Living with Smoker(s) and Smoking Cessation in Chinese Adult Smokers: Cross-Sectional and Prospective Evidence from Hong Kong Population Health Survey

Many changes take place over the lifetime of a longitudinal panel survey. Changing priorities, new supplements, and conflicting demands are factors that may be unforeseen. The evolution of the National Population Health Survey (NPHS) since its first cycle in 1994/95 is discussed in this context. Statistics Canada contacts panel members every two years for twenty years, to estimate the health of Canadians and its determinants, health care use, and other characteristics. The NPHS was designed to provide both longitudinal and cross-sectional estimates, and to allow sample and content supplements. This paper describes the NPHS and the changes in focus needed to move the panel forward to cycle 2 and beyond.

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

BMJ Open ◽

10.1136/bmjopen-2018-023965 ◽

2018 ◽

Vol 8 (12) ◽

pp. e023965 ◽

Cited By ~ 1

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.

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Competing or Interactive Effect Between Perceived Response Efficacy of Governmental Social Distancing Behaviors and Personal Freedom on Social Distancing Behaviors in the Chinese Adult General Population in Hong Kong

International Journal of Health Policy and Management ◽

10.34172/ijhpm.2020.195 ◽

2020 ◽

Author(s):

Yanqiu Yu ◽

Joseph Tak Fai Lau ◽

Mason Man Chun Lau

Keyword(s):

Hong Kong ◽

General Population ◽

Social Values ◽

Interactive Effect ◽

Positive Association ◽

Cross Sectional ◽

Personal Freedom ◽

Social Distancing ◽

Response Efficacy ◽

Chinese Adult

Background: Uptake of social distancing behaviors may be determined by a combination of individual perceptions and social values. The study investigated (1) the associations between individual perception of perceived response efficacy and social distancing behaviors, (2) the association between social value of perceived freedom infringement and social distancing behaviors, and (3) whether perceived freedom infringement would moderate the association between perceived response efficacy and social distancing behaviors. Methods: A cross-sectional telephone survey interviewed 300 adults in the Hong Kong adult general population during April 21-28, 2020. The instruments of social distancing behaviors, perceived response efficacy, and perceived freedom infringement assessed the frequencies of practicing seven types of social distancing behaviors in the past week, perceived response efficacy of four types of governmental social distancing measures/instructions, and a 5-point Likert scale item on perceived infringement on personal freedom regarding a governmental social distancing measure of banning gatherings of >4 people in public areas. Linear regression adjusted for background factors was performed; the interaction term of perceived response efficacy × perceived freedom infringement was tested. Results: About 40.4%-83.0% of the respondents practiced various types of social distancing behaviors; 57.3%-75.0% perceived response efficacies of related governmental measures; about 20% showed perceived freedom infringement. Perceived response efficacy, but not perceived freedom infringement, was independently and positively associated with social distancing behaviors. Perceived freedom infringement significantly moderated the association between perceived response efficacy and social distancing behaviors; such a positive association was significant at higher (those scored "extremely agree"), but not lower (those scored "extremely disagree"), levels of perceived freedom infringement. Conclusion: Perceived response efficacy is a potential determinant of social distancing. However, the strength of such an association may be modified by opposing social values about personal freedom. Future studies are warranted to verify above findings and explore other potential determinants.

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Real-world unassisted quit success and related contextual factors: a population-based study of Chinese male smokers

Tobacco Control ◽

10.1136/tobaccocontrol-2019-055594 ◽

2020 ◽

pp. tobaccocontrol-2019-055594

Author(s):

Shuhan Jiang ◽

Tingzhong Yang ◽

Christopher Bullen ◽

Jinsong Chen ◽

Lingwei Yu ◽

...

Keyword(s):

Smoking Cessation ◽

Multiple Logistic Regression Analysis ◽

Population Based ◽

Control Measures ◽

Cross Sectional ◽

Male Adult ◽

Tobacco Advertising ◽

Chinese Adult ◽

Advertising Exposure ◽

Chinese Male

ObjectivesTo examine the association of exposure to secondhand smoke (SHS) and tobacco advertising with unassisted smoking cessation among Chinese male smokers.MethodsA questionnaire was administered to 6500 male adult smokers from six cities in China selected in a cross-sectional multistage sampling design. The survey collected self-reported demographic characteristics, smoking and cessation status, SHS exposure and tobacco advertising exposure, with 5782 valid questionnaires included in this study. Multiple logistic regression analysis was used to assess the association of unassisted smoking cessation with exposure to SHS and tobacco advertising.Results42.1% of smokers who made unassisted quit attempts achieved abstinence (95% CI 32.5% to 51.7%). SHS (adjusted OR (aOR) 0.36; 95% CI 0.18 to 0.71; p=0.033) and tobacco advertising exposure (aOR 0.63; 95% CI 0.37 to 0.95; p=0.039) were negatively associated with unassisted smoking cessation.ConclusionThe vast majority of Chinese male smokers rely on unassisted methods to quit smoking. Success prevalence is high, which is very beneficial to health. This study suggests that exposure to secondhand smoking and tobacco advertising hinders the success of unassisted cessation. These findings speak to the need for environmental tobacco control measures to promote unassisted smoking cessation among Chinese adult male smokers.

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The relationship between osteoarthritis and cardiovascular disease in a population health survey: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2013-002624 ◽

2013 ◽

Vol 3 (5) ◽

pp. e002624 ◽

Cited By ~ 36

Author(s):

M Mushfiqur Rahman ◽

Jacek A Kopec ◽

Jolanda Cibere ◽

Charlie H Goldsmith ◽

Aslam H Anis

Keyword(s):

Cardiovascular Disease ◽

Population Health ◽

Health Survey ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

The Relationship

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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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