哮喘联盟

   摘要
   目的：本研究在402名低社会经济地位(SES)、不同种族的吸烟者中评价了健康素养和戒烟预测因子之间的关系。
   方法：数据收集自一项评价吸烟健康风险的大型研究的部分结果。采用多重线性回归分析，评价健康素养与戒烟预测因子之间的关系(即，尼古丁依赖、吸烟预期的结果、吸烟风险的观念和认知、自信心、意向戒烟或减少吸烟)。
   结果：低健康素养与高尼古丁依赖、更积极和更少的负面吸烟预期结果、更少的吸烟健康风险知识和低风险认知相关。在控制了人口和SES相关因素后，仍然显著相关(P < .05)。
   结论：这些结果提供了首个证据，即对于低社会经济地位不同种族的吸烟者，低健康素养是戒烟结果不佳的关键的、独立危险因素。研究需要进一步的探究这个关系的潜在机制。

（林江涛 审校）
Am J Public Health. 2013 Jul;103(7):e43-9. doi: 10.2105/AJPH.2012.301062. Epub 2013 May 16.

Associations between health literacy and established predictors of smoking cessation.

Stewart DW, Adams CE, Cano MA, Correa-Fernández V, Li Y, Waters AJ, Wetter DW, Vidrine JI.

Abstract
Objectives：We examined associations between health literacy and predictors of smoking cessation among 402 low-socioeconomic status (SES), racially/ethnically diverse smokers.
Methods：Data were collected as part of a larger study evaluating smoking health risk messages. We conducted multiple linear regression analyses to examine relations between health literacy and predictors of smoking cessation (i.e., nicotine dependence, smoking outcome expectancies, smoking risk perceptions and knowledge, self-efficacy, intentions to quit or reduce smoking).
Results：Lower health literacy was associated with higher nicotine dependence, more positive and less negative smoking outcome expectancies, less knowledge about smoking health risks, and lower risk perceptions. Associations remained significant (P < .05) after controlling for demographics and SES-related factors.
Conclusions：These results provide the first evidence that low health literacy may serve as a critical and independent risk factor for poor cessation outcomes among low-socioeconomic status, racially/ethnically diverse smokers. Research is needed to investigate potential mechanisms underlying this relationship.

Am J Public Health. 2013 Jul;103(7):e43-9. doi: 10.2105/AJPH.2012.301062. Epub 2013 May 16.