CAJ | 학술논문

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。
목적：연구흡연원인여계연성공적관계。방법채용이사구인군위기출적병례대조연구설계，이642명남성자발성계연성공자위병례조，700명남성자발성계연실패자위대조조，응용Russell흡연원인문권（RRSQ）조사흡연원인。운용우세logistic회귀탐토흡연원인대계연성공영향적상대중요성。결과재조정료잠재혼잡인소（년령、개시흡연년령、혼인、직업、교육수평）후，계연성공조“진정”화“자격”적득분현저저우계연실패조；우세logistic분석현시，영향계연성공적전량항인소의차위“진정”화“자격”，기차위“심리의향”、“자동”、“수구활동”、“향악”화“은”。결론성은의뢰시영향계연성공적최주요인소，기작용대우사회심리인소。
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.