印度德里一家三级保健医院门诊的烟草使用者戒烟意愿及其相关因素

Mohit Goyal, Anita Khokhar, Shveta Lukhmana, Aninda Debnath, Namita Srivastava
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摘要

背景:烟草使用已成为一种现代流行病,对健康、社会经济地位和环境可持续性产生重大影响。准备戒烟或停止使用烟草是改变行为的关键的第一步。因此,本研究旨在评估烟草使用者中戒烟意愿的普遍程度及其相关因素。方法:采用多阶段随机抽样方法,从印度德里某三级医院门诊抽取425名吸烟者进行研究。一个预先设计的,由访谈者管理的问卷被用来引出信息。采用Logistic回归评估独立因素对戒烟意愿的影响。结果:研究参与者的平均年龄为39.37岁(sd =±12.99)。大多数参与者为男性(400人,占94.1%),女性25人(6.9%)。总的来说,在目前的研究中,戒烟意愿的患病率在研究参与者中为70%。多变量分析结果显示,城市人群、吸烟时间≤10年的人群、接受医生建议戒烟的人群的戒烟意愿明显高于其他人群。然而,年龄、性别、婚姻状况、教育程度、宗教信仰、开始使用烟草的年龄和尼古丁依赖与戒烟意愿没有统计学上的显著关系。结论:研究对象的戒烟意愿较高。本研究的数据表明,在制定未来的戒烟计划时,属于城市地区、吸烟的持续时间和医生的戒烟建议是需要考虑的重要因素。
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Willingness to Quit and Associated Factors Among Tobacco Users Attending Outpatient Departments of a Tertiary Care Hospital in Delhi, India
Background: Tobacco use has become a modern-day epidemic which significantly impacts health, socioeconomic status, and environmental sustainability. The readiness to quit or stop using tobacco is a crucial first step in changing one’s behavior. Hence, the current study sought to assess the prevalence of willingness to quit and associated factors among tobacco users. Methods: This study was conducted on 425 tobacco users selected using multi-stage random sampling from the outpatient departments (OPDs) of a tertiary care hospital in Delhi, India. A pre-designed, interviewer-administered questionnaire was used to elicit information. Logistic regression was performed to assess the effect of independent factors on the willingness to quit. Findings: The mean age of the study participants was 39.37 years (S.D.=±12.99). The majority of the participants were male (400, 94.1%), and 25 (6.9%) were female. Overall, the prevalence of willingness to quit in the current study was 70% among the study participants. The results of the multivariable analysis showed that those belonging to urban areas, tobacco users with a duration of≤10 years, and those who received advice from a doctor to quit had a significantly higher willingness to quit than their counterparts. However, age, gender, marital status, education, religion, age of initiation of tobacco use, and nicotine dependence were not found to have a statistically significant relationship with the willingness to quit tobacco products. Conclusion: Willingness to quit was high among the study participants. The data in this study suggested that belonging to urban areas, duration of tobacco use, and doctor’s advice to quit are important factors which need to be considered when framing future tobacco cessation programs.
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