15~16岁人群戒烟干预措施的关键因素
2009/12/15
本试验旨在研究烟草干预后与青少年戒烟有关的因素。
作者对芬兰科特卡市一项545人参与的出生队列研究中的127名吸烟者进行研究,这些吸烟者随机分为3个干预组:牙科医生组(n = 44)、学校护士组(n = 42)和对照组(n = 39)。2个月后,作者对上述吸烟者进行问卷调查随访,寻找戒烟者。
作者发现,对于那些身边挚友为不吸烟者的吸烟者更有可能戒烟(RR 7.0 95% Cl 4.6-10.7)。此外,与非尼古丁依赖的吸烟者相比,对尼古丁依赖的参与者(采用Fagerström试验检测尼古丁依赖性)相对较难戒烟。最后,基于吸烟的昼夜差异,那些早上吸烟的吸烟者较晚间吸烟的吸烟者更易戒烟(RR 2.2 95% Cl 1.4-3.6)。
作者认为,在对戒烟咨询中,更应根据挚友的影响、尼古丁依赖性以及吸烟的昼夜差异进行个体化。
(刘国梁 审校)
Behav Med. 2009 Fall;35(3):93-99.
Key factors in smoking cessation intervention among 15-16-year-olds.
Heikkinen AM, Broms U, Pitkäniemi J, Koskenvuo M, Meurman J.
Department of Public Health, University of Helsinki.
The authors aimed to investigate factors associated with smoking cessation among adolescents after tobacco intervention. They examined smokers (n = 127) from one birth cohort (n = 545) in the city of Kotka in Finland. These smokers were randomized in 3 intervention groups the dentist (n = 44) and the school nurse (n = 42 groups), and a control group (n = 39). After 2 months, the authors sent a follow-up questionnaire to the initial smokers to find out who had quit.The authors found that those whose best friend was a nonsmoker were more likely to stop smoking (relative risk RR 7.0 95% Cl 4.6-10.7). Moreover, the nicotine-dependent participants (measured according to the Fagerström Test for Nicotine Dependence36) were less likely to stop (RR 0.1 95% Cl 0.08-0.11) compared to non-nicotine dependent participants. Last, of the diurnal types, the morning types found it easier to quit smoking than the evening types (RR 2.2 95% Cl 1.4-3.6). Thus, the authors concluded that the best friend’’s influence, nicotine dependence, and diurnal type could be taken more into account in individual counseling on smoking cessation.
Heikkinen AM, Broms U, Pitkäniemi J, et al. Behav Med. 2009 Fall;35(3):93-9.
作者对芬兰科特卡市一项545人参与的出生队列研究中的127名吸烟者进行研究,这些吸烟者随机分为3个干预组:牙科医生组(n = 44)、学校护士组(n = 42)和对照组(n = 39)。2个月后,作者对上述吸烟者进行问卷调查随访,寻找戒烟者。
作者发现,对于那些身边挚友为不吸烟者的吸烟者更有可能戒烟(RR 7.0 95% Cl 4.6-10.7)。此外,与非尼古丁依赖的吸烟者相比,对尼古丁依赖的参与者(采用Fagerström试验检测尼古丁依赖性)相对较难戒烟。最后,基于吸烟的昼夜差异,那些早上吸烟的吸烟者较晚间吸烟的吸烟者更易戒烟(RR 2.2 95% Cl 1.4-3.6)。
作者认为,在对戒烟咨询中,更应根据挚友的影响、尼古丁依赖性以及吸烟的昼夜差异进行个体化。
(刘国梁 审校)
Behav Med. 2009 Fall;35(3):93-99.
Key factors in smoking cessation intervention among 15-16-year-olds.
Heikkinen AM, Broms U, Pitkäniemi J, Koskenvuo M, Meurman J.
Department of Public Health, University of Helsinki.
The authors aimed to investigate factors associated with smoking cessation among adolescents after tobacco intervention. They examined smokers (n = 127) from one birth cohort (n = 545) in the city of Kotka in Finland. These smokers were randomized in 3 intervention groups the dentist (n = 44) and the school nurse (n = 42 groups), and a control group (n = 39). After 2 months, the authors sent a follow-up questionnaire to the initial smokers to find out who had quit.The authors found that those whose best friend was a nonsmoker were more likely to stop smoking (relative risk RR 7.0 95% Cl 4.6-10.7). Moreover, the nicotine-dependent participants (measured according to the Fagerström Test for Nicotine Dependence36) were less likely to stop (RR 0.1 95% Cl 0.08-0.11) compared to non-nicotine dependent participants. Last, of the diurnal types, the morning types found it easier to quit smoking than the evening types (RR 2.2 95% Cl 1.4-3.6). Thus, the authors concluded that the best friend’’s influence, nicotine dependence, and diurnal type could be taken more into account in individual counseling on smoking cessation.
Heikkinen AM, Broms U, Pitkäniemi J, et al. Behav Med. 2009 Fall;35(3):93-9.
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