Abstract
Background:The reason for smoking causes people to smoke in their daily life. It is the main factor hindering the success of quitting smoking. This study analyzed the differences and characteristics of tobacco dependence patients with different smoking causes in their past smoking cessation behaviors, to understand the relationship between smoking cessation behaviors and smoking causes, and provide a reference for the innovation of the tobacco dependence management model.Methods:Based on a cross-sectional epidemiological study, a total of tobacco dependence patients over 18 years old to quit smoking were recruited from various communities in Beijing. The survey included basic demographic information, tobacco use, attempts to quit, reasons for smoking, etc. Analysis of variance and dichotomous Logistic Regression was used to investigate the relationship between smoking causes and smoking cessation behaviors and their duration.Results:A total of 673 participants were recruited, including 611 males (90.8%), 428 smokers (63.6%) and 245 males (36.4%) who tried to quit smoking. ANOVA was used to find that the attempts to quit smoking were statistically correlated with scores of sedation, stimulation, smoking addiction, and automatism (all p<0.05). Sedation (OR=1.111, 95%CI: 1.011-1.220), smoking addiction, (OR=1.152, 95%CI: 1.034-1.282) and automatism (OR=1.119, 95%CI: 1.000~1.251) were found statistically related the attempts to quit smoking by the Logistic regression model. The mean scores of hand and mouth activity, hedonic sedation, stimulation, smoking addiction, and auxiliary factors were statistically significant in different smoking cessation duration groups (all p<0.05), and sedative factors were negatively related factors for smoking cessation duration (OR=0.911, 95%CI: 0.827-1.002).Conclusion:Most residents try to quit smoking only when they are heavily physiologically dependent or even physically unwell. The success or failure of smoking cessation is closely related to social psychology and physical dependence. Most smokers only try to quit by their own will without professional help. Lack of a supportive environment and other people's understanding is a major cause of smoking cessation failure. Creating a smoke-free supportive environment should be an important part of community tobacco control and smoking cessation efforts.Fund program: Supported by the Foundation of National Key R&D Program of China (2017YFC1309400)