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浙江省4城市备孕男性吸烟者的戒烟意愿及影响因素分析

Analysis on factors associated with intention to quit smoking in pre-pregnancy male smokers in four cities of Zhejiang

摘要:

目的:探讨备孕人群中男性吸烟者的戒烟意愿及相关影响因素,为对该人群开展有效戒烟干预提供科学依据。方法采用拦截调查的方法,在浙江省绍兴市、台州市、诸暨市和温岭市4个城市的婚姻登记处,拦截1401人次,完成552份备孕男性吸烟者的问卷调查,并对资料进行频数统计、卡方检验和相关分析。结果研究对1401名备孕男性被调查者的筛查发现有558名吸烟者,备孕男性吸烟率为39.82%。在552名研究对象中有38人(6.88%)存在尼古丁高度依赖现象,近期有戒烟意愿有279人(50.54%),原因依次为:妻子计划生孩子(62.50%)、将来为孩子做榜样(47.70%)、妻子/家人反对(45.22%);研究对象对11题烟草危害认知题回答正确在8题以上的有275人(49.64%),配偶希望其戒烟的有490人(88.75%)。多因素分析发现:烟草知识知晓程度较低的备孕男性吸烟者戒烟意愿较低(0.38倍);自我健康评估非常好、配偶对丈夫的戒烟意愿强烈的备孕男性吸烟者的戒烟意愿较高,分别是1.90倍和2.87倍。结论备孕男性吸烟者戒烟意愿较一般人群高,可通过加强烟草危害的健康教育宣传和开展妻子介入备孕男性吸烟者戒烟活动以促进其戒烟。

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abstracts:

Objective To explore the determinants of willingness to quit smoking among pre-pregnancy male smokers, and to provide evidence for smoking cessation strategies. Methods An intercept survey was carried out in four cities in Zhejiang, and there were 552 pre-pregnancy male smokers from 1401 newly wedded couples under investigation. Result The pre-pregnancy male smoking rate was 39.82%, and only 6.88%of pre-pregnancy male smokers were categorized as highly nicotine-dependent. The rate of recent willingness to quit smoking was 50.54%, and reasons for quitting were as follows:a planned pregnancy (62.50%), an example for children (47.70%), and objections from family members (45.22%). The tobacco knowledge among pre-pregnancy male smokers is relatively poor, only 49.64% of smokers were aware 8 points in 11 questions; 88.75% of smoker's wives supported their husband to quit smoking. The associated factors of smoking cessation include: tobacco knowledge (OR=0.38), health self-assessment well (OR=1.90), wife's willing for husband to quit smoking (OR=2.87). Conclusion Compared to ordinary people, the proportion of intention to quit smoking was higher in pre-pregnancy male smokers. To strengthen health education and make wife initiating in husband's quitting programs would be more effective.

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作者: 徐越 [1] 徐水洋 [1] 吴青青 [1] 郝刚 [1] 吕巧红 [1] 徐锦杭 [1]
期刊: 《中华健康管理学杂志》2016年10卷4期 297-301页 ISTICCSCD
栏目名称: 论著
DOI: 10.3760/cma.j.issn.1674-0815.2016.04.010
发布时间: 2016-09-29
基金项目:
2014年浙江省人口计划生育科研项目
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