上海市吕巷镇男性签约居民戒烟意愿影响因素分析  

Analysis of the influencing factors of smoking cessation intention of male contracted residents in Luxiang Community,Shanghai

作　　者：张国栋 沈健 庞振军 金燕 夏伟萍 ZHANG Guodong;SHEN Jian;PANG Zhenjun;JIN Yan;XIA Weiping(Prevention and Health Care Department of Lyuxiang Community Health Service Center of Jinshan District,Shanghai 201517,China;School of Public Health,Fudan University,Shanghai 200032,China)

机构地区：[1]上海市金山区吕巷镇社区卫生服务中心预防保健科,上海201517 [2]复旦大学公共卫生学院,上海200032

出　　处：《上海医药》2023年第10期6-10,共5页Shanghai Medical & Pharmaceutical Journal

基　　金：2020年度金山区卫生健康专项科研课题(JSKJ-KTGW-2020-03)。

摘　　要：目的:以家庭医生服务团队签约居民中的男性吸烟者为研究对象,分析其吸烟、戒烟状况及戒烟意愿的影响因素。方法:于2021年8月选取上海市金山区吕巷镇社区卫生服务中心签约居民中入选《基于家庭医生团队服务模式的戒烟干预方法探索》项目的全部男性吸烟者作为调查对象开展问卷调查,问卷主要内容包括吸烟者一般资料、既往戒烟行为、尼古丁依赖检测量表、身体健康情况自评、戒烟重要性自评等。结果:200名男性吸烟者中,有戒烟意愿的126名(63.00%),111名(55.50%)尝试过戒烟行为,最近一次戒烟时,没有人能坚持1年以上不吸烟。多因素分析结果显示,年龄、烟龄、BMI指数、尼古丁依赖程度、戒烟重要性、戒烟信心程度、既往戒烟次数是对吸烟者戒烟意愿具有统计学意义的影响因素(P<0.05)。结论:家庭医生应将戒烟服务纳入到基本公共卫生服务中,宣讲戒烟重要性、提升戒烟信心,打破吸烟者固有的戒烟困难认知,从而提升戒烟成功率。Objective:To analyze the influencing factors of the smoking,smoking status,or quitting intention in the male smokers among the contracted residents by the family doctor service team who were taken as the research objects.Methods:In August 2021,all male smokers who signed up in Luxiang Community Health Service Center in Jinshan District of Shanghai for the project of“exploration of smoking cessation intervention methods based on the service mode of family doctor team”were selected as survey objects to conduct a questionnaire survey,and the main contents of the questionnaire included general information of smokers,previous quitting behaviors,nicotine dependence measurement scale,self-assessment of physical health,self-assessment of the importance of quitting,etc.Results:Among the 200 male smokers,126(63.00%)were willing to quit,111(55.50%)had tried to quit smoking,and none had abstained from smoking for more than one year when they quit last time.The results of multivariate analysis showed that age,smoking age,BMI index,nicotine dependence degree,importance of quitting smoking,confidence level of quitting smoking,and previous times of quitting smoking were statistically significant factors affecting smokers’intention to quit(P<0.05).Conclusion:Family doctors should incorporate smoking cessation services into basic public health services,publicize the importance of smoking cessation,enhance confidence in quitting,and break smokers’inherent perception of difficulties in quitting,so as to improve the success rate of quitting.

关 键 词：签约居民 男性吸烟者 戒烟意愿 影响因素 

分 类 号：R193[医药卫生—卫生事业管理]