당뇨병이 있는 흡연자의 금연 의도 관련 요인: 2013 지역사회건강조사 자료 분석 = Factors Associated with Smoking Cessation Intention among Current Smokers with Diabetes: Analysis of the 2013 Community Health Survey in Korea

다국어 초록 (Multilingual Abstract)

Background:Smoking increases the risk of diabetic complications, but the prevalence of smoking in diabetes is similar to non-diabetes. We aimed to investigate factors associated with smoking cessation intentions (SCI) in current smokers with diabetes.
Methods:In the 2013 Community Health Survey, information about current smokers has been collected among people who are over 30 years old with diabetes. Chi-squared test and logistic regression analysis were used to examine the association between socio-demographic indicators, health behaviors, comorbidities, smoking-related factors, diabetes-related factors and SCI. A total of 3,511 current smokers with diabetes were included in the final analysis.
Results:Among current smokers with diabetes, 13.4% reported having SCI (within six months). In multivariate logistic regression analysis, gender, education, marital status and occupation were found to be significantly related to SCI. Moreover, lower amounts of smoking, previous attempts to smoking cessation (odds ratio [OR] 3.66, 95% confidence interval [CI] 2.94-4.56), experience of smoking cessation recommendations from acquaintances (OR 1.87, 95% CI 1.38-2.52), experience of smoking cessation education (OR 1.57, 95% CI 1.12-2.20), and experience of diabetic education (OR 1.33, 95% CI 1.06-1.66) were significantly associated with SCI in current smokers with diabetes.
Conclusion:In order to lower the smoking rate of community-dwelling adults with diabetes, effective anti-smoking interventions are needed, taking into account SCI-related factors, including smoking cessation education and diabetes education.

국문 초록 (Abstract)

연구배경: 본 연구는 당뇨병이 있는 현재 흡연자들에서금연 의도와 관련된 요인들을 파악하기 위하여 시행되었다.
방법:2013년 지역사회건강조사에서 30세 이상 당뇨병이있는 현재 흡연자 3,511명에 대한 정보를 수집하였다. 카이제곱검정과 로지스틱회귀분석을 이용하여 인구사회학적지표, 건강행태, 동반질환, 흡연 관련 요인, 당뇨병 관련 요인과 금연 의도와의 관련성을 평가하였다.
결과: 당뇨병이 있는 현재 흡연자 중 13.4%는 6개월 이내금연 의도가 있다고 응답하였다. 다변량 로지스틱회귀분석에서 성, 교육수준, 결혼 상태 및 직업은 금연 의도와 유의한관련성이 있었다. 또한 흡연량이 낮을수록, 금연 시도(교차비 3.66, 95% 신뢰구간 2.94-4.56), 주위사람들의 금연 권고경험(1.87, 1.38-2.52), 금연 교육 경험(1.57, 1.12-2.20), 당뇨병 교육 경험(1.33, 1.06-1.66)은 당뇨병 현재 흡연자에서 금연 의도와 유의한 관련성이 있었다.
결론: 지역사회 당뇨병 성인의 흡연율을 낮추기 위해서는 금연 교육 및 당뇨병 교육과 같은 금연 의도의 유의한관련 요인을 고려한 효과적인 금연 전략이 필요하다

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