嚼槟榔在台湾工人戒烟中的作用
2014/10/17
摘要
研究背景：相比非吸烟者，吸烟者习惯嚼槟榔的比例更高。然而嚼槟榔对戒烟的影响却知之甚少。本研究旨在研究嚼槟榔与戒烟模式的相关性，并探索嚼槟榔是否与从未尝试戒烟的吸烟者（与尝试戒烟但失败者、正在戒烟者和成功戒烟者相比）和尝试戒烟但失败者相关（与成功戒烟者相比）。
研究方法：对7215名工人进行电话调查，回复率88.6%。在调查中记录受访者吸烟及嚼槟榔情况，并计算评估一系列协变量值。
研究结果：去除协变量影响后，研究发现，与正在戒烟者(OR = 12.72; 95% CI = 1.05-154.26)，成功戒烟者 (OR = 3.62; 95% CI = 2.32-5.65)，尝试戒烟但失败者(OR = 1.37; 95% CI = 1.06-1.77)相比，嚼槟榔与从未尝试戒烟的吸烟者高度相关。除此之外，与成功戒烟(OR = 3.46; 95% CI = 2.17-5.51)相比，嚼槟榔与戒烟失败相关性更强。
结论：研究发现嚼槟榔可能会阻扰吸烟者戒烟的四个合理原因。这些原因为工作场所吸烟人数的降低（如考虑工作内容和社会规范）和戒烟产品的销售提供了其他思路。
（刘国梁 审校）
BMC Public Health. 2014 Jul 28;14:755. doi: 10.1186/1471-2458-14-755.
The role of betel-quid chewing in smoking cessation among workers in Taiwan.
Chen FL1, Chen PY, Tung TH, Huang YC, Tsai MC.
ABSTRACT
BACKGROUND: Current smokers exhibit a higher rate of betel-quid chewing than non-smokers. However, little is known regarding the extent to which betel-quid chewing may affect attempts to quit smoking and smoking cessation. The aim of the present study is to examine the association between betel-quid chewing and patterns of quitting smoking. Specifically, we explore whether betel-quid chewing is associated with (1) current smokers who have never attempted to quit versus those who have attempted to quit and have failed, those who are in the process of quitting, and successful cessation smokers, and (2) current smokers who have attempted to quit and have failed versus those who have successfully quit smoking.
METHODS: A telephone survey of 7,215 workers was conducted and obtained an 88.6% response rate. In the survey, the respondents' smoking and betel-quid chewing statuses were recorded and a list of covariates was assessed.
RESULTS: After controlling for the effect of the covariates, betel-quid chewing was found to be more highly associated with current smokers who have never attempted to quit, compared to current smokers who are in the process of quitting (OR = 12.72; 95% CI = 1.05-154.26), successful cessation smokers (OR = 3.62; 95% CI = 2.32-5.65), and smokers who have attempted to quit and have failed (OR = 1.37; 95% CI = 1.06-1.77), respectively. In addition, betel-quid chewing is more highly associated with a failure to quit smoking than with successfully quitting smoking (OR = 3.46; 95% CI = 2.17-5.51).
CONCLUSION: The findings support four plausible reasons why betel-quid chewing may dissuade smokers from quitting. These reasons highlight additional avenues for potentially reducing the smoking population in workplaces, such as considering work contexts and social norms, and product sales in smoking-cessation campaigns.
BMC Public Health. 2014 Jul 28;14:755. doi: 10.1186/1471-2458-14-755
