- 期刊
苗栗縣西湖鄉老人吸菸行為及戒菸認知
Smoking Behavior and Perception of Smoking Cessation among Elderly Community Residents of Shi-Hu Township, Miaoli
摘要
目的：探討農村地區老年人口的吸菸行為相關因素及戒菸認知。方法：以2003年苗栗縣西湖鄉年滿六十五歲之所有老年居民為樣本，以結構式問卷進行家戶面對面訪談調查，共得到有效樣本1,345人，回應率達96%。結果：樣本中有235人(17.4%)為目前有吸菸者。男性吸菸率(35.9%)顯著高於女性(0.8%)。根據多變項邏輯斯迴歸分析結果顯示，樣本吸菸的危險因素包括：男性(OR=160.67，95%Cl=52.61-490.65)、年齡為65~74歲(OR=4.55，95%Cl=1.83-11.33)、年齡為75~84歲(OR=3.89，95%Cl=1.58-9.59)、在家中常常會吸到二手菸者(OR=40.44，95%Cl=19.36-84.46)、在家中偶爾會吸到二手菸者(OR=8.19，95%Cl=4.39-15.27)、認為抽菸對健康沒有影響者(OR=2.93，95%Cl=1.59-5.39)，以及有中重度情緒困擾者(OR=7.78，95%Cl=1.65-36.68)。結論：在家中容易吸到二手菸、認為抽菸不會影響健康、有中重度情緒困擾，年紀相對較輕的男性老人有較高的吸菸風險，未來有關老人之戒菸教育應強調年齡、性別敏感與家中吸菸行為之策略。
並列摘要
Objective: To explore smoking behavior and perception of smoking cessation among elderly community residents in a rural area. Methods: Data were collected through a census survey among the elderly aged 65 and over from the Shi-Hu Township. The face-to-face interviews were conducted through home visits using a structured questionnaire. A total of 1,345 subjects were recruited in this survey and the response rate was 96%. Results: In total, 235 (17.4%) of the subjects were current smokers. Of the 235 smoking subjects, 19.2% reported their willingness to quit smoking. Furthermore, the prevalence of smoking among males (35.9%) was significantly higher than that among females (0.8%). Multiple logistic regression analysis indicated that being male (OR=160.67, 95% Cl=52.61-490.65), aged 65 to 74 (OR=4.55, 95% Cl=1.83-11.33), those aged 75 to 84 (OR=3.89, 95% Cl=1.58-9.59), those often exposed to second hand smoking at home (OR=40.44, 95% Cl=19.36-84.46), those sometimes exposed to second hand smoking at home (OR=8.19, 95% Cl=4.39-15.27), those who perceived smoking has no influence on health (OR=2.93, 95% Cl=1.59-5.39), and those with moderate emotional disturbance (OR=7.78, 95% Cl=1.65-36.68), showed significant correlation with smoking behavior. Conclusions: Males younger than 85, often exposed to secondhand smoking at home, who perceived smoking has no influence on health, and with moderate emotional disturbance, have a higher risk of smoking than their township counterparts. Anti-smoking education in the future should emphasize gender and age-specific strategies among the elderly.