【摘要】：目的調查農村社區(qū)老年男性吸煙人群的尼古丁依賴程度,分析不同依賴程度對其吸煙、戒煙行為以及吸煙危害認知等方面的影響。方法采取多階段抽樣方法,對上海市嘉定區(qū)769名免費體檢的老人進行一對一詢問方式的問卷調查。描述性分析老年男性吸煙者的尼古丁依賴程度現狀;根據尼古丁依賴檢測量表(FIND)評分進行分組,并對尼古丁依賴程度與認知行為進行相關性分析,對尼古丁依賴程度的人口學影響因素進行分析。結果根據769名老年男性吸煙者的尼古丁依賴程度,分為低依賴組519例(67.5%),高依賴組250例(32.5%)。家庭人均月收入低于中位數是尼古丁高依賴的危險因素(OR=1.984,P0.001);其他社會人口學因素對尼古丁依賴程度均無影響。尼古丁高依賴組與低依賴組比較,認為吸煙有益/無所謂者較多(r=-0.173),開始吸煙年齡較早(r=0.086),平均每月吸煙花費較多(r=-0.295),吸煙持續(xù)年限較長(r=-0.088),未嘗試過戒煙的比例較高(r=0.076),最近一次戒煙持續(xù)時間較短(r=0.140),社交最頻繁的5人中吸煙者人數較多(r=-0.151),休閑娛樂方式為打麻將或打牌者較多(r=0.095),飲酒過量者較多(r=-0.171),差異均有統計學意義(P0.05)。結論社會人口學因素對尼古丁依賴程度的影響甚微;尼古丁依賴程度對認知具有一定影響,對吸煙、戒煙行為及生活方式具有重要影響。要改變農村老年男性吸煙人群的吸煙行為,促成戒煙,除提供健康教育及社會支持外,有必要進行適當的臨床尼古丁戒斷治療。
[Abstract]:Objective to investigate the nicotine dependence of elderly male smokers in rural communities and to analyze the effects of different degree of dependence on smoking, smoking cessation behavior and smoking hazard cognition. Methods A one-to-one questionnaire survey was conducted on 769 old people with free physical examination in Jiading District of Shanghai. Descriptive analysis of the current status of nicotine dependence in elderly male smokers, according to the nicotine dependence test scale (FIND) score, and the relationship between nicotine dependence and cognitive behavior. The demographic factors of nicotine dependence were analyzed. Results according to the nicotine dependence degree of 769 old male smokers, 519 cases (67.5%) were divided into low dependence group (67.5%) and high dependence group 250 cases (32.5%). The risk factors of high nicotine dependence were found to be below the median per capita monthly income (OR 1.984, P 0.001), while other social demographic factors had no effect on nicotine dependence. The nicotine high dependence group was compared with the low dependent group. More people thought that smoking was beneficial / indifferent (r = 0.173), the age of smoking was earlier (r = 0.086), the average monthly smoking cost was higher (r = 0.295), the duration of smoking was longer (r = 0.088), the proportion of people who had not tried to quit smoking was higher (r = 0.076), the last time to quit smoking was shorter (r = 0.140). Among the five most frequent smokers, the number of smokers was more (r-0.151), the way of leisure and entertainment was playing mahjong or card playing more (r-0.095), the number of excessive drinkers was more (r-0.171), the difference was statistically significant (P0.05). Conclusion Socio-demographic factors have little effect on nicotine dependence, and nicotine dependence has some influence on cognition, smoking, smoking cessation behavior and lifestyle. In order to change the smoking behavior of the aged male smokers in rural areas and promote smoking cessation, it is necessary to provide health education and social support, as well as appropriate clinical nicotine abstinence treatment.
【作者單位】： 上海交通大學公共衛(wèi)生學院;
【基金】：國家社會科學基金青年項目(14CGL077) 上海交通大學醫(yī)學院研究基金項目(13XJ10043)~~
【分類號】：R163

【相似文獻】

相關期刊論文 前3條

1 毛淑炯;黃先玫;楊一華;;杭州市0～6歲兒童傷害及家長認知行為調查[J];浙江預防醫(yī)學;2010年05期

2 楊琳;王文琰;;關于家長對于兒童使用抗生素認知行為的調查[J];中國社區(qū)醫(yī)師(醫(yī)學專業(yè));2012年22期

3 王宏星;潘芳;;873名學齡前兒童蔬菜攝入與家長對蔬菜認知行為的調查[J];華南國防醫(yī)學雜志;2012年06期

，

本文編號：2197882