态及戒烟动机的关系。
方法：本试验为横断面研究，294名新近诊断的癌症患者入选，这些患者为当前吸烟者或既往吸烟者。
结果：与戒烟者相比，持续吸烟患者更可能报告出现急于吸烟，以满足自己吸烟欲望的情况。与那些不打算在未来3个月内戒烟的吸烟患者相比，在打算戒烟的吸烟者中感知到持续吸烟相关风险的患者比例较高，自我戒烟的效率也较高。
结论：在俄罗斯，已经有承诺针对癌症患者开发戒烟治疗项目，这些数据有助于指导行为干预措施的开发，帮助患者戒烟，增加患者改善临床预后的机会。
(林江涛 审校)
Int J Behav Med. 2010 Nov 14. [Epub ahead of print]
Correlates of Continued Tobacco Use and Intention to Quit Smoking Among Russian Cancer Patients.
Schnoll RA, Subramanian S, Martinez E, Engstrom PF.
Department of Psychiatry, University of Pennsylvania, 3535 Market Street, 4th Floor, Philadelphia, PA, 19104, USA, schnoll@mail.med.upenn.edu.
Abstract
BACKGROUND: Tobacco use among cancer patients is associated with adverse health outcomes. Little attention has been paid to tobacco use among cancer patients in developing countries, including Russia, where tobacco use is extremely high, and there is little public health infrastructure to address this issue.
PURPOSE: This study examined medical, socio-demographic, and psychological correlates of smoking status and intention to quit smoking among newly diagnosed Russian cancer patients.
METHOD: A cross-sectional study was conducted with 294 current or former smokers newly diagnosed with cancer.
RESULTS: Compared with patients who quit smoking, patients who continued to smoke were more likely to report urges to smoke to satisfy positive reinforcing aspects of tobacco use. Compared with patients who were smoking and reported no intention to quit smoking in the next 3 months, patients who were smoking but intended to quit smoking reported higher levels of perceived risks associated with continued smoking and higher levels of self-efficacy to quit smoking.
CONCLUSION: As commitment to developing smoking cessation treatment programs for cancer patients in Russia emerges, these data can help guide the development of behavioral interventions to assist patients with quitting smoking, enhancing their chances for improved clinical outcomes.
Int J Behav Med. 2010 Nov 14. [Epub ahead of print]
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