A dohányzás visszaszorítása a Facebook segítségével a                     14–35 éves korosztály körében

Abstract: Introduction: The possibility of successful smoking cessation is increased by early initiation. Therefore, promoting smoking cessation at early age (especially among 14–35-year-olds) has a key role in reducing tobacco use prevalence. Facebook is one of the most popular websites among adolescents and young adults which can be used for age-specific smoking cessation support. Aim: Our research seeks to reveal the effects of a Facebook page on smoking habits, smoking cessation knowledge and attitudes among 14–35-year-olds. Method: An online survey was conducted among the 3278 followers of the author’s Facebook page. The questionnaire was completed by 332 people among 14–35-year-olds. We analysed demographic data, smoking habits, the usage frequency and duration of the Facebook page as well as changes in smoking habits, smoking cessation knowledge and attitudes. Results: The average age was 22.57 ± 5.08 years. The examined population consisted of 65% currently smokers, 12% former smokers and 23% non-smokers. Significantly more people reported a positive change in their smoking habits and smoking cessation attitudes among smokers who used the Facebook page more frequently and with longer duration (p<0.05). The habit and attitude changes were significantly higher among smokers who plan to quit smoking (p<0.01). Nevertheless, we also observed attitude changes between 12–25% among smokers who did not plan to quit. Among non-smokers, the positive attitude changes were significantly higher in the low-educated population who live in villages (p<0.01). Conclusion: This Facebook page had a positive effect on smoking habits, smoking cessation knowledge and attitudes among 14–35-year-olds. The contents of the Facebook page could be used to prevent smoking and support smoking cessation among 14–35-year-olds. Orv Hetil. 2019; 160(6): 220–227.

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The Association Between Smoking Cessation Period and Metabolic Syndrome in Korean Men

Asia Pacific Journal of Public Health ◽

10.1177/1010539518786517 ◽

2018 ◽

Vol 30 (5) ◽

pp. 415-424 ◽

Cited By ~ 2

Author(s):

Hwang Sik Shin ◽

Jung Eun Oh ◽

Yong Jin Cho

Keyword(s):

Physical Activity ◽

Metabolic Syndrome ◽

Smoking Cessation ◽

Odds Ratio ◽

Health And Nutrition ◽

Quit Smoking ◽

Education Levels ◽

History Of ◽

Former Smokers ◽

Never Smokers

The association between smoking cessation period and metabolic syndrome (MS) is currently unknown. We studied 6032 men aged >19 years who participated in the Korean National Health and Nutrition Examination Surveys between 2010 and 2012. The risk of MS according to the amount of smoking and duration of smoking cessation was examined, and adjusted for age, amount of alcohol consumed, physical activity, body mass index, income, and education levels. Compared with never-smokers, there was a significant increase in the risk of MS among current smokers >10 pack-years and former smokers with a history of pack-years >30. The odds ratio for MS increased with smoking amount in both current and former smokers. But the risk of MS in former smokers was no longer significant after 20 years of smoking cessation adjusted for past smoking amount. Thus, to prevent MS, current smokers should quit smoking early and former smokers should continue quitting.

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Advising Parents to Stop Smoking: Pediatricians' and Parents' Attitudes

PEDIATRICS ◽

10.1542/peds.91.2.296 ◽

1993 ◽

Vol 91 (2) ◽

pp. 296-300 ◽

Cited By ~ 7

Author(s):

Barbara L. Frankowski ◽

Sheila O. Weaver ◽

Roger H. Secker-Walker

Keyword(s):

Smoking Cessation ◽

Adverse Effects ◽

Response Rate ◽

Smoking History ◽

Parental Age ◽

Smoking Cessation Advice ◽

Quit Smoking ◽

Stop Smoking ◽

Passive Smoke ◽

Former Smokers

Pediatricians are in a unique position to address the issues of smoking cessation with parents. Vermont pediatricians and parents of their patients were surveyed to assess attitudes about giving and receiving smoking cessation advice. A questionnaire was mailed to all pediatricians in Vermont, and 72 valid responses were received, for a response rate of 91%. Forty percent of pediatricians routinely took a smoking history from parents and 11% recorded this information in the child's chart. Most pediatricians (94%) reported advising at least 60% of smoking parents to quit, and they spent an average of 4.4 minutes doing this. Barriers to giving advice were lack of time (42%), feeling that parents did not expect advice (25%), and feeling ill at ease giving the advice (25%). Only 8.5% of pediatricians had received training in how to give smoking cessation advice, but 87% were willing to learn methods to give advice briefly. Six hundred seventy-six parents from randomly selected pediatric practices were interviewed. The average parental age was 32, and 84% were women; 49% had never smoked, 30% were former smokers, and 21% were current mokers. Current smokers were less likely to agree with statements about the adverse effects of passive smoke on children. Most parents (56%) felt that pediatricians should give quit-smoking advice to parents, and 52% of smoking parents reported that they would welcome advice. Only 30% of current smokers said advice would bother them somewhat, and 15% had more negative reactions. Parents and pediatricians agreed on the best opportunities to give quit-smoking advice. Since 91% of parents said they intended to quit smoking sometime, and since pediatrician-delivered quit-smoking advice would be acceptable to them, it would be worthwhile for pediatricians to learn methods of delivering advice succinctly.

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Prevalence and Factors Associated With Attempts to Quit and Smoking Cessation in Malaysia

Asia Pacific Journal of Public Health ◽

10.1177/1010539519874944 ◽

2019 ◽

Vol 31 (7_suppl) ◽

pp. 22S-31S ◽

Cited By ~ 3

Author(s):

Kuang Hock Lim ◽

Pei Pei Heng ◽

Mohamad Haniki Nik Mohamed ◽

Chien Huey Teh ◽

Muhammad Fadhli Mohd Yusoff ◽

...

Keyword(s):

Smoking Cessation ◽

Tobacco Control ◽

Tertiary Education ◽

Multivariable Analysis ◽

Age Group ◽

Factors Associated ◽

The Past ◽

Quit Smoking ◽

Tobacco Control Policies ◽

Former Smokers

Smoking cessation significantly reduces risk of smoking-related diseases and mortality. This study aims to determine the prevalence and factors associated with attempts to quit and smoking cessation among adult current smokers in Malaysia. Data from the National E-Cigarette Survey 2016 were analyzed. Forty nine percent of current smokers had attempted to quit at least once in the past 12 months and 31.4% of the respondents were former smokers. Multivariable analysis revealed that current smokers with low nicotine addiction and aged below 45 years were more likely to attempt to quit smoking. Being married, older age group, and having tertiary education were significantly associated with smoking cessation. Only half of the current smokers ever attempted to quit smoking and only a third of smokers quit. Stronger tobacco control policies are needed in Malaysia to encourage more smokers to quit smoking. Improved access to cessation support for underprivileged smokers is also needed.

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Factors Associated with Attempt for Smoking Cessation among Hardcore Smokers in Taiwan

Asian/Pacific Island Nursing Journal ◽

10.31372/20200504.1117 ◽

2021 ◽

Vol 5 (4) ◽

pp. 251-258

Author(s):

Hui-Wen Huang ◽

Ya-Hui Yang ◽

Chih-Ling Huang

Keyword(s):

Smoking Cessation ◽

Logistic Regression ◽

Regression Analysis ◽

Logistic Regression Analysis ◽

Demographic Data ◽

Self Report ◽

Cross Sectional ◽

Quit Smoking ◽

Prevention Act ◽

Hardcore Smokers

Background: Tobacco control activities have mostly influenced those smokers who found it easier to quit and, thus, remaining smokers are those who are less likely to stop smoking. This phenomenon is called “hardening hypothesis,” which individuals unwilling or unable to quit smoking and likely to remain so. The aim of this study was to identify the factors correlated with smoking cessation among hardcore smokers. Methods: A cross-sectional descriptive correlational research design was employed. Hardcore smokers from communities in Taiwan were recruited to participate in the study (N = 187). Self-report questionnaires were used to collect demographic data as well as data on nicotine dependence, quitting self-efficacy, social smoking motives, attitudes towards the Tobacco Hazards Prevention Act (THPA), and smoking cessation. Logistic regression analysis was used to examine the factors that were related to quit smoking. Results: About 30.3% (n = 54) reported having experienced quitting smoking over 7 days in the past year. Logistic regression analysis indicated that attitudes towards the THPA was identified as a particularly important factor contributing to the increase in smoking cessation among hardcore smokers. Conclusions: Nurses should cooperate with smoking cessation coaches to facilitate the improvement of attitudes towards the THPA as a key means through which to increase the smoking cessation rate among hardcore smokers.

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Health Orientation, Knowledge, and Attitudes toward Genetic Testing and Personalized Genomic Services: Preliminary Data from an Italian Sample

BioMed Research International ◽

10.1155/2016/6824581 ◽

2016 ◽

Vol 2016 ◽

pp. 1-9 ◽

Cited By ~ 15

Author(s):

Serena Oliveri ◽

Marianna Masiero ◽

Paola Arnaboldi ◽

Ilaria Cutica ◽

Chiara Fioretti ◽

...

Keyword(s):

Genetic Testing ◽

Internal Control ◽

Genetic Risk ◽

Online Survey ◽

Demographic Data ◽

Lifestyle Changes ◽

Knowledge And Attitudes ◽

Life Planning ◽

Health Consciousness ◽

Public Data

Objective. The study aims at assessing personality tendencies and orientations that could be closely correlated with knowledge, awareness, and interest toward undergoing genetic testing.Methods.A sample of 145 subjects in Italy completed an online survey, investigating demographic data, health orientation, level of perceived knowledge about genetic risk, genetic screening, and personal attitudes toward direct to consumer genetic testing (DTCGT).Results. Results showed that respondents considered genetic assessment to be helpful for disease prevention, but they were concerned that results could affect their life planning with little clinical utility. Furthermore, a very high percentage of respondents (67%) had never heard about genetic testing directly available to the public. Data showed that personality tendencies, such as personal health consciousness, health internal control, health esteem, and confidence, motivation to avoid unhealthiness and motivation for healthiness affected the uptake of genetic information and the interest in undergoing genetic testing.Conclusions. Public knowledge and attitudes toward genetic risk and genetic testing among European countries, along with individual personality and psychological tendencies that could affect these attitudes, remain unexplored. The present study constitutes one of the first attempts to investigate how such personality tendencies could motivation to undergo genetic testing and engagement in lifestyle changes.

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Prevalence and determinants of quitting smoking after cancer diagnosis: a prospective cohort study

Tumori Journal ◽

10.1177/03008916211009301 ◽

2021 ◽

pp. 030089162110093

Author(s):

Martina Taborelli ◽

Luigino Dal Maso ◽

Antonella Zucchetto ◽

Elda Lamaj ◽

Paolo De Paoli ◽

...

Keyword(s):

Smoking Cessation ◽

Cancer Diagnosis ◽

Prospective Cohort ◽

Patient Characteristics ◽

Smoking Habits ◽

Smoking History ◽

Cancer Centre ◽

Patients With Cancer ◽

Quit Smoking ◽

After Cancer

Objective: To describe smoking behaviours of patients with incident cancer attending an Italian cancer centre and to examine changes in their smoking habits within 12 months from cancer diagnosis, evaluating determinants of smoking cessation. Methods: A hospital-based prospective cohort included patients hospitalized in an Italian cancer centre (2016–2018). Patients were mostly female (74%) and included a limited proportion of aerodigestive cancers (7%). Face-to-face interviews were performed during hospital stay to gather information on patient characteristics and smoking history. Changes in smoking habits were assessed through telephone interviews at 3, at 6, and at 12 months after cancer diagnosis. Results: Among 1011 enrolled patients, 222 (22%) were current smokers at cancer diagnosis. Smoking prevalence was high in male patients (30%), in patients <50 years old (28%), in those with aerodigestive cancers (50%), and in those diagnosed at advanced stages (26%). Among current smokers at cancer diagnosis, 38% quit smoking after 12 months, 26% reduced intensity, and 36% did not modify smoking habits. Smoking cessation was associated with chemotherapy and, although not statistically significant, with female sex, older age, and advanced cancer stage. Patients with gastrointestinal, breast, or genitourinary cancer and those treated with surgery were less likely to quit smoking. Conclusions: Our results highlighted that 62% of smoking patients with cancer did not quit the habit. Smoking cessation programs targeted to patients with cancer need intensification, particularly for those who may underestimate smoking effects after diagnosis.

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Factors motivating smoking cessation: a cross-sectional study in a lower-middle-income country

BMC Public Health ◽

10.1186/s12889-021-11477-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Russell Seth Martins ◽

Muhammad Umer Junaid ◽

Muhammad Sharjeel Khan ◽

Namrah Aziz ◽

Zoha Zahid Fazal ◽

...

Keyword(s):

Smoking Cessation ◽

Peer Pressure ◽

Middle Income Country ◽

Income Country ◽

Middle Income ◽

Quit Smoking ◽

Lower Middle Income Country ◽

Social Pressures ◽

Quit Attempts ◽

Former Smokers

Abstract Introduction Only one-quarter of smokers in Pakistan attempt to quit smoking, and less than 3% are successful. In the absence of any literature from the country, this study aimed to explore factors motivating and strategies employed in successful smoking cessation attempts in Pakistan, a lower-middle-income country. Methods A survey was carried out in Karachi, Pakistan, amongst adult (≥ 18 years) former smokers (individuals who had smoked ≥100 cigarettes in their lifetime but who had successfully quit smoking for > 1 month at the time of survey). Multivariable logistic regression, with number of quit attempts (single vs. multiple) as the dependent variable, was performed while adjusting for age, sex, monthly family income, years smoked, cigarettes/day before quitting, and having suffered from a smoking-related health problem. Results Out of 330 former smokers, 50.3% quit successfully on their first attempt with 62.1% quitting “cold turkey”. Only 10.9% used a cessation aid (most commonly nicotine replacement therapy: 8.2%). Motivations for quitting included self-health (74.5%), promptings by one’s family (43%), and family’s health (14.8%). Other social pressures included peer-pressure to quit smoking (31.2%) and social avoidance by non-smokers (22.7%). Successful smoking cessation on one’s first attempt was associated with being married (OR: 4.47 [95% CI: 2.32–8.61]), employing an abrupt cessation mode of quitting (4.12 [2.48–6.84]), and telling oneself that one has the willpower to quit (1.68 [1.04–2.71]). Conclusion In Pakistan, smoking cessation is motivated by concern for self-health and family’s health, family’s support, and social pressures. Our results lay a comprehensive foundation for the development of smoking-cessation interventions tailored to the population of the country. Implications Little is known about the patterns and strategies employed by smokers who are attempting to quit smoking, especially in lower-middle-income countries like Pakistan. Likewise, there are very few smoking cessation programs designed to assist in quitting. Our study will allow for a better understanding of the culture-specific motivating factors and strategies that most contributed to successful quit attempts. Based on these results, evidence based smoking cessation interventions can be developed tailored to the socioeconomic demographic of our country and region, including smoking cessation clinics and public outreach and media campaigns highlighting key elements of successful smoking cessation.

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Predictors of perceived success in quitting smoking by vaping: A machine learning approach

PLoS ONE ◽

10.1371/journal.pone.0262407 ◽

2022 ◽

Vol 17 (1) ◽

pp. e0262407

Author(s):

Rui Fu ◽

Robert Schwartz ◽

Nicholas Mitsakakis ◽

Lori M. Diemert ◽

Shawn O’Connor ◽

...

Keyword(s):

Machine Learning ◽

Smoking Cessation ◽

Roc Curve ◽

Online Survey ◽

Machine Learning Techniques ◽

Gradient Boosting ◽

Machine Model ◽

Convenience Sample ◽

Perceived Success ◽

Quit Smoking

Prior research has suggested that a set of unique characteristics may be associated with adult cigarette smokers who are able to quit smoking using e-cigarettes (vaping). In this cross-sectional study, we aimed to identify and rank the importance of these characteristics using machine learning. During July and August 2019, an online survey was administered to a convenience sample of 889 adult smokers (age ≥ 20) in Ontario, Canada who tried vaping to quit smoking in the past 12 months. Fifty-one person-level characteristics, including a Vaping Experiences Score, were assessed in a gradient boosting machine model to classify the status of perceived success in vaping-assisted smoking cessation. This model was trained using cross-validation and tested using the receiver operating characteristic (ROC) curve. The top five most important predictors were identified using a score between 0% and 100% that represented the relative importance of each variable in model training. About 20% of participants (N = 174, 19.6%) reported success in vaping-assisted smoking cessation. The model achieved relatively high performance with an area under the ROC curve of 0.865 and classification accuracy of 0.831 (95% CI [confidence interval] 0.780 to 0.874). The top five most important predictors of perceived success in vaping-assisted smoking cessation were more positive experiences measured by the Vaping Experiences Score (100%), less previously failed quit attempts by vaping (39.0%), younger age (21.9%), having vaped 100 times (16.8%), and vaping shortly after waking up (15.8%). Our findings provide strong statistical evidence that shows better vaping experiences are associated with greater perceived success in smoking cessation by vaping. Furthermore, our study confirmed the strength of machine learning techniques in vaping-related outcomes research based on observational data.

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Motivation to smoking cessation in head and neck cancer and dysplasia patients in confrontation with the attitudes of otorhinolaryngologists in delivering anti-smoking therapies

European Archives of Oto-Rhino-Laryngology ◽

10.1007/s00405-021-07209-2 ◽

2021 ◽

Author(s):

Anna Rzepakowska ◽

Bartosz Marcinkiewicz ◽

Michał Żurek ◽

Dominika Wiśniewska ◽

Kazimierz Niemczyk

Keyword(s):

Smoking Cessation ◽

Head And Neck Cancer ◽

Oral Cavity ◽

Cancer Diagnosis ◽

Online Survey ◽

Training Programs ◽

Hypopharyngeal Cancer ◽

Younger Patients ◽

Quit Smoking ◽

Smoking Index

Abstract Objectives The aim of the study was to determine the influence of oral, oropharyngeal, laryngeal and hypopharyngeal dysplasia and cancer diagnosis on motivation to smoking cessation in patients. Consecutively, we assessed the competence of ENT specialists in counseling anti-smoking therapies. Methods Questionnaire of expected support, Schneider motivation test and Fagerström Test for Nicotine Dependence (FTND) were administered to 50 smoking patients. The online survey was collected from 152 ENT doctors. Results Mean FTND score was 4.58 and Heaviness of Smoking Index (HSI) was 3.1. Patients with oral cavity and oropharyngeal cancer showed the greatest dependence to nicotine 7.67 and 5.25, respectively, and with hypopharyngeal cancer had the lowest 3.5, (p = 0.039). The ranges of HSI were significantly higher for younger patients (p = 0.036). 35 patients were adequately motivated to quit smoking, and their mean age was statistically higher (p = 0.05). Self-reported motivation to smoking cessation was 76%. Of 152 surveyed doctors, only 39% declared knowledge of the diagnostic and therapeutic cessation interventions. 75% showed interest in the training programs.

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