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[Abstract]:Background tobacco use seriously endangering the health of the population, bringing a heavy economic burden to the human society, has become an urgent problem of public health in the world. In many countries suffering from tobacco damage, our country is particularly injured, which is closely related to the high production and high consumption level of China's tobacco. In addition, The country has a large population in rural areas. Compared with the urban residents, the smoking rate of the rural population is higher and the amount of smoking is more. Therefore, it is of great significance to control the tobacco epidemic and promote the health of the population by making practical tobacco control strategies and measures aimed at the rural areas in China. The most direct, most economical means is to promote smokers to quit smoking successfully. The success of smokers is affected by many factors, such as smoking cessation, self-efficacy, tobacco hazard cognition, daily smoking, the number of smokers around, and the past smoking cessation experience is one of the most important factors. There is a dispute over the study of the relationship between smoking cessation success. There are studies that people who have had the experience of smoking cessation are more willing to give up smoking in the future and are more likely to try again. The result of the study is that successful quitting smokers usually give up smoking or success, while smokers who have tried many times but still fail to succeed, that is, the more the number of quitting smoking is not easy to succeed. On the basis of the relationship between the number of smokers and the success of smoking cessation, the influence factors of the number of smoking cessation in the past are discussed in order to provide effective theoretical guidance for the future development of smoking control strategies and measures in accordance with the objective reality. Purpose 1. to explore the influence of the number of smoking cessation and the success of smoking cessation on the influence of the number of smoking cessation in the present smokers. Based on the cohort of the Shandong University health research base, this study was established in the 3 counties of Junan, Linyi, Jining, Liangshan and Pingyin, Ji'nan, 2009, where 3 natural villages were selected from each county in the 3 counties of Junan, Jining, Liangshan and Ji'nan. The tobacco exposure questionnaire for rural residents was used for 15 years in 9 natural villages. Questionnaire survey was conducted to exclude people who had not been living for more than 3 months due to work or other reasons. The contents of the questionnaire mainly included the general demographic characteristics of the subjects, the status of tobacco use, the situation of smoking cessation, the attitude to smoking and the cognition of tobacco danger. The subjects were divided into young people (less than 45 years old), middle-aged (45 to 59 years old) and older (more than 60 years old); the marital status was divided into married and other two types; the cultural level was divided into lower, middle and higher levels, representing primary and junior high school, high school and above, respectively; The occupational types were divided into two categories of farming and other types. The number of years of smoking package was defined as the number of /20 branches per day and the number of years of smoking; the reasons for smoking cessation were divided into illness or worry and other reasons; the attitude of smoking and the cognition of smoking hazards were treated, the scores of each item were gained and the total score of the risk of danger was obtained, and the total score was carried out by the method of three quantiles. In the study of the influencing factors of the number of smoking cessation, the number of smokers who had never given up smoking was defined as 0, and the influence factors of smoking cessation were included in the analysis. The number of smoking cessation and smoking cessation were discussed by the multi factor Logistic model. Successful relationship; use the tendency score value as the covariate in the logistic regression model to adjust age, marital status, education, career type, smoking age, and cause of smoking cessation as potential confounding factors; use the Hurdle counting model to explore the influence factors of the number of smoking abstinence. Study results 1. the success and loss of smoking cessation. The differences in age groups, years of smoking, smoking years, smoking, smoking, smoking, and smoking cessation were statistically significant (P0.05), but there was no significant difference in marital status, educational level, occupational type and smoking age..2.Logistic regression results showed that the adjustment of confounding factors Age, educational level, occupation type, marital status, smoking age and smoking cessation cause, the number of previous smoking cessation was significantly negatively correlated with the success of smoking cessation (OR=0.417,95%CI=0.343-0.506) the two groups were divided into age groups, years of smoking, year of smoking, marital status, attitude and attitude towards smoking, compared with those who had never quit smoking. The differences in smoking hazard cognition are statistically significant (P0.05), but there is no significant difference in the level of education, occupation type, smoking age, and daily smoking. The results of.4.Hurdle count model are divided into two parts.Logistic part results show that the main factors affecting whether smokers have ever quit smoking are mainly married. Marital status (married vs., beta =0.540, P= 0.004), educational level (beta =0.195, P=0.040) and smoking hazard cognitive level (beta =0.238, P=0.009). Zero truncated Poisson regression section showed that people who started smoking at least 20 years of age at least once were smoking cessation times before the age of 20. (beta =0.202, P=0.010), the cognitive level of smoking hazards (beta =0.141, P= 0.024) was positively correlated with the number of previous smoking cessation. Conclusion 1. the more the number of smoking cessation, the lower the likelihood of successful smoking cessation, the more the factors affecting the number of previous smoking cessation in the past, the factors affecting the past two processes of smoking cessation and smoking cessation are not exactly the same. The marital status, The degree of culture and the degree of cognition of tobacco harm are the main factors that affect the smoking cessation, and the age of smoking and the cognitive level of tobacco harm are mainly related to the number of previous smoking cessation. In the future work, we should correct the wrong knowledge of smoking cessation, encourage smokers to try to quit smoking, and should promote smoking cessation to prevent relapse from smoking. To succeed in smoking cessation.
【學(xué)位授予單位】：山東大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R163

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