社会不平等在戒烟中的作用：哪些因素影响了社会经济地位与戒烟的关系？
2011/03/23
摘要
背景：相对于较富裕的吸烟者来说，较低社会经济地位的吸烟者，即使对这些吸烟者提供戒烟服务，其成功戒烟的可能也较低。
方法：数据来自于英国格拉斯哥、北坎布里亚和诺丁汉三个地区的戒烟服务使用者。常规监测数据包括52周随访期时通过检测一氧化氮证实的吸烟状态，调查数据包括社会经济环境和吸烟相关行为。研究对象包括2397名25～59岁的吸烟者。
结果：在52周随访期内，14.3%的富裕吸烟者获得戒断，而社会经济较差的吸烟者仅5.3%的戒断率。对人口统计学因素进行校正后，与社会经济地位较差的吸烟者相比，英国和格拉斯哥一对一项目的富裕吸烟者更有可能维持戒断（分别为OR, 2.5，CI: .4-4.7；OR, 7.5 CI: 1.4-40.3）。产生差异的机制包括治疗顺应性、家庭存在吸烟者和戒烟服务的来源。
结论：社会经济地位较差的吸烟者，其戒烟可能性相对较低。我们应该鼓励这些吸烟者在最初几周内坚持戒烟。其他导致戒烟差异的原因还与提供的戒烟服务相关。
(林江涛 审校)
J Public Health (Oxf). 2010 Dec 22. [Epub ahead of print]
Social inequalities in quitting smoking: what factors mediate the relationship between socioeconomic position and smoking cessation?
Hiscock R, Judge K, Bauld L.
UK Centre for Tobacco Control Studies, Department of Social and Policy Sciences, University of Bath, Bath BA2 7AY, UK.
Abstract
BACKGROUND: Smokers from lower socio-economic groups are less likely to be successful in a quit attempt than more affluent smokers, even when they access smoking cessation services.
METHODS: Data were collected from smoking cessation service users from three contrasting areas of Great Britain-Glasgow, North Cumbria and Nottingham. Routine monitoring data were supplemented with CO-validated smoking status at 52-week follow-up and survey data on socio-economic circumstances and smoking-related behaviour. Analysis was restricted to the 2397 clients aged between 25 and 59.
RESULTS: At 52-week follow-up, 14.3% of the most affluent smokers remained quit compared with only 5.3% of the most disadvantaged. After adjustment for demographic factors, the most advantaged clients at the English sites and the Glasgow one-to-one programme were significantly more likely to have remained abstinent than those who were most disadvantaged [odds ratio: 2.5, confidence interval (CI): 1.4-4.7 and 7.5 CI: 1.4-40.3, respectively). Mechanisms producing the inequalities appeared to include treatment compliance, household smokers and referral source.
CONCLUSIONS: Rather than quitting smoking, disadvantaged smokers quit treatment. More should be done to encourage them to persevere through the first few weeks. Other causes of inequalities in quitting varied with the service provided.
J Public Health (Oxf). 2010 Dec 22. [Epub ahead of print]
背景：相对于较富裕的吸烟者来说，较低社会经济地位的吸烟者，即使对这些吸烟者提供戒烟服务，其成功戒烟的可能也较低。
方法：数据来自于英国格拉斯哥、北坎布里亚和诺丁汉三个地区的戒烟服务使用者。常规监测数据包括52周随访期时通过检测一氧化氮证实的吸烟状态，调查数据包括社会经济环境和吸烟相关行为。研究对象包括2397名25～59岁的吸烟者。
结果：在52周随访期内，14.3%的富裕吸烟者获得戒断，而社会经济较差的吸烟者仅5.3%的戒断率。对人口统计学因素进行校正后，与社会经济地位较差的吸烟者相比，英国和格拉斯哥一对一项目的富裕吸烟者更有可能维持戒断（分别为OR, 2.5，CI: .4-4.7；OR, 7.5 CI: 1.4-40.3）。产生差异的机制包括治疗顺应性、家庭存在吸烟者和戒烟服务的来源。
结论：社会经济地位较差的吸烟者，其戒烟可能性相对较低。我们应该鼓励这些吸烟者在最初几周内坚持戒烟。其他导致戒烟差异的原因还与提供的戒烟服务相关。
(林江涛 审校)
J Public Health (Oxf). 2010 Dec 22. [Epub ahead of print]
Social inequalities in quitting smoking: what factors mediate the relationship between socioeconomic position and smoking cessation?
Hiscock R, Judge K, Bauld L.
UK Centre for Tobacco Control Studies, Department of Social and Policy Sciences, University of Bath, Bath BA2 7AY, UK.
Abstract
BACKGROUND: Smokers from lower socio-economic groups are less likely to be successful in a quit attempt than more affluent smokers, even when they access smoking cessation services.
METHODS: Data were collected from smoking cessation service users from three contrasting areas of Great Britain-Glasgow, North Cumbria and Nottingham. Routine monitoring data were supplemented with CO-validated smoking status at 52-week follow-up and survey data on socio-economic circumstances and smoking-related behaviour. Analysis was restricted to the 2397 clients aged between 25 and 59.
RESULTS: At 52-week follow-up, 14.3% of the most affluent smokers remained quit compared with only 5.3% of the most disadvantaged. After adjustment for demographic factors, the most advantaged clients at the English sites and the Glasgow one-to-one programme were significantly more likely to have remained abstinent than those who were most disadvantaged [odds ratio: 2.5, confidence interval (CI): 1.4-4.7 and 7.5 CI: 1.4-40.3, respectively). Mechanisms producing the inequalities appeared to include treatment compliance, household smokers and referral source.
CONCLUSIONS: Rather than quitting smoking, disadvantaged smokers quit treatment. More should be done to encourage them to persevere through the first few weeks. Other causes of inequalities in quitting varied with the service provided.
J Public Health (Oxf). 2010 Dec 22. [Epub ahead of print]
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妊娠女性对个性化戒烟干预措施的反应：从无望到充满信心
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产后生活方式干预对体重下降、戒烟和预防复吸的影响：系统综述
