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首页> 外文期刊>International Journal of Environmental Research and Public Health >Clinical and Individual Factors Associated with Smoking Quit Attempts among Adults with COPD: Do Factors Vary with Regard to Race?
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Clinical and Individual Factors Associated with Smoking Quit Attempts among Adults with COPD: Do Factors Vary with Regard to Race?

机译：与COPD成人戒烟尝试相关的临床和个人因素：关于种族的因素是否有所不同？

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Only half of adults with chronic obstructive pulmonary disease (COPD) report a smoking quit attempt in the past year. Adults with COPD have frequent encounters with the healthcare system that are opportunities for health behavior interventions that support quit attempts. The purpose of this research was to examine individual- and clinical-level factors associated with smoking quit attempts in adults with COPD. Cross-sectional data were from the 2011 Behavioral Risk Factor Surveillance System. Race-stratified, weighted logistic regression examined factors associated with quit attempt among current smokers with COPD. Overall, quit attempt was reported by 65% (95% confidence interval (CI): 61.9, 67.5) of adults and was more likely among blacks than whites (p < 0.0001). Among whites with COPD quit attempt was associated with: Female gender (adjusted odds ratio (AOR) = 1.3; CI: 1.0, 1.7), exercise (AOR = 2.0; CI: 1.5, 2.5), and medications for COPD (AOR = 1.6; CI: 1.3, 2.2). Among black adults with COPD quit attempt was associated with: Having a partner (AOR = 4.5; CI: 1.3, 15.0), exercise (AOR = 3.7; CI: 1.6, 8.7), spirometry (AOR = 9.5; CI: 3.2, 28.7), and having a personal doctor (AOR = 6.4; CI: 1.8, 22.5). Individual and clinical-factors associated with quit attempt varied by race. These findings suggest an impact of the healthcare system that supports quit attempts in blacks but not whites with COPD.
机译：在过去的一年中，只有一半的慢性阻塞性肺疾病（COPD）成人报告了戒烟尝试。患有COPD的成年人经常会遇到医疗保健系统，这是支持戒烟尝试的健康行为干预措施的机会。这项研究的目的是检查与成人COPD戒烟尝试相关的个人和临床水平因素。横断面数据来自2011年行为风险因素监测系统。种族分层加权逻辑回归检验了与当前COPD吸烟者戒烟尝试相关的因素。总体而言，有65％的成年人（95％的置信区间（CI）：61.9、67.5）报告了尝试戒烟的可能性，并且黑人比白人更有可能（p <0.0001）。在尝试COPD的白人中，以下原因与女性相关：调整后的优势比（AOR）= 1.3; CI：1.0、1.7），锻炼（AOR = 2.0; CI：1.5、2.5）和COPD药物（AOR = 1.6） ; CI：1.3、2.2）。患有COPD戒烟尝试的黑人成年人与以下因素有关：有伴侣（AOR = 4.5; CI：1.3，15.0），锻炼（AOR = 3.7; CI：1.6，8.7），肺活量测定（AOR = 9.5; CI：3.2，28.7） ），并请一位私人医生（AOR = 6.4; CI：1.8、22.5）。与退出尝试相关的个人和临床因素因种族而异。这些发现表明，医疗系统的影响支持黑人尝试COPD而非白人戒烟。

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