摘要
目的评估卷烟包装对武汉市居民的健康警示有效性。方法采用多阶段分层抽样方法选取武汉市居民5000人,进行入户面对面调查。结果2017年武汉市成人烟草流行监测共调查4564人,应答率为91.3%,其中现在吸烟者1116人。91.8%的现在吸烟者看到卷烟包装上的健康警示,而其中因卷烟包装的健康警示考虑戒烟者仅占22.3%。卡方检验结果显示,现在吸烟者中因卷烟包装的健康警示考虑戒烟比例更高的居民特征包括:过去12个月内尝试戒烟、日均吸烟量小于10支、每个月卷烟消费小于200元和正确认识低焦油卷烟的危害,差异具有统计学意义。多因素Logistic回归结果显示,过去12个月内尝试过戒烟的现在吸烟者因健康警示考虑戒烟的可能性更大(OR=3.373,95%CI:1.323~8.456,P=0.011)。2017年现在吸烟者中因卷烟包装上的健康警示而考虑戒烟的比例相比2015年有所下降,差异无统计学意义。居住地是农村的现在吸烟者2017年因卷烟包装上的健康警示而考虑戒烟的比例相比2015年下降了16.7%(P<0.001)。结论卷烟包装的健康警示对武汉市居民戒烟意愿未起到激励作用,提示应该制作更鲜明的健康警示,以达到宣传烟草危害和激励居民戒烟的目的。
Objective To evaluate the effectiveness of cigarette packaging on health warnings for Wuhan residents.Methods A multi-stage stratified sampling method was used to select 5000 residents of Wuhan City by a face-to-face survey.Results A total of 4564 people were investigated in Wuhan with a response rate of 91.3%.Among them,1116 were current smokers.91.8%of current smokers saw health warnings on cigarette packaging,and only 22.3%of them considered quitting because of health warnings on cigarette packaging.Chi-square test results showed that current smokers who considered quitting because of health warnings on cigarette packaging were:those who had tried to quit in the past 12 months,those smoked less than 10 cigarettes per day,those consumed less than 200 yuan per month,and those who correctly understand the dangers of low-tar cigarettes.The above differences were statistically significant.Multivariate logistic regression results showed that current smokers who had tried to quit in the past 12 months were more likely to consider quitting because of health warnings on cigarette packages(OR=3.373,95%CI:1.323-8.456,P=0.011).In 2017,the proportion of smokers who ssconsidered quitting smoking due to health warnings on cigarette packages decreased compared to 2015(relatively 5.4%),and the difference was not statistically significant The proportion of current smokers living in rural areas considering smoking cessation in 2017 due to health warnings on cigarette packages decreased by 16.7%compared with 2015(P<0.001).Conclusion Health warnings on cigarette packaging had not stimulated Wuhan residents’willingness to quit smoking,suggesting that more clear health warnings should be made to achieve the purpose of promoting the harm of tobacco and motivating residents to quit smoking.
作者
梅欣
李毅琳
黄远霞
钟庆
李俊林
MEI Xin;LI Yi-lin;HUANG Yuan-xia;ZHONG Qing;LI Jun-lin(Wuhan Center for Disease Control and Pre-vention,Wuhan 430024,China)
出处
《中国健康教育》
北大核心
2020年第11期1000-1005,1010,共7页
Chinese Journal of Health Education
基金
中国控烟伙伴——无烟城市项目
美国疾病预防控制中心基金(696-01SC)。
关键词
卷烟包装
健康警示
有效性
Cigarette packaging
Health warning
Effectiveness
