Why are male Chinese smokers unwilling to quit? A multicentre cross-sectional study on smoking rationalisation and intention to quit

ObjectiveWe aimed to describe the rationalisation beliefs endorsed by Chinese male smokers and to examine the association between rationalisation and the intention to quit.SettingQuestionnaires were conducted among male smokers in three cities (Shanghai, Nanning and Mudanjiang) which represent different geographical locations, economic development levels and legislative status of tobacco control in China.Design and participantsIt was a multicentre cross-sectional survey involved a total of 3710 male smokers over 18 years.Outcome measuresPrimary outcomes were intention to quit, smoking rationalisation scores and sub scores in six dimensions. Smoking rationalisation was assessed using a newly developed Chinese rationalisation scale. Multivariable logistic regression was performed to examine the relationship between rationalisation and intention to quit.ResultsOn average, smokers scored 3.3 out of 5 on the smoking rationalisation scale. With a one point increase in total rationalisation scale, the odds for intention to quit in the next 6 months decreased by 48% (OR=0.52, 95% CI: 0.44 to 0.61; p<0.001). Separate logistic regressions for six subscales of rationalisation shown consistent inverse associations with intention to quit (all p values <0.001). Believing that smoking was socially acceptable was the strongest predictor (OR=0.62, 95% CI: 0.55 to 0.71; p<0.001).ConclusionsRationalisation beliefs could be important barriers to smoking cessation. Some beliefs have stronger association with quit intention than others. Eroding rationalisation beliefs endorsed by smokers is a potential strategy for smoking cessation intervention.

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A Cross-sectional Study Exploring Sex Differences in the Relationship Between Sex Partner Attitudes and Current Quit Attempt Among a Sample of Smokers in Baltimore, MD, USA.

10.21203/rs.3.rs-55317/v1 ◽

2020 ◽

Author(s):

Davey-Rothwell Melissa A. ◽

Norah Crossnohere ◽

Paige Hammond ◽

Tuo-Yen Tseng ◽

Marlesha Whittington ◽

...

Keyword(s):

Smoking Cessation ◽

Sex Differences ◽

Cross Sectional Study ◽

Partner Support ◽

Sectional Study ◽

Cross Sectional ◽

Quit Attempt ◽

Quit Smoking ◽

The Relationship ◽

Sex Partner

Abstract Background: Limited research has explored sex differences in the relationship between partner behavior and attitudes and smoking cessation. Methods: The study examined sex partner attitudes about smoking among men and women who are currently trying to quit smoking cigarettes. Data were collected as part of the Tobacco Use in Drug Environment (TIDE) study, a cross-sectional study conducted in Baltimore, MD, USA from September 2013-May 2015. Interviews were administered with current smokers. The sample size for the current analysis was 134 men and 86 women. Results: Approximately thirty-three percent of male participants (n=45) reported currently trying to quit smoking cigarettes. Twenty-nine percent of women were currently trying to quit. Having a sex partner who did not mind the participant’s smoking was associated with decreased odds of trying to quit among men (AOR=0.35, p=0.03, 95% CI: 0.13, 0.91). Having a sex partner who expressed concern about the participant’s smoking (AOR=12.9, p<0.01, 95% CI: 3.49, 47.0) and having a sex partner who encouraged the participant to quit smoking was significantly associated current quit attempt. Conclusions: The relationship between partner support for cessation and current quit attempt was stronger for women than men in this population. Understanding sex-partner attitudes regarding smoking and their relationship to smoking cessation activities may provide insights for future tailored cessation interventions.

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Smoking cessation support for regular smokers in Hungarian primary care: a nationwide representative cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2017-018932 ◽

2018 ◽

Vol 8 (2) ◽

pp. e018932

Author(s):

Valéria Sipos ◽

Anita Pálinkás ◽

Nóra Kovács ◽

Karola Orsolya Csenteri ◽

Ferenc Vincze ◽

...

Keyword(s):

Primary Care ◽

Smoking Cessation ◽

Nicotine Dependence ◽

Brief Intervention ◽

Cross Sectional Study ◽

Intention To Quit ◽

Sectional Study ◽

Cross Sectional ◽

Quit Smoking ◽

To Receive

ObjectivesOur study aimed to evaluate the effectiveness of general practitioners’ (GPs’) smoking cessation support (SCS).Study designWe carried out a cross-sectional study between February and April 2016.Setting and participantA sample of 2904 regular smokers aged 18 years or older was selected randomly from 18 general medical practices involved in a national representative, general medical practice-based morbidity monitoring system. The GPs surveyed the selected adults and identified 708 regular smokers.Main outcome measuresMultivariate logistic regression models have been applied to evaluate the determinants (age, gender, education, smoking-related comorbidity, smoking intensity, intention to quit smoking and nicotine dependence) of provision of GP-mediated SCS such as brief intervention, pharmacological and non-pharmacological programmatic support.ResultsAccording to the survey, 24.4% of the adults were regular smokers, 30% of them showed high nicotine dependence and 38.2% willing to quit smoking. Most of the smokers were not participated in SCS by GPs: brief intervention, programmatic non-pharmacological support and pharmacotherapy were provided for 25%, 7% and 2% of smokers, respectively. Low-nicotine-dependence individuals were less (OR 0.30, 95% CI 0.12 to 0.75), patients with intention to quit were more (OR 1.49, 95% CI 1.00 to 2.22) likely to receive a brief intervention. Vocational (OR 1.71, 95% CI 1.13 to 2.59) and high school education (OR 2.08, 95% CI 1.31 to 3.31), chronic obstructive pulmonary disease and cardiovascular diseases (OR 3.34, 95% CI 1.04 to 10.68; OR 3.91, 95% CI 2.33 to 6.54) increased the probability to receive support by GP.ConclusionsAlthough there are differences among smokers’ subgroups, the SCS in Hungarian primary care is generally insufficient, compared with guidelines. Practically, the pharmacological support is not included in Hungarian GPs’ practice. GPs should increase substantially the working time devoted to SCS, and the organisation of primary healthcare should support GPs in improving SCS services.

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Smoking Cessation among Hong Kong Chinese Smokers Attending Hospital as Outpatients: Impact of Doctors' Advice, Successful Quitting and Intention to Quit

Asia Pacific Journal of Public Health ◽

10.1177/101053950401600207 ◽

2004 ◽

Vol 16 (2) ◽

pp. 115-120 ◽

Cited By ~ 8

Author(s):

D.K.H. Yu ◽

K.K. Wu ◽

A.S.M. Abdullah ◽

S.C. Chai ◽

S.B. Chai ◽

...

Keyword(s):

Smoking Cessation ◽

Hong Kong ◽

Public Hospitals ◽

Intention To Quit ◽

Chinese Patients ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Factors Affecting ◽

Quit Smoking ◽

Quitting Smoking

To identify factors affecting current smokers' intention to quit smoking and factors associated with successful quitting among ex-smokers in Hong Kong. A cross-sectional survey of Chinese patients attending medical and surgical Specialist Outpatient Clinics (SOPCs) of public hospitals in Hong Kong, using a structured questionnaire. Results of the 642 respondents, 21% were current smokers, 9% were ex-smokers and 69% were non-smokers. 74% of the smokers reportedly received quitting advice from doctors. Among the current smokers, past quitting attempts, receiving information from sources other than doctors, believing that doctor's advice was useful, believing that all smokers should quit smoking and a positive attitude towards quitting were associated with intention to quit. Among those who had attempted to quit, being older (aged 50 or above), being retired / unemployed and consuming more than 10 cigarettes per day were associated with successful quitting. We found that advice from doctors on quitting smoking did not have any impact on Chinese smokers quitting or future intention to quit and reflect the inadequacy of advice given by Hong Kong doctors. The predictors of intention to quit and successful quitting identified in the study could be used to design future smoking cessation services. Asia Pac J Public Health 2004; 16(2): 115-120.

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Intention to Quit Smoking, Attempts to Quit, and Successful Quitting among Hong Kong Chinese Smokers: Population Prevalence and Predictors

American Journal of Health Promotion ◽

10.4278/0890-1171-19.5.346 ◽

2005 ◽

Vol 19 (5) ◽

pp. 346-354 ◽

Cited By ~ 25

Author(s):

Abu Saleh M. Abdullah ◽

HK Yam

Keyword(s):

Smoking Cessation ◽

Hong Kong ◽

Population Based ◽

Intention To Quit ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Factors Associated ◽

Quit Smoking ◽

Quit Attempts ◽

Structured Questionnaire

Purpose. To assess the prevalence of each step in the smoking-cessation process (intention to quit, attempts to quit, and successful quitting) and to examine the factors associated with them among Chinese smokers. Design. A cross-sectional survey of subjects from randomly selected households. Setting. Four thousand one hundred forty-two households in Hong Kong. Subjects. A total of 11,779 persons, aged 15 years or older, were enumerated (response rate = 74.0%). Measures. A validated structured questionnaire was used for data collection. The questionnaire sought information on the subject's sociodemographic background, smoking habits, and workplace attitude to smoking. The predictors for successful quitting, past quitting attempts, and intention to quit were assessed by χ2 tests and multiple logistic regression. Results. Of the respondents, 14.4% were current smokers, 7.5% were ex-smokers, and 78.1% were nonsmokers. Of the daily smokers, 52% intended to quit. The factors associated with quitting were being married, being in the student/retired/others category, being older, having received higher education, not smoking to kill time, and smoking because of curiosity. Being married and not smoking to kill time were associated with past quitting attempts. Being male, married, and not smoking to kill time were associated with the intention to quit smoking. Conclusion. The findings of this study indicate that differing predictors may contribute to the different transitional stages of smoking cessation. Population-based smoking-cessation programs should take these predictors into consideration in the design of interventions.

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Matching Ethical Climate to Nurses’ Service Behaviors in Public and Private Hospitals: A Cross-Sectional Study

10.21203/rs.3.rs-124044/v1 ◽

2020 ◽

Author(s):

Na Zhang ◽

Jingjing Li ◽

Xing Bu ◽

Zhenxing Gong

Keyword(s):

Ethical Climate ◽

Cross Sectional Study ◽

Public Hospitals ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Private Hospitals ◽

Public And Private ◽

Service Behavior ◽

Public And Private Hospitals ◽

The Relationship

Abstract Background: Workplace climate is great significant element that has impact on nurses’ behavior and practice; moreover, nurses’ service behavior contributes to the patients’ satisfaction and subsequently to the long-term success of hospitals. Few studies explore how different types of organizational ethical climate encourage nurses to engage in both in-role and extra-role service behaviors, especially in comparing the influencing process between public and private hospitals. This study aimed to compare the relationship between the five types of ethical climate and nurses’ in-role and extra-role service behaviors in public and private hospitals.Methods: This study conducted a cross-sectional survey on 559 nurses from China. All participants were investigated using the Ethical Climate Scale and Service Behavior Questionnaire. SPSS 22.0 was used for correlation analysis, t-test and analysis of variance test, and Mplus 7.4 was used for group comparison.Results: The law and code climate has a much greater influence on nurses’ in-role service behavior in private hospitals than on that in public hospitals (β = -.277; CI 95% = [-.452, -.075]; p < .01), and the instrumental climate has a stronger influence on nurses’ extra-role service behavior private hospitals than on that in public hospitals (β = -.352; CI 95% = [-.651, -.056]; p < .05). Meanwhile, the rules climate has a greater effect on nurses’ extra-role service behavior in public hospitals than it does in private hospitals (β = .397; CI 95% = [.120, .651]; p < .01). Conclusions: As the relationship between the five types of ethical climate and nurses’ in-role and extra-role service behaviors in public and private hospitals were different, the strategies used to foster and enhance the types of ethical climate are various from public to private hospitals. The caring and instrumental climate are the key to promote extra-role service behavior for nurses in private hospitals. And independent climate has great effect on extra-role service behaviors for nurses in public hospitals.

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A cross-sectional study exploring the relationship between burnout, absenteeism, and job performance among American nurses

BMC Nursing ◽

10.1186/s12912-019-0382-7 ◽

2019 ◽

Vol 18 (1) ◽

Cited By ~ 15

Author(s):

Liselotte N. Dyrbye ◽

Tait D. Shanafelt ◽

Pamela O. Johnson ◽

Le Ann Johnson ◽

Daniel Satele ◽

...

Keyword(s):

Work Performance ◽

National Sample ◽

Cross Sectional Study ◽

Inpatient Setting ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Academic Degree ◽

High Performer ◽

High Prevalence ◽

The Relationship

Abstract Background Studies suggest a high prevalence of burnout among nurses. The aim of this study was to evaluate the relationship between burnout among nurses and absenteeism and work performance. Methods A national sample of U.S. nurses was sent an anonymous, cross-sectional survey in 2016. The survey included items about demographics, fatigue, and validated instruments to measure burnout, absenteeism, and poor work performance in the last month. Results Of the 3098 nurses who received the survey, 812 (26.2%) responded. The mean age was 52.3 years (SD 12.5), nearly all were women (94.5%) and most were married (61.9%) and had a child (75.2%). Participating nurses had a mean of 25.7 (SD 13.9) years of experience working as nurse and most held a baccalaureate (38.2%) or masters of science (37.1%) degree in nursing. A quarter worked in the inpatient setting (25.5%) and the average hours worked per week was 41.3 (SD 14.1). Overall, 35.3% had symptoms of burnout, 30.7% had symptoms of depression, 8.3% had been absent 1 or more days in the last month due to personal health, and 43.8% had poor work performance in the last month. Nurses who had burnout were more likely to have been absent 1 or more days in the last month (OR 1.85, 95% CI 1.25–2.72) and have poor work performance (referent: high performer; medium performer, OR 2.68,95% CI 1.82–3.99; poor performer, OR 5.01, 95% CI 3.09–8.14). After adjusting for age, sex, relationship and parental status, highest academic degree, practice setting, burnout, depression, and satisfaction with work-life integration, nurses who were more fatigued (for each point worsening, OR 1.22, 95% CI 1.10–1.37) were more likely to have had absenteeism while those who worked more hours (for each additional hour OR 0.98, 95% CI 0.96–1.00) were less likely to have had absenteeism. Factors independently associated with poor work performance included burnout (OR 2.15, 95% CI 1.43–3.24) and fatigue (for each point of worsening, OR 1.22, 95% CI 1.12–1.33). Conclusions These findings suggest burnout is prevalent among nurses and likely impacts work performance.

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Sex-Based Differences in the Association between Nutrition Label Awareness and the Prevalence of Atopic Dermatitis: A Cross-Sectional Survey

Healthcare ◽

10.3390/healthcare8030210 ◽

2020 ◽

Vol 8 (3) ◽

pp. 210

Author(s):

Soo Jin Kwon ◽

Yoonjung Kim

Keyword(s):

Atopic Dermatitis ◽

Food Selection ◽

Univariate Analysis ◽

Cross Sectional Study ◽

Cross Sectional Survey ◽

Nutrition Label ◽

Cross Sectional ◽

Nutrition Labels ◽

Men And Women ◽

The Relationship

Atopic dermatitis is a chronic allergic disease with multifactorial causation. Although its association with diet has been demonstrated, it remains unclear whether the prevalence of atopic dermatitis among adults is associated with nutrition label awareness. Nutrition label awareness indicates knowledge of the existence of nutrition labels on processed food, and the use of them for food selection. In this cross-sectional study, we analyzed the relationship between nutrition label awareness and the prevalence of atopic dermatitis among men and women using data from the Korean National Health and Nutrition Examination Survey VI (2013–2015), including a nationally representative sample of 13,505 Korean adults (aged > 19 years). The relationship between the prevalence of atopic dermatitis and nutrition label awareness was evaluated using t-tests, χ2 tests and multivariate adjusted logistic regression analysis. Although univariate analysis showed that atopic dermatitis was associated with nutrition label awareness in both men and women, after adjustment for covariates, there was no significant association among men. The significant association between the prevalence of atopic dermatitis and nutrition label awareness among women reveals a sex-based difference in this relationship in adults, and atopic dermatitis may be managed and prevented among women by targeted education regarding nutrition labels and diet.

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Applying a theory-based approach to identify determinants of dentists’ intention to adopt Canadian smoking cessation clinical guidelines in Quebec: A pilot study

European Journal for Person Centered Healthcare ◽

10.5750/ejpch.v6i4.1559 ◽

2018 ◽

Vol 6 (4) ◽

pp. 593

Author(s):

Pascaline Kengne Talla ◽

Aimée Dawson ◽

Marie-Pierre Gagnon ◽

Jordie Croteau

Keyword(s):

Smoking Cessation ◽

Theoretical Model ◽

Clinical Guidelines ◽

Cross Sectional Study ◽

Control Beliefs ◽

Cross Sectional ◽

Intention To Adopt ◽

Quit Smoking ◽

Individual Determinants ◽

And Control

Introduction: Tobacco is a risk factor for many oral and systemic diseases and conditions. Many institutions recommend the use of clinical guidelines on smoking cessation to help people quit smoking. Yet, several studies also indicate that clinical guidelines are widely underutilized and study of this topic through a theoretical framework are scarce. The purpose of this study was to identify the underlying individual mechanisms which support dentists’ intention to adopt the Canadian smoking cessation clinical guidelines in Quebec, Canada.Methods: A cross-sectional study was carried out on a sample of 59 dentists working in private practices between January and September 2016. The study was conducted using a validated and anonymous questionnaire based on a modified version of the Triandis’ Theory of Interpersonal Behaviour. The theoretical model was tested by multiple linear regression.Results: The adapted theoretical model explained 63% of variance in dentists’ intention to adopt these guidelines in their practices. The mains predictors of dentists’ intention were professional norm (β=0.85; p≤ 0.0001) and control beliefs (β=0.3; p= 0.01).Conclusions: Grounded in the theory, the results of this study give a first view of dentists’ individual determinants that could be targeted to develop successful ways of increasing the adoption of Canadian smoking cessation guidelines in dental settings. Further research is needed to confirm these results.

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Correlation Between The Knowledge On Health Effects Of Smoking And Motivation On Smoking Cessation In Ex-Smokers Of Lung Department Patients, Siloam General Hospital, Lippo Village.

Medicinus ◽

10.19166/med.v8i2.3435 ◽

2021 ◽

Vol 8 (2) ◽

pp. 38

Author(s):

Clarinda Wong ◽

Brian Lucas ◽

Veli Sungono ◽

Andree Kurniawan ◽

Allen Widysanto

Keyword(s):

Smoking Cessation ◽

General Hospital ◽

Health Effects ◽

Cross Sectional Study ◽

Cross Sectional ◽

Quit Smoking ◽

Stop Smoking ◽

Motivation To Quit ◽

Level Of Knowledge ◽

Motivation To Quit Smoking

Introduction: Data from WHO showed that deaths caused by tobacco reaches approximately ± 6 million deaths annually. There are many information about the danger of smoking which spreading from various sources. The level of knowledge about the danger of smoking can be associated with motivation to stop smoking. Therefore, motivation toward smoking cessation arises if someone knows the benefits that can be taken, through an adequate knowledge.Aim: To determine the relationship between the level of knowledge on the health effects of smoking with motivation to stop smoking in ex-smokers of lung department patients at Siloam General Hospital, Lippo Village.Methodology: This is a cross-sectional study, analyzing 138 ex-smokers of Siloam General Hospital’s lung department patients using consecutive sampling techniques.Results: the results showed 73.2% of people have good knowledge about the danger of smoking and 26.8% are not. Then, 58% of people have high motivation to stop smoking and 42% have low motivation. The results of statistical test using Chi Square showed a significant relationship between the level of knowledge and the motivation to quit smoking (OR = 4.293 [95% CI: 1,921-9,594], P<.001). The results of the multivariate logistic regression test showed educational factors (P=0.014), and the frequency of smoking (P=0.007) also influence the motivation to stop smoking.Conclusion : There’s a significant relation between knowledge about the danger of smoking and the motivation to quit smoking.

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THE EFFICACY OF MALAYSIAN ONLINE SMOKING CESSATION WEBSITE BASED ON KUANTAN SMOKERS ASSESSMENT

Malaysian Journal of Public Health Medicine ◽

10.37268/mjphm/vol.21/no.2/art.924 ◽

2021 ◽

Vol 21 (2) ◽

pp. 199-217

Author(s):

Mohamad Helmy Jaafar ◽

Normalina Alias ◽

Muhammad Lokman Md Isa

Keyword(s):

Smoking Cessation ◽

Low Cost ◽

Cross Sectional Study ◽

Phase 2 ◽

Cross Sectional ◽

Quit Smoking ◽

Content Expert ◽

Good Score ◽

Two Phases ◽

Effective Use

Tobacco-related diseases are the leading causes of death worldwide. Tobacco use must be reduced and controlled. Due to its low cost, internet intervention has a high probability of attracting a large number of smokers, however, more research is needed to determine its most effective use. The purpose of this study was to analyze the efficacy of online smoking cessation websites in Malaysia based on assessment by Kuantan smokers. A cross-sectional study using a mix method was conducted among smokers in Kuantan, Pahang. The evaluation is divided into two phases: phase I is the selection of a website by a content expert, and phase II is the review of a selected local website by a local respondent. Random purposive sampling among 35 smokers were recruited in phase 2. There were predetermined criteria in both phase. Website search was conducted thru identified keyword using search engine google. In phase 2, the selected good score website will be assessed by local smokers based on validated checklist. Three websites which were JomQuit.com, Nicorette.com and Quit Smoking Clinic IJN was selected for the review. The website JomQuit.com was identified as comprehensive anti-smoking website in Malaysia. The Malaysian online smoking cessation was believed to be helpful to quit smoking, provide interesting content and information, increase awareness and increase promotion. Regular website assessments must be performed on a regular basis to ensure that the information on the website is applicable to local communities and for content improvement purposes.

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