13 个中低收入国家的戒烟率和戒烟援助利用率--2009-2021 年两轮全球成人烟草调查之间的变化。

IF 3.8 4区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Epidemiology and Global Health Pub Date : 2024-09-01 Epub Date: 2024-08-12 DOI:10.1007/s44197-024-00283-9
Chandrashekhar T Sreeramareddy, Lai Pei Kuan
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引用次数: 0

摘要

简介:监测戒烟行为和戒烟援助的变化对决策至关重要:监测戒烟行为和戒烟援助的变化对决策至关重要:我们对 13 个国家的两轮全球成人烟草调查(2009-2014 年和 2015-2021 年)进行了分析。我们估算了戒烟率、戒烟尝试和戒烟援助利用率。戒烟服务的可用性来自世界卫生组织的报告。我们计算了戒烟率、戒烟尝试和戒烟援助的绝对和相对变化。我们通过对汇总数据进行二元逻辑回归分析,评估了戒烟行为的社会经济决定因素:在两轮调查中,所有国家的吸烟率为 7.6%-33.8%,戒烟率为 0.15%-0.54%,戒烟尝试率为 17.7%-52.8%。印度尼西亚的戒烟率提高了 100%,而土耳其则下降了 56%。戒烟尝试在印度尼西亚(31.9%)、墨西哥(16.9%)和中国(15.9%)有所增加,但在土耳其(140.4%)、越南(43.1%)和罗马尼亚(62.4%)有所减少。在这两轮调查中,至少使用一种方法的比例为 12.5%-99.8%,而世卫组织推荐的方法为 4.1%-88.4%。在两轮调查中,"在没有任何帮助的情况下尝试戒烟 "和 "其他方法 "是最常报告的戒烟帮助方法。尼古丁替代疗法(0.2%-25.3%)经常被用作推荐的戒烟辅助方法。大多数国家提供尼古丁替代疗法,但不提供戒烟热线和支持服务:结论:大多数国家在戒烟行为和戒烟援助方面取得的进展有限。开展健康教育以提高戒烟需求,并提供循证、低成本的戒烟援助(包括戒烟),可提高人口的戒烟率。
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Smoking Cessation and Utilization of Cessation Assistance in 13 low- and middle-income countries - changes between Two Survey Rounds of Global Adult Tobacco Surveys, 2009-2021.

Introduction: Monitoring changes in cessation behaviors and cessation assistance is critical for policymaking.

Methods: We analyzed two rounds (2009-2014 and 2015-2021) of Global Adult Tobacco Surveys in 13 countries. We estimated the quit ratio, quit attempt, and utilization of cessation assistance. The availability of cessation services was obtained from World Health Organization reports. We calculated absolute and relative changes in quit ratio, quit attempt, and cessation assistance. We assessed socio-economic determinants of cessation behaviors by binary logistic regression analyses on pooled data.

Results: In all countries during both rounds smoking prevalence was 7.6-33.8%, the quit ratio was 0.15-0.54%, and the quit attempt was 17.7-52.8%. Quit ratio improved in Indonesia by 100% but declined in Turkey by 56%. Quit attempts increased in Indonesia (31.9%), Mexico (16.9%) and China (15.9%) but decreased in Turkey (140.4%), Vietnam (43.1%), and Romania (62.4%). In both rounds, using at least one method was 12.5-99.8% while the WHO-recommended method was 4.1-88.4%. In both rounds "try to quit without any assistance" and "other methods" were the most frequently reported cessation assistance. Nicotine replacement therapy (0.2-25.3%) was frequently used as recommended cessation assistance. Nicotine replacement therapy was available in most countries but not quitline and support services.

Conclusion: Limited progress was made in smoking cessation behaviors and cessation assistance in most countries. Health education to improve demand for smoking cessation and availability of evidence-based, low-cost smoking cessation assistance including quit-smoking may improve quit ratios in the population.

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来源期刊
CiteScore
10.70
自引率
1.40%
发文量
57
审稿时长
19 weeks
期刊介绍: The Journal of Epidemiology and Global Health is an esteemed international publication, offering a platform for peer-reviewed articles that drive advancements in global epidemiology and international health. Our mission is to shape global health policy by showcasing cutting-edge scholarship and innovative strategies.
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