香港戒烟热线咨询者的戒烟形式和预测因素分析
2011/03/28
摘要
目的：研究年轻吸烟者接受电话戒烟干预后，出现戒烟和随后持续戒烟的形式和预测因素。
方法：本试验是在香港进行的一项纵向研究，408名年龄为12～25岁的当前吸烟者入选本研究，这些吸烟者采用戒烟热线进行戒烟干预。在基线状态、1周、1个月、3个月和6个月时，评价吸烟状态和其他危险因素。采用非参数Kaplan-Meier法和等级Cox’s比例优势模型研究戒烟的时间形式和预测因素。
结果：半数年轻吸烟者在接受电话戒烟咨询后的1个月内开始戒烟，随着时间延长，戒烟的可能性进一步下降。2/3的受试者在开始戒烟后的7天内重新吸烟。意向戒烟、过去有戒烟尝试、感觉到的躯体不适和其他因素能预测戒烟的启动。立即开始戒烟、采取自助策略戒烟和躯体健康改善等，能促进持续戒烟。
结论：结果显示了年轻吸烟者开始戒烟的行为过程。电话咨询者需抓住戒烟的势头，动员吸烟者立即戒烟。干预措施包括进行健康评估和讨论吸烟者躯体状态。在戒断首周内，密切关注戒断症状，联合咨询，助推戒烟，这样有助于预防复吸，也能动员那些不能持续戒断的吸烟者戒烟。
（林江涛 审校）
Nicotine Tob Res. 2011 Jan;13(1):7-14. Epub 2010 Nov 8.
Patterns and predictors of quitting among youth quitline callers in Hong Kong.
Wong DC, Chan SS, Fong DY, Leung AY, Lam DO, Lam TH.
School of Nursing, University of Hong Kong, 4/F M. W. Mong Block, 21 Sassoon Road, Pokfulam, Hong Kong. nssophia@hku.hk.
Abstract
Objectives: To examine the time patterns and predictors of initiating a quit attempt and subsequent sustained abstinence among youth smokers after receiving a telephone smoking cessation intervention.
METHODS: This was a longitudinal study of 408 current youth smokers aged 12-25 years who called a smoking cessation hotline in Hong Kong. Telephone surveys were conducted at baseline; 1week; and 1, 3, and 6 months to assess smoking status and other risk factors. Nonparametric Kaplan-Meier methods and hierarchical Cox’s proportional odds models were applied to explore the time patterns and predictors of the quitting process.
RESULTS: Half of the youth smokers initiated a quit attempt within 1 month after receiving the baseline telephone intervention, while the likelihood of further quit attempts decreased over time. Two thirds relapsed within the first 7 days after starting a quit attempt. Intention to quit, previous quit attempts, perceived physical unfitness, and other factors could predict the initiation of a quit attempt. Sustained abstinence was facilitated by making an immediate attempt to quit, adopting self-help strategies, and a perceived improvement in physical health.
Conclusions: Our findings support the "catastrophic" pathway of youth smokers initiating a quit attempt. Counselors should capture the quitting momentum and motivate youth smokers to quit immediately. Interventions should include a health assessment and discussion of smokers’ physical fitness. During the first week of abstinence, intensive monitoring of withdrawal symptoms, together with booster counseling, is helpful in preventing smoking relapse and could remotivate those who fail to sustain their quit attempt.
Nicotine Tob Res. 2011 Jan;13(1):7-14. Epub 2010 Nov 8.
目的：研究年轻吸烟者接受电话戒烟干预后，出现戒烟和随后持续戒烟的形式和预测因素。
方法：本试验是在香港进行的一项纵向研究，408名年龄为12～25岁的当前吸烟者入选本研究，这些吸烟者采用戒烟热线进行戒烟干预。在基线状态、1周、1个月、3个月和6个月时，评价吸烟状态和其他危险因素。采用非参数Kaplan-Meier法和等级Cox’s比例优势模型研究戒烟的时间形式和预测因素。
结果：半数年轻吸烟者在接受电话戒烟咨询后的1个月内开始戒烟，随着时间延长，戒烟的可能性进一步下降。2/3的受试者在开始戒烟后的7天内重新吸烟。意向戒烟、过去有戒烟尝试、感觉到的躯体不适和其他因素能预测戒烟的启动。立即开始戒烟、采取自助策略戒烟和躯体健康改善等，能促进持续戒烟。
结论：结果显示了年轻吸烟者开始戒烟的行为过程。电话咨询者需抓住戒烟的势头，动员吸烟者立即戒烟。干预措施包括进行健康评估和讨论吸烟者躯体状态。在戒断首周内，密切关注戒断症状，联合咨询，助推戒烟，这样有助于预防复吸，也能动员那些不能持续戒断的吸烟者戒烟。
（林江涛 审校）
Nicotine Tob Res. 2011 Jan;13(1):7-14. Epub 2010 Nov 8.
Patterns and predictors of quitting among youth quitline callers in Hong Kong.
Wong DC, Chan SS, Fong DY, Leung AY, Lam DO, Lam TH.
School of Nursing, University of Hong Kong, 4/F M. W. Mong Block, 21 Sassoon Road, Pokfulam, Hong Kong. nssophia@hku.hk.
Abstract
Objectives: To examine the time patterns and predictors of initiating a quit attempt and subsequent sustained abstinence among youth smokers after receiving a telephone smoking cessation intervention.
METHODS: This was a longitudinal study of 408 current youth smokers aged 12-25 years who called a smoking cessation hotline in Hong Kong. Telephone surveys were conducted at baseline; 1week; and 1, 3, and 6 months to assess smoking status and other risk factors. Nonparametric Kaplan-Meier methods and hierarchical Cox’s proportional odds models were applied to explore the time patterns and predictors of the quitting process.
RESULTS: Half of the youth smokers initiated a quit attempt within 1 month after receiving the baseline telephone intervention, while the likelihood of further quit attempts decreased over time. Two thirds relapsed within the first 7 days after starting a quit attempt. Intention to quit, previous quit attempts, perceived physical unfitness, and other factors could predict the initiation of a quit attempt. Sustained abstinence was facilitated by making an immediate attempt to quit, adopting self-help strategies, and a perceived improvement in physical health.
Conclusions: Our findings support the "catastrophic" pathway of youth smokers initiating a quit attempt. Counselors should capture the quitting momentum and motivate youth smokers to quit immediately. Interventions should include a health assessment and discussion of smokers’ physical fitness. During the first week of abstinence, intensive monitoring of withdrawal symptoms, together with booster counseling, is helpful in preventing smoking relapse and could remotivate those who fail to sustain their quit attempt.
Nicotine Tob Res. 2011 Jan;13(1):7-14. Epub 2010 Nov 8.
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术前短时间内戒烟和术后并发症：系统综述和荟萃分析
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成人期开始吸烟者中戒烟的优势：是否能运用于黑人女性
