中国三城市男性吸烟者的社会规范与戒烟行为的关系

【目的】了解中国男性戒烟相关社会规范的现状及其与戒烟意愿、戒烟尝试等戒烟行为之间的关系。【方法】基于横断面研究,于2013年8-11月在上海、南宁、牡丹江三个地区抽取成年男性现在吸烟者进行问卷调查,收集基本信息、每日吸烟量、戒烟意愿、戒烟尝试和戒烟相关社会规范等资料。建立单因素、多因素logistic回归模型分别分析戒烟相关社会规范与戒烟意愿、戒烟尝试的关系。共获得有效问卷3621份,总有效率95.8%。【结果】吸烟者感知到的戒烟相关社会规范较低,很少能从家人、朋友及其他身边的人获得戒烟的劝谏与建议。社会规范得分每提高1分,则吸烟者的戒烟意愿可能性增加69%(OR为1.69,95%CI为1.48~1.94),吸烟者戒烟尝试的可能性增加86%(OR为1.86,95%CI为1.66~2.08)。【结论】戒烟相关社会规范是吸烟者产生戒烟意愿、戒烟尝试的独立预测因子。今后的控烟干预策略应该致力于创建鼓励戒烟的社会规范。

Relationship between social norms and smoking cessation among male smokers in three cities of China

Objective]To explore the relationship between social norms and smoking intention,among male smokers in China.Methods]A total 3621(with 95.8%of effective response rate)male smokers were selected and investigated with questionnaires from August to November in 2013.Univariate logistic regressions and multivariate logistic regressions were conducted to find the associations between social norms,smoking intention and quitting attempts.Results]Smokers perceived low pro-quitting social norms from their family members,friends and other people around.With a 1 point increase in pro-quitting social norms score,smokers′willingness to quit in the next 6 months increased by 69%(OR=1.69,95%CI:1.48-1.94),and smokers were 86%more likely to quit(OR=1.86,95%CI:1.66-2.08).Conclusion]Pro-quitting social norms is proved to be an independent predictor for smoking intention,quitting attempts among male smokers in China.Therefore,future intervention should aim to establish pro-quitting social norms for smoking cessation.