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目的了解北京、沈阳、上海、长沙、广州、银川等6个城市吸烟者对烟盒健康警语的关注程度。方法采用多阶段抽样方法,在六城市抽取4815名成年吸烟者进行入户调查,分析其对健康警语的关注程度,用多因素Logistic回归分析影响吸烟者关注健康警语的因素。结果6个城市吸烟者中,男性占94.9%;调查前1个月中,有50.3%的吸烟者经常看到烟盒上的健康警语,但只有22.0%的吸烟者经常仔细阅读。单因素分析表明,年龄较大和文盲吸烟者的关注程度相对较低(P<0.05);多因素分析也提示,年龄和文化程度是影响吸烟者关注健康警语的因素,25～39岁年龄组吸烟者对警语的关注程度比55岁以上吸烟者更高,OR和95%CI分别为0.714(0.669～0.972);文盲吸烟者对警语不关注程度是本科以上学历的1.972倍(P=0.015)。结论我国烟盒上的健康警语因信息单一和信息过度暴露,已不能引起吸烟者关注。开发更加醒目和可轮换的警语信息势在必行。
Objective To understand the concerns of smokers in six cities including Beijing, Shenyang, Shanghai, Changsha, Guangzhou and Yinchuan on the health warnings on cigarette cases. Methods A total of 4,815 adult smokers were sampled from six cities by multi-stage sampling method to analyze the degree of their concern about the health warnings. Multivariate Logistic regression analysis was used to analyze the factors influencing smokers’ attention to health warnings. Results Male smokers accounted for 94.9% of the smokers in six cities. Of the smokers in the first month of the survey, 50.3% of smokers often saw health warnings on packs, but only 22.0% of smokers often read them carefully. Univariate analysis showed that the attention of older smokers and illiterate smokers was relatively lower (P <0.05). Multivariate analysis also suggested that age and education were the factors influencing smokers’ attention to health warnings. Among 25-39 age group Smokers paid more attention to warnings than those over 55, with OR and 95% CIs of 0.714 (0.669-0.972), respectively; illiterate smokers did not pay attention to warnings 1.972 times higher than bachelor’s degree (P = 0.015). Conclusion The health warnings on cigarette cases in our country can not attract the attention of smokers due to the single information and excessive information exposure. It is imperative to develop more eye-catching and rotable warning messages.