昆明市戒烟门诊患者吸烟网络特征分析  

Smoking network characteristics of smoking cessation outpatients in Kunming City

作　　者：海冰[1] 刘凌[2] 李娅 陈敏[4] 李少莹 杨丽芬[6] 袁兵[7] 田迎春[8] 杜晓华[2] 沈凌 张剑青[2] Hai Bing;Liu Ling;Li Ya;Chen Min;Li Shaoying;Yang Lifen;Yuan Bing;Tian Yingchun;Du Xiaohua;Shen Ling;Zhang Jianqing(Department of Respiratory and Critical Care MedicineⅡ,the Second Affiliated Hospital of Kunming Medical University,Kunming 650032,China;Department of Respiratory and Critical Care Medicine,the First Affiliated Hospital of Kunming Medical University,Kunming 650032,China;Department of Respiratory and Critical Care MedicineⅡ,Yan′an Hospital,Kunming City,Kunming 650051,China;Department of Respiratory and Critical Care Medicine,Ganmei Hospital,Kunming First People′s Hospital,Kunming 650051,China;Department of Respiratory and Critical Care Medicine,the 920 Hospital of the Chinese People′s Liberation Army Joint Logistic Support Force,Kunming 650100,China;Department of Respiratory and Critical Care Medicine,Kunming First People′s Hospital,Kunming 650100,China;Department of Respiratory and Critical Care Medicine,the First People′s Hospital of Yunnan Province,Kunming 650100,China;Department of Respiratory and Critical Care Medicine,the Second People′s Hospital of Yunnan Province,Kunming 650032,China;School of Public Health,Kunming Medical University,Kunming 650500,China)

机构地区：[1]昆明医科大学第二附属医院呼吸与危重症医学二科,昆明650032 [2]昆明医科大学第一附属医院呼吸与危重症医学科,昆明650032 [3]昆明市延安医院呼吸与危重症医学二科,昆明650051 [4]昆明市第一人民医院甘美医院呼吸与危重症医学科,昆明650051 [5]解放军联勤保障部队第九二〇医院呼吸与危重症医学科,昆明650100 [6]昆明市第一人民医院呼吸与危重症医学科,昆明650100 [7]云南省第一人民医院呼吸与危重症医学科,昆明650100 [8]云南省第二人民医院呼吸与危重症医学科,昆明650032 [9]昆明医科大学公共卫生学院,昆明650500

出　　处：《中华健康管理学杂志》2023年第9期680-684,共5页Chinese Journal of Health Management

基　　金：昆明医科大学第二附属医院院内临床研究项目(2020ynlc003)。

摘　　要：目的分析昆明市戒烟门诊患者的吸烟网络特征。方法采用多中心、横断面现况研究,选择云南省昆明市8家三甲医院(昆明医科大学第一附属医院、昆明医科大学第二附属医院、昆明市延安医院、昆明市第一人民医院甘美医院、解放军联勤保障部队第九二〇医院、昆明市第一人民医院、云南省第一人民医院、云南省第二人民医院)的戒烟门诊患者进行问卷调查,调查问卷主要由四大部分组成:(1)戒烟者的人口学特征;(2)吸烟的具体情况;(3)社会支持网络;(4)吸烟网络。本次调查共发放问卷360份,回收351份,有效问卷351份。将回收的有效问卷数据进行统计学分析,分析戒烟人群的社会人口学特征、吸烟状况及吸烟网络特征。结果本次调查的351例戒烟门诊患者中,男性342例(97.4%),汉族249例(70.9%),233例(66.4%)不信教,文化程度为大专及以上者236例(67.2%),无业人群51例(14.5%);167例(47.6%)保持每天吸烟,247例(70.4%)有戒烟打算,258例(73.5%)其父母至少一方有吸烟史,吸烟地点在家者188例(53.6%);在调查患者的吸烟网络中,≥2例一起吸烟者有304例(86.6%),而同性别一起吸烟者占91.5%。结论昆明市戒烟门诊患者的吸烟网络规模较小,1/3吸烟者为朋友,建议利用吸烟网络的特征进行戒烟干预活动,以提高患者的戒烟成功率。Objective To analyze the characteristics of smoking network among smokers in Kunming smoking cessation outpatient service.Methods A multicenter,cross-sectional study was carried out,and smoking cessation outpatients from 8 tertiary hospitals(the Second Affiliated Hospital of Kunming Medical University,the First Affiliated Hospital of Kunming Medical University,Yan′an Hospital,Ganmei Hospital,the 920 Hospital of the Chinese People′s Liberation Army Joint Logistic Support Force,Kunming First People′s Hospital,the First People′s Hospital of Yunnan Province and the Second People′s Hospital of Yunnan Province)in Kunming,Yunnan Province were included to receive a questionnaire survey.The questionnaire mainly consisted of four parts:(1)demographic characteristics of smokers;(2)the specific situation of smoking;(3)social support network;(4)smoking network.A total of 360 questionnaires were distributed in this survey,351 were recovered,and 351 were valid,the collected data from valid questionnaire were statistically analyzed to analyze the social demographic characteristics,smoking status and smoking network characteristics of smokers.Results In this survey,the demographic characteristics of the 351 patients in the smoking cessation clinic were as follows:there were 342 male cases(97.4%),249 cases(70.9%)were Han,233 patients(66.4%)were non-religious,there were 236 cases(67.2%)with college degree or above,and 51 cases(14.5%)were unemployed.The analysis of smoking status showed that 167 patients(47.6%)maintained daily smoking,247 patients(70.4%)had plans to quit smoking,at least one parent of 258 patients(73.5%)had a history of smoking,188 patients(53.6%)smoked at home.In the smoking network of the surveyed patients,there were 304 patients(86.6%)who smoked together with two or more people,and more than 90 percent of the patients smoked with the same sex.Conclusions The smoking network of patients in Kunming smoking cessation clinic is small,and a third of smokers are friends.It is suggested to use the characterist

关 键 词：社会网络分析理论 吸烟网络 吸烟特征 戒烟 

分 类 号：R163[医药卫生—公共卫生与预防医学]