台灣青壯年男性的吸菸模式與健康生活品質之關係：桃園地區的社區型世代研究

康曉妍; 楊志尊; 張釘桓; 王美治; 陳聲平

doi:10.3966/168232812019092903003

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P132 - 143

医药卫生 > 社会医学

DOI： 10.7023/TJFM

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台湾青壮年男性的吸菸模式与健康生活品质之关系：桃园地区的社区型世代研究

Associations between Smoking Patterns and Health- Related Quality of Life among Taiwanese Young Male Adults: A Community-Based Cohort Study in Taoyuan

康晓妍(Hsiao-Yen Kang) ；杨志尊(Chih-Chun Yang) ；张钉桓(Ting-Huan Chang) ；王美治(Mei-Chin Wang) ；陈声平(Sheng-Pyng Chen)

台湾家庭医学杂志； 29 卷 3 期 (2019 / 09 / 01) ， P132 - 143

繁体中文 DOI： 10.3966/168232812019092903003

吸菸模式；健康生活品质；世代研究；社区筛检；青壮年； cohort study ； community screening ； health-related quality of life ； smoking patterns ； young adults

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摘要 │ 参考文献 (42) │ 国际计量

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Purpose: Tobacco smoking has been demonstrated to cause significant adverse health effects and economic losses, but the effectiveness of smoking cessation varies greatly by age and country. The study aims to examine the relationship between smoking patterns and health- related quality of life (HRQOL) in young male adults in Taiwan and whether HRQOL dimensions affect the relationship. Methods: This longitudinal study recruited its subjects from the Landseed Integrated Outreaching Neighborhood Study (LIONS) dataset. Inclusion criteria include: male adults aged 30-44 when enrolled in LIONS during 2006-2010 and with smoking data available in three different years during 2006-2014. The Taiwan version of the 36-item Short-Form Health Survey was employed to measure subjective HRQOL, and a structured questionnaire was used to collect other covariates (e.g., education, marital status, exercise, psychiatric disorder, numbers of significant diseases and specific medicine). With initial HRQOL and non-smoking covariates controlled, a linear multiple regression model was developed to explore the relationship between smoking patterns and HRQOL (including two summary scores and eight construct scales) at a later stage. Results: The study recruited 461 subjects with a mean age of 38 years and an average length of education of 12.3 years. 19.4% of the subjects lived alone, 59.5% exercised regularly, and 23.5% experienced mental disorders. On average, they suffered from 1.07 chronic diseases and took 0.08 kind of specific medicine. During the follow-up, 249 subjects (54.0%) remained never smoking or in smoking cessation, 139 (30.2%) continued to smoke, 55 (11.9%) recently quitted smoking, and 18 (3.9%) became smokers. Compared to those never-smokers or persistent ex-smokers, recent smoke quitters were lower in physical component summary (β=-1.73, p＜0.05) and physical functioning (β=-3.16, p＜0.01) scores, but persistent smokers had better general health (β=3.91, p＜0.05). Additionally, regular exercise, mental disorder, and number of specific medicine exerted varying influences on HRQOL. Conclusion: Young male adults appeared to perform poorer in smoking cessation than their older counterparts due to their different recognition of the relationship between smoking and health. Future strategies of promoting smoking cessation should therefore be modified in response to the top-rated health concerns of smokers in different age groups so as to help improve motivation and efficacy.

参考文献 ( 42 ) 〈TOP〉

张文道,王雅瑜,周崇颂(2007)。台湾中部某医学中心门诊戒菸治疗病患一年追踪。台湾家医志，17，38-52。
连结：
陈声平,谢泉发,周腾达(2015)。菸害防制法新制实施前後吸菸行为之影响因子─以平镇世代资料为例。台湾家医志，25，138-150。
连结：
卢瑞芬,曾旭民,蔡益坚(2003)。国人生活品质评量（I）─ SF-36台湾版的发展及心理计量特质分析。台湾卫志，22，501-511。
连结：
Agahi, N,Shaw, BA(2013).Smoking trajectories from midlife to old age and the development of non-life-threatening health problems -- a 34-year prospective cohort study.Prev Med,57,107-112.
Arnett, JJ(2000).Optimistic bias in adolescent and adult smokers and nonsmokers.Addict Behav,25,625-632.

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