吸烟原因与戒烟成功关系的优势分析  

Dominance analysis on the association between reasons for smoking and results related to successful smoking cessation

作　　者：韩明奎[1] 周云平[1] 李素云[1] 潘璐璐[1] 杨孝荣[1] 李慧杰[1] 姜帆[1] 张楠[1] 贾崇奇[1] 

机构地区：[1]山东大学公共卫生学院流行病与卫生统计学系,济南250012

出　　处：《中华流行病学杂志》2014年第10期1083-1086,共4页Chinese Journal of Epidemiology

基　　金：基金项目：国家自然科学基金（81273150）

摘　　要：目的：研究吸烟原因与戒烟成功的关系。方法采用以社区人群为基础的病例对照研究设计，以642名男性自发性戒烟成功者为病例组，700名男性自发性戒烟失败者为对照组，应用Russell吸烟原因问卷（RRSQ）调查吸烟原因。运用优势logistic回归探讨吸烟原因对戒烟成功影响的相对重要性。结果在调整了潜在混杂因素（年龄、开始吸烟年龄、婚姻、职业、教育水平）后，戒烟成功组“镇静”和“刺激”的得分显著低于戒烟失败组；优势logistic分析显示，影响戒烟成功的前两项因素依次为“镇静”和“刺激”，其次为“心理意向”、“自动”、“手口活动”、“享乐”和“瘾”。结论成瘾依赖是影响戒烟成功的最主要因素，其作用大于社会心理因素。Objective To study the association between reasons for smoking and results related to successful smoking cessation. Methods A community-based case-control study was conducted with 642 male adults recognized as successful spontaneous smoking quitters being the subject cases while another 700 male adults who had failed to quit smoking were served as the controls. Russell Reason for Smoking Questionnaire（RRSQ）was used to investigate the reasons for smoking. Dominance logistic regression was performed to determine the relative importance of reasons for starting smoking and the endpoint of successful quit smoking. Results After adjusting the potential confounders of age,age of smoking initiation,marital status,profession,and education,the adjusted means of sedative and stimulation of RRSQ in the successful quitters were significant lower than that in the failed quitters. Results from the dominance logistic regression showed that the first two important factors for smoking cessation were sedative and stimulation of RRSQ,followed by psychological image,automatic,hand-mouth activity,indulgence,and addiction. Conclusion This study demonstrated that factors as dependence-addiction showed more important impacts than the social-psychological ones on the endpoint of successful smoking cessation.

关 键 词：吸烟 戒烟 Russell吸烟原因问卷 优势分析 

分 类 号：R82[医药卫生—临床医学]