哮喘联盟

   摘要
   背景：在庞大公共卫生体系的影响下，青少年有很大的可能性改变吸烟行为的轨迹。
   目的：本研究的目是在当前吸烟的以及既往曾经吸烟的青少年样本中探索戒烟相关的认知障碍以及戒烟的原因。
   方法：本研究使用了来自2011年全国青少年健康调查的数据，该调查是一项随机拨号的手机调查。参与调查的为美国的18-34岁(n = 699)的当前吸烟者和过去数年间曾经尝试戒烟但失败的吸烟者(n = 402)或既往吸烟者(n = 289)。研究使用双变量和多变量分析来评估戒烟相关的障碍和戒烟的原因。
   结果：一半以上的当前吸烟者被判定戒烟的障碍为“缺乏处理压力的方法” (59%)和“渴求和戒断” (52%)。在多变量分析中，每日吸烟并且试图戒烟的女性也赞同“缺乏处理压力的方法”与戒烟障碍显著相关。戒烟的两个最常见的理由为身体健康(64%)和吸烟的花费(64%)。
   结论：这些研究结果强调了年轻的吸烟者给出的戒烟中断的障碍以及戒烟的理由。这些信息将会在医生劝告他们的青少年患者戒烟时提供帮助。
 

（苏欣 审校）
Fam Pract. 2016 Jan 4. pii: cmv103. [Epub ahead of print]
 

Reasons to quit and barriers to quitting smoking in US young adults.
 

Villanti AC1, Bover Manderski MT2, Gundersen DA3, Steinberg MB4, Delnevo CD5.
 

Abstract
BACKGROUND:Young adulthood provides an enormous opportunity to alter trajectories of smoking behaviour for a large public health impact.
OBJECTIVE:The purpose of this study was to examine correlates of perceived barriers to quitting smoking and reasons to quit in a sample of young adult current and former smokers.
METHODS:This study used data from the 2011 National Young Adult Health Survey, a random-digit-dial cellphone survey. Participants were US young adult current smokers aged 18-34 (n = 699) and young adults who were either current smokers who had made a quit attempt in the past-year (n = 402) or former smokers (n = 289). Correlates of barriers to quitting smoking and reasons for quitting smoking were assessed using bivariate and multivariable analyses.
RESULTS:More than half of current smokers identified 'loss of a way to handle stress' (59%) and 'cravings or withdrawal' (52%) as barriers to quitting. Female gender, daily smoking and intention to quit remained significantly associated with endorsing 'loss of a way to handle stress' as a barrier to quitting in multivariable analyses. The two most popular reasons for quitting smoking were physical fitness (64%) and the cost of tobacco (64%).
CONCLUSION:These findings highlight barriers to cessation and the reasons that young smokers give for quitting. This information may be helpful to physicians as they counsel their young adult patients to quit smoking.
 

Fam Pract. 2016 Jan 4. pii: cmv103. [Epub ahead of print]