目的探讨成年男性不同吸烟阶段的社会心理影响因素。方法调查1012名男性社区居民,调查烟草使用、家庭环境和社交性吸烟的态度问题,采用SPSS13.0软件进行单因素及多因素回归分析。结果单因素分析表明,各组在社交性吸烟行为和态度方面存在明显的差异;控制混杂因素后的多因素回归分析显示:与朋友在一起时经常吸烟(OR=237.628)、社交场合经常有人递烟(OR=4.048)和认为拒绝别人递烟肯定是不礼貌的行为的认知态度(OR=3.445)是吸烟启动的危险因素;与朋友在一起时经常吸烟(OR=84.415),认为拒绝别人的递烟是不礼貌的认知态度(OR=4.022)是吸烟维持的危险因素;家庭亲密度、同伴影响以及认为吸烟也许能促进人际交流的认知态度是尼古丁依赖的危险因素(β=-0.117,OR=0.890,P=0.026;β=0.708,OR=2.030,P=0.001;β=1.165,OR=3.205,P=0.000)。结论家庭亲密度、同伴影响和对社交性吸烟的错误认知是成年男性吸烟启动、维持以及尼古丁依赖的危险因素。
Objective To explore the effects of social-psychological factors on smoking behavior in adult male smokers.Methods Totally 1 012 male smokers selected in a community were investigated with a questionnaire of socio-demographic factors,Family Environment Scale Chinese Version(FES-CV) and attitude of social smoking.The severity of nicotine dependence(ND) was assessed with the Fagertrm Test of Nicotine Dependence(FTND).Results The results of multiple logistic regression analysis indicated that peer influence(smoking together with smoking friends,odds ratio[OR]= 237.628) and the attitude about social smoking were risk factors for smoking initiation(OR =3.445).Social smoking behaviors(OR =84.415) and the attitude about refusing cigarettes from peer being impolile(OR = 4.022) were risk factors for smoking maintenance.Family cohesion,peer influence and agreement to smoking being a way to promote interpersonal communication had association with nicotine dependence(β =-0.117,OR =0.890,P =0.026;β =0.708,OR =2.030,P =0.001;β =1.165,OR =3.205,P =0.000).Conclusion Family cohesion,peer influence,the cognitive and coping style about social smoking may be the risk factors for smoking initiation,smoking maintenance and nicotine dependence among male adults.