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

2004 ◽  
Vol 16 (2) ◽  
pp. 115-120 ◽  
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.

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

2005 ◽  
Vol 19 (5) ◽  
pp. 346-354 ◽  
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.

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

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e025285
Author(s):  
Xinyuan Huang ◽  
Wenjie Fu ◽  
Haiying Zhang ◽  
Hong Li ◽  
Xiaoxia Li ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Cross Sectional Study ◽  
Intention To Quit ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Quit Smoking ◽  
Point Increase ◽  
Development Levels ◽  
Potential Strategy ◽  
The Relationship

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.

scholarly journals Change in smoking cessation stage over 1 year in patients with schizophrenia: a follow up study in Japan

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Yuji Higuchi ◽  
Masaki Fujiwara ◽  
Naoki Nakaya ◽  
Maiko Fujimori ◽  
Chinatsu Hayashibara ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Smoking Status ◽  
Intention To Quit ◽  
Baseline Survey ◽  
Smoking Cessation Treatment ◽  
Follow Up Study ◽  
Quit Smoking ◽  
Quitting Smoking ◽  
Smoking Behaviors

Abstract Background We performed a follow up study about willingness and behaviors to quit smoking among smokers with schizophrenia in Japan. Methods Participants were outpatients with schizophrenia aged 20–69 years who had been visiting the hospital for ≥1 year as of April 1, 2016, and had visited the hospital more than once in the previous 6 months. A baseline survey on smoking behaviors including current smoking status and smoking cessation stage, was administered in 420 participants that were randomly extracted from a patient pool (n = 680) in 2016, and a follow-up survey was administered in 2017. We calculated the distribution and change in smoking cessation stage, number of smokers and nonsmokers after 1 year, and quitting rate from a naturalistic 1-year smoking-cessation follow up. Results The number of baseline respondents was 350; 113 current smokers and 68 former smokers. Among the 113 current smokers, 104 (92.0%) were followed for 1 year, 79 (70.0%) were interested in smoking cessation, and only 7 had received smoking cessation treatments at baseline. Among the tracked 104 participants, only 6 (5.8%) stopped smoking after 1 year. Among the 25 participants who had intentions to quit smoking within 6 months at baseline, 6 (24.0%) maintained their intention to quit smoking for 1 year, and 16 (64.0%) did not maintain their intention to quit smoking. Conclusions Our findings showed that many smokers with schizophrenia were interested in quitting smoking, but few patients received treatment and actually quit smoking. Timely intervention, including the option to receive smoking cessation treatment, is necessary for those patients with schizophrenia who smoke. Trial registration UMIN Clinical Trials Registry (UMIN000023874, registered on August 31, 2016).

scholarly journals Smoking behaviours of Hong Kong Chinese hospitalised patients and predictors of smoking abstinence after discharge: a cross-sectional study

BMJ Open ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. e023965 ◽  
Author(s):  
Ka Yan Ho ◽  
William Ho Cheung Li ◽  
Katherine Ka Wai Lam ◽  
Man Ping Wang ◽  
Wei Xia ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Hong Kong ◽  
Multivariate Logistic Regression Analysis ◽  
Hong Kong Chinese ◽  
Chinese Patients ◽  
Secondary Outcome ◽  
Smoking Abstinence ◽  
Cross Sectional ◽  
Hospitalised Patients ◽  
Smoking Behaviours

ObjectivesPatients admitted to hospitals represent an excellent teachable moment for smoking cessation, as they are required to abstain from tobacco use during hospitalisation. Nevertheless, smoking behaviours of hospitalised patients, and factors that lead to smoking abstinence thereafter, remain relatively underexplored, particularly in a Hong Kong Chinese context. This study aimed to examine the smoking behaviours of hospitalised patients and explore factors leading to their abstaining from cigarette use after being hospitalised.DesignA cross-sectional design was employed.SettingThis study was conducted in three outpatient clinics in different regions in Hong Kong.ParticipantsA total of 382 recruited Chinese patients.Primary and secondary outcome measuresThe patients were asked to complete a structured questionnaire that assessed their smoking behaviours before, during and after hospitalisation.ResultsThe results indicated 23.6% of smokers smoked secretly during their hospital stay, and about 76.1% of smokers resumed smoking after discharge. Multivariate logistic regression analysis found that number of days of hospitalisation admission in the preceding year (OR 1.02; 95% CI 1.01 to 1.27; p=0.036), patients’ perceived correlation between smoking and their illness (OR 1.08; 95% CI 1.01 to 1.17; p=0.032), withdrawal symptoms experienced during hospitalisation (OR 0.75; 95% CI 0.58 to 0.97; p=0.027) and smoking cessation support from healthcare professionals (OR 1.18; 95% CI 1.07 to 1.36; p=0.014) were significant predictors of smoking abstinence after discharge.ConclusionsThe results of this study will aid development of appropriate and innovative smoking cessation interventions that can help patients achieve more successful smoking abstinence and less relapse.Trial registration numberNCT02866760.

scholarly journals Influence of Dental Pain and Tooth Sensitivity on the Intention to Quit Smoking among Schoolchildren

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Muhammad Nazir ◽  
Hassan AlAbdullah ◽  
Muhanad Alhareky ◽  
Asim Al-Ansari ◽  
Jehan Alhumaid
Keyword(s):  
Smoking Cessation ◽  
Oral Health ◽  
Dental Pain ◽  
Health Problems ◽  
Smoking Cessation Program ◽  
Intention To Quit ◽  
Tobacco Prevention ◽  
Tooth Sensitivity ◽  
Quit Smoking ◽  
Quitting Smoking

Objective. To evaluate the association between oral health problems and sociodemographic factors with the intention to quit smoking and join the tobacco cessation program among schoolchildren. Materials and Methods. This cross-sectional study included a sample of 10–12 grade male students from public high schools in different cities of the Eastern province of Saudi Arabia. Schoolchildren responded to a pilot-tested questionnaire about self-reported oral health problems and the intention to quit smoking. Bivariate and multivariate logistic regression analyses were performed. Results. Out of 587 schoolchildren, 199 were smokers with a smoking prevalence of 33.9%. Significantly higher proportions of smokers than nonsmokers had tooth sensitivity (P = 0.029) and dryness of the mouth (P = 0.001). Most smokers (75.9%) had a family history of smoking, and 51.8% started smoking within the last two years. Tooth sensitivity (56.3%), dental cavities (52.8%), and dental pain (44.7%) were highly prevalent among smokers. About one-third of smokers expressed their intention to quit smoking (38.2%) and join a smoking cessation program (33.7%). Tooth sensitivity (OR = 3.7, P = 0.004) and dental pain (OR = 2.84, P = 0.014) were significantly associated with quitting smoking. In addition, smokers with tooth sensitivity (OR = 3.22, P = 0.007) had higher odds of joining a smoking cessation program than those without tooth sensitivity. The smokers who started smoking within the last two years (OR = 3.97, P = 0.002) were more likely to quit smoking than those who initiated smoking for more than two years. Conclusion. Oral health problems were highly prevalent among smokers. Tooth sensitivity was significantly associated with quitting smoking and joining a cessation program in children. The awareness about the adverse effects of smoking on oral health should be part of regional, national, and global tobacco prevention policies and programs.

scholarly journals COVID-19 Pandemic on smoking behavior changes among African American Smokers Eligible for LDCT Screening

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 740-740
Author(s):  
Tung-Sung Tseng ◽  
Yu Hsiang Kao ◽  
Mirandy Li
Keyword(s):  
Lung Cancer ◽  
Smoking Cessation ◽  
African American ◽  
Smoking Behavior ◽  
Behavior Changes ◽  
Minority Population ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Quit Smoking ◽  
Health Behavior Changes

Abstract Smoking has been observed to associate with an elevated severity of disease and risk of mortality among people with COVID-19. Additionally, African American smokers have higher rates of mortality from lung cancer than other racial/ethnic groups. Low dose computed tomography (LDCT) screening can detect lung cancer early to decrease lung cancer-specific mortality for current smokers but remains under-utilized among these population. However, we know little about the effect of COVID-19 pandemic on smoking behavior changes among African American smokers who qualify for LDCT screening. This study recruited 60 African American daily smokers seen in primary care clinics, who qualified to receive LDCT screening in a New Orleans, LA hospital. A total of 22 participants (36.7%) completed anonymous cross-sectional survey that collected demographic, disease history, tobacco use, and smoking cessation behaviors during the period of COVID-19 pandemic via phone interview. The majority were older (61.2 [SD=4.7]), female (77.3%), earned annual income less than $20,000 (100.0%), had Medicaid (63.6%), overweight/obesity (72.7%), planned to quit smoking within 6 months (52.4%), and would consider taking LDCT screening after COIVD-19 pandemic (95.2%). Half of smokers reported they have been diagnosed hypertension (47.6%), diabetes (52.4%), and arthritis (57.1%). Regarding health behavior changes, 42.9% smokers reported they smoked more, felt more stress (42.9%) and anxiety (33.4%) after COVID-19 outbreak. Smoking cessation programs may focus on this high-risk minority population in the post COVID-19 pandemic to help them decrease cigarette smoking and enhance their motivation to quit smoking.

scholarly journals Investigation of osteoporosis and its influencing factors in a group of Chinese patients with Interstitial Lung Disease

2021 ◽  
Author(s):  
Hui Zhang ◽  
Xiao-Wen Sheng ◽  
Fan Zhang ◽  
Yu-Qi Hu ◽  
Li-Ru Huang ◽  
...  
Keyword(s):  
Interstitial Lung Disease ◽  
Lung Disease ◽  
Chinese Patients ◽  
Mineral Density ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Multiple Factors ◽  
Lung Structure ◽  
High Prevalence

Abstract Background Interstitial lung disease (ILD) seriously influences patient’s quality of life (QOL) due to an abnormally repaired lung structure and damaged lung function, as well as its many complications. Osteoporosis is a systemic bone disease characterized by low bone mineral density (BMD) and may impair QOL and increase mortality in ILD patients. We conducted this study to investigate osteoporosis in Chinese ILD patients. Methods We performed a cross-sectional survey of 179 Chinese ILD patients. BMD levels were evaluated, and the clinical variables of the patients were recorded. The physical activity and QOL of patients were evaluated by a questionnaire when enrolled. Regression analysis was used to identify factors affecting BMD in ILD patients. Results In total, 68.2% of the included patients had an abnormal BMD, 24.6% had osteoporosis, and 43.6% had osteopenia. Decreased of BMD in ILD patients was associated with multiple factors, of which sex, height, weight, ILD subtypes and serum parathyroid hormone (PTH) were most significantly. The QOL of ILD patients with osteoporosis is dramatically declining. Conclusions Osteoporosis and osteopenia have high prevalence rates in ILD patients and seriously affect patients’ QOL. The development of osteoporosis and low BMD in ILD patients are influenced by multiple factors. Early identification and interventions are expected to benefit the QOL of ILD patients.

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

BMJ Open ◽  
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.

scholarly journals The Effects of Educational Campaigns and Smoking Bans in Public Places on Smokers’ Intention to Quit Smoking: Findings from 17 Cities in China

2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Biao Luo ◽  
Liang Wan ◽  
Liang Liang ◽  
Tieshan Li
Keyword(s):  
Tobacco Control ◽  
Intention To Quit ◽  
Chinese Government ◽  
Smoking Bans ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Public Places ◽  
Logistic Regression Models ◽  
Quit Smoking ◽  
Educational Campaigns

Despite the perceived success of educational campaigns and smoking bans in public places in China, the actual effects have not been investigated. This study examines the effects of the two policies by major characteristics of smokers and whether the affected smokers have intention to quit smoking. A cross-sectional survey was conducted in 17 cities in China and 16,616 participants were selected using multistage stratified sampling. Logistic regression models were used to examine the effects of educational campaigns and smoking bans in public places on their intention to quit smoking. Results show that the Chinese government should try every means to build its tobacco control publicity and implement various forms of public educational campaigns to enhance smokers’ knowledge of the health consequences of smoking. In addition, China should emphasize the enforcement of the existing smoking prohibitions and regulations by implementing local tobacco control legislation and total prohibitions in all public places and workplaces.

scholarly journals Gender and Socio-economic Differences in Daily Smoking and Smoking Cessation Among Adult Residents in a Greek Rural Area

2012 ◽  
Vol 6 (1) ◽  
pp. 15-21 ◽  
Author(s):  
Evangelia Birmpili ◽  
Niki Katsiki ◽  
Aseem Malhotra ◽  
Evelina Dimopoulou ◽  
Dimitri P Mikhailidis ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Rural Area ◽  
World Health ◽  
Daily Smoking ◽  
The European Union ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Quitting Smoking ◽  
Health Organization ◽  
Greek Adults

Despite the well-known health risks, smoking is still highly prevalent worldwide. Greece has the highest level of adult smoking rate (40%) across the European Union. We investigated gender and socio-economic differences in daily smoking and smoking cessation among Greek adults. We conducted a cross-sectional survey between October and November 2009 in 434 adults residing in a Greek rural area. Data were collected with the use of the World Health Organization Global Adult Tobacco Survey (WHO GATS) Core Questionnaire. Respondents were classified into smokers (if they had smoked at least 100 cigarettes in their lifetime and continued to smoke) or non-smokers. Overall, 58.1% (n=252) were smokers (58.5% male, n=127 and 57.8% female, n=125); 51.2% (n=222) were younger than 18 years-old when they started smoking. Men tended to start smoking at a younger age, to smoke more cigarettes/day and to have smoked a greater average of cigarettes during the last 5 days. Overall, 82.5% of smokers attempted to stop smoking a year prior to the study, with women having a greater difficulty in quitting smoking. The main source of information on smoking was the mass media (73.5%) and books (53.7%), whereas doctors and other health professionals were the least listed source of relative information (27.7 and 8.1%, respectively). Smoking rates among Greek adults were high, but a considerable number of individuals who smoked, wished to quit and had attempted to do so. Smoking cessation clinics are not perceived as a valuable support in quitting effort.

Sign in / Sign up

Export Citation Format

Share Document