中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
Chinese Journal of Epidemiology
2015年
10期
1081-1084
,共4页
姜帆%李素云%潘璐璐%王强%杨孝荣%张楠%李慧杰%韩明奎%贾崇奇
薑帆%李素雲%潘璐璐%王彊%楊孝榮%張楠%李慧傑%韓明奎%賈崇奇
강범%리소운%반로로%왕강%양효영%장남%리혜걸%한명규%가숭기
吸烟危害%戒烟%拒烟自我效能%中介效应
吸煙危害%戒煙%拒煙自我效能%中介效應
흡연위해%계연%거연자아효능%중개효응
Smoking hazard%Smoking cessation%Smoking abstinence self-efficacy%Mediating effect
目的 分析拒烟自我效能在吸烟危害认知对戒烟成功影响的中介效应.方法 采用以社区人群为基础的病例对照研究设计,以642例男性自发性戒烟成功者为病例组,700例男性自发性戒烟失败者为对照组.吸烟危害认知水平由12个评分项目的总分评估,拒烟自我效能由拒烟自我效能问卷评估.总效应被分解为直接效应和间接效应,通过基于KHB法的logistic回归分析探讨各效应.结果 调整潜在混杂因素(包括年龄、开始吸烟年龄、职业、教育水平、婚姻状况)后,拒烟自我效能的中介效应仅占吸烟危害认知对戒烟成功影响总效应的6.03％,吸烟危害认知对戒烟成功影响的直接效应占总效应的93.97％;在3种拒烟自我效能情境(包括积极、消极、习惯情境)下的中介效应占吸烟危害认知对戒烟成功总效应的比例分别为6.80％、3.08％和2.32％.结论 拒烟自我效能在吸烟危害认知对戒烟成功的影响具有部分中介效应.提高吸烟者的危害认知水平可直接促使其戒烟成功,并可通过增大拒烟自我效能促使其成功戒烟.
目的 分析拒煙自我效能在吸煙危害認知對戒煙成功影響的中介效應.方法 採用以社區人群為基礎的病例對照研究設計,以642例男性自髮性戒煙成功者為病例組,700例男性自髮性戒煙失敗者為對照組.吸煙危害認知水平由12箇評分項目的總分評估,拒煙自我效能由拒煙自我效能問捲評估.總效應被分解為直接效應和間接效應,通過基于KHB法的logistic迴歸分析探討各效應.結果 調整潛在混雜因素(包括年齡、開始吸煙年齡、職業、教育水平、婚姻狀況)後,拒煙自我效能的中介效應僅佔吸煙危害認知對戒煙成功影響總效應的6.03％,吸煙危害認知對戒煙成功影響的直接效應佔總效應的93.97％;在3種拒煙自我效能情境(包括積極、消極、習慣情境)下的中介效應佔吸煙危害認知對戒煙成功總效應的比例分彆為6.80％、3.08％和2.32％.結論 拒煙自我效能在吸煙危害認知對戒煙成功的影響具有部分中介效應.提高吸煙者的危害認知水平可直接促使其戒煙成功,併可通過增大拒煙自我效能促使其成功戒煙.
목적 분석거연자아효능재흡연위해인지대계연성공영향적중개효응.방법 채용이사구인군위기출적병례대조연구설계,이642례남성자발성계연성공자위병례조,700례남성자발성계연실패자위대조조.흡연위해인지수평유12개평분항목적총분평고,거연자아효능유거연자아효능문권평고.총효응피분해위직접효응화간접효응,통과기우KHB법적logistic회귀분석탐토각효응.결과 조정잠재혼잡인소(포괄년령、개시흡연년령、직업、교육수평、혼인상황)후,거연자아효능적중개효응부점흡연위해인지대계연성공영향총효응적6.03％,흡연위해인지대계연성공영향적직접효응점총효응적93.97％;재3충거연자아효능정경(포괄적겁、소겁、습관정경)하적중개효응점흡연위해인지대계연성공총효응적비례분별위6.80％、3.08％화2.32％.결론 거연자아효능재흡연위해인지대계연성공적영향구유부분중개효응.제고흡연자적위해인지수평가직접촉사기계연성공,병가통과증대거연자아효능촉사기성공계연.
Objective To estimate the mediating effect of smoking abstinence self-efficacy (SASE) on the association between awareness of smoking hazard and successful smoking cessation.Methods A community-based case-control study was conducted in 642 smokers who successfully stopped smoking,and 700 smokers who failed in smoking cessation were used as controls.The awareness of smoking hazard was evaluated by total score of 12 items.The SASE was assessed by using Smoking Abstinence Self-Efficacy (ASES-S).The total effect was classified as direct effect and indirect effect through logistic regression analysis based on the KHB method.Results After adjusting the potential confounders,including age,age of smoking initiation,occupation,educational level and marital status,the mediating effect of SASE accounted for 6.03％ among the total effect of awareness of smoking hazard in those who successfully stopped smoking while the direct effect accounted for 93.97％ among the total effect.In the three specific situation of SASE,the mediating effect of SASE accounted for 6.80％ (positive/social situations),3.08％ (negative/affective situations) and 2.32％ (habit/addictive situations) among the total effect,respectively.Conclusion SASE has part mediating effect to influence on the association between the awareness of smoking hazard and successful smoking cessation.Improving smokers' awareness of smoking hazard may not only promote successful smoking cessation directly,but also contribute to quit smoking through improving the score of SASE.
