Is unassisted smoking cessation choice and success associated with high mental stress? Evidence from six cities in China.

IF 2.2 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Tobacco Induced Diseases Pub Date : 2024-10-14 eCollection Date: 2024-01-01 DOI:10.18332/tid/193606

Tingzhong Yang, Randall R Cottrell, Dan Wu

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引用次数: 0

Abstract

Introduction: Unassisted smoking cessation (USC) is a method of quitting smoking driven by self-determination without the support of professional cessation assistance. This approach may contribute to a potential decrease in overall smoking prevalence within a population. However, the factors potentially influencing smokers' choice of USC and their success remain unclear. This study examined the associations between mental stress and USC choice and success.

Methods: Between June and September 2016, a cross-sectional multistage sampling design was used to interview subjects from six selected cities in China. A standardized questionnaire was used to obtain information on sociodemographic characteristics, USC choice, and success. Mental stress was measured by the Chinese version of the Perceived Stress Scale (CPSS). Multivariate logistic regression models were used to examine the association between mental stress, USC choice, and success, with adjustments for relevant covariates.

Results: Among 1647 smokers who had attempted or had quit, 91.6% (95% CI: 90.9-97.5) reported that they had done so without assistance, and 42.1% (95% CI: 32.4-61.3) of them achieved abstinence. While mental stress was not significantly associated with USC success (χ²=2.02, p=0.1547), smokers experiencing high levels of mental stress were 0.34 times less likely (95% CI: 0.23-0.50) to attempt USC compared to those with low levels of mental stress. Moreover, a significant negative linear association was observed between varying levels of mental stress and the prevalence of USC use (R²=0.910, p<0.001).

Conclusions: The study findings should help to understand USC and its role in reducing smoking prevalence in the Chinese population. These findings can inform future tobacco control programs and policies in China. Government and social agencies should prioritize understanding smokers' preferences for USC and providing USC services to promote success within the population.

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无辅助戒烟的选择和成功与高精神压力有关吗？来自中国六个城市的证据

简介无助戒烟（USC）是一种在没有专业戒烟援助支持的情况下，由自我决定戒烟的方法。这种方法可能有助于降低人群中的总体吸烟率。然而，潜在影响吸烟者选择 USC 及其成功的因素仍不清楚。本研究考察了精神压力与USC选择和成功之间的关联：2016年6月至9月期间，采用横断面多阶段抽样设计，对中国6个选定城市的受试者进行了访谈。采用标准化问卷获取社会人口学特征、USC选择和成功率等信息。心理压力通过中文版感知压力量表（CPSS）进行测量。在对相关协变量进行调整后，采用多变量逻辑回归模型来研究心理压力、USC选择和成功率之间的关系：在1647名尝试戒烟或已经戒烟的吸烟者中，91.6%（95% CI：90.9-97.5）的人表示他们是在没有帮助的情况下戒烟的，其中42.1%（95% CI：32.4-61.3）的人实现了戒烟。虽然精神压力与戒烟成功率无明显关系（χ2=2.02，P=0.1547），但与精神压力小的吸烟者相比，精神压力大的吸烟者尝试戒烟的可能性要低0.34倍（95% CI：0.23-0.50）。此外，在不同程度的精神压力与吸食 USC 的流行率之间也发现了明显的负线性关系（R2=0.910，p 结论：研究结果有助于了解USC及其在降低中国人群吸烟率方面的作用。这些发现可为中国未来的控烟计划和政策提供参考。政府和社会机构应优先了解吸烟者对USC的偏好，并提供USC服务，以促进人群成功吸烟。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Tobacco Induced Diseases SUBSTANCE ABUSE-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

5.30

自引率

5.40%

发文量

审稿时长

12 weeks

期刊介绍： Tobacco Induced Diseases encompasses all aspects of research related to the prevention and control of tobacco use at a global level. Preventing diseases attributable to tobacco is only one aspect of the journal, whose overall scope is to provide a forum for the publication of research articles that can contribute to reducing the burden of tobacco induced diseases globally. To address this epidemic we believe that there must be an avenue for the publication of research/policy activities on tobacco control initiatives that may be very important at a regional and national level. This approach provides a very important "hands on" service to the tobacco control community at a global scale - as common problems have common solutions. Hence, we see ourselves as "connectors" within this global community. The journal hence encourages the submission of articles from all medical, biological and psychosocial disciplines, ranging from medical and dental clinicians, through health professionals to basic biomedical and clinical scientists.