High Perceived Susceptibility to and Severity of COVID-19 in Smokers Are Associated with Quitting-Related Behaviors

A growing body of evidence shows smoking is a risk factor for coronavirus disease (COVID-19). We examined the associations of quitting-related behaviors with perceived susceptibility to and severity of COVID-19 in smokers. We conducted a telephone survey of 659 community-based adult smokers (81.7% male) in Hong Kong, where there was no lockdown. Exposure variables were perceptions that smoking can increase the risk of contracting COVID-19 (perceived susceptibility) and its severity if infected (perceived severity). Outcome variables were quit attempts, smoking reduction since the outbreak of the pandemic, and intention to quit within 30 days. Covariates included sex, age, education, heaviness of smoking, psychological distress, and perceived danger of COVID-19. High perceived susceptibility and severity were reported by 23.9% and 41.7% of participants, respectively. High perceived susceptibility was associated with quit attempts (prevalence ratio (PR) 2.22, 95% CI 1.41–3.49), smoking reduction (PR 1.75, 95% CI 1.21–2.51), and intention to quit (PR 2.31, 95% CI 1.40–3.84). Perceived severity of COVID-19 was associated with quit attempts (PR 1.64, 95% CI 1.01–2.67) but not with smoking reduction or intention to quit. To conclude, the perceived susceptibility to and severity of COVID-19 in smokers were associated with quitting-related behaviors in current smokers, which may have important implications for smoking cessation amid the pandemic.

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Effects of Smoking Cessation Media and Community Campaigns in Taiwan

American Journal of Health Promotion ◽

10.4278/ajhp.140922-quan-457 ◽

2016 ◽

Vol 31 (1) ◽

pp. 43-51 ◽

Cited By ~ 1

Author(s):

Fong-Ching Chang ◽

Hai-Yen Sung ◽

Shu-Hong Zhu ◽

Tzung-Yee Feng ◽

Shu-Ti Chiou

Keyword(s):

Smoking Cessation ◽

Odds Ratio ◽

Intention To Quit ◽

Community Programs ◽

Community Based ◽

Quit Smoking ◽

Quit Attempts ◽

Logistic Regressions ◽

Nationally Representative ◽

Analyze Data

Purpose. To examine the effects of a smoking cessation campaign. Design. Data from the 2010–2011 Taiwan Adult Tobacco Surveys were analyzed. Setting. The study was set among a nationally representative sample of adults in Taiwan. Subjects. The surveys included 16,282 and 16,886 adults in 2010 and 2011, respectively, while our analyses focused on current smokers, 2518 and 2507 adults in 2010 and 2011, respectively. Intervention. In 2010 the Taiwanese government launched a national smoking cessation campaign through mass media in conjunction with community-based smoking cessation programs throughout the nation. Measures. Outcome variables include awareness of cessation services, quit attempts, intention to quit, and use of quitting method. Analysis. Multivariate logistic regressions were used to analyze data. Results. The implementation of the national smoking cessation campaign was associated with an increase in awareness of cessation services (odds ratio [OR] = 1.36; 95% confidence interval [CI] = 1.20–1.53), in quit attempts (OR = 1.12; 95% CI = 1.01–1.25), in use of unassisted quitting methods (OR = 1.39; 95% CI = 1.13–1.72), and in intention to quit smoking (OR = 1.15; 95% CI = 1.02–1.30). Conclusion. The implementation of the national smoking cessation campaign through media and community programs was effective in increasing smokers’ awareness of cessation services, quit attempts, and intention to quit.

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Effects of Cigarette Prices on Intention to Quit, Quit Attempts, and Successful Cessation Among African American Smokers

Nicotine & Tobacco Research ◽

10.1093/ntr/nty149 ◽

2018 ◽

Vol 22 (4) ◽

pp. 522-531 ◽

Cited By ~ 2

Author(s):

Courtney Keeler ◽

Wendy Max ◽

Valerie B Yerger ◽

Tingting Yao ◽

Yingning Wang ◽

...

Keyword(s):

African American ◽

African Americans ◽

Low Income ◽

The United States ◽

Intention To Quit ◽

Community Based ◽

Price Effects ◽

Quit Attempts ◽

The Impact ◽

Cigarette Prices

Abstract Introduction This study examined the effects of cigarette price on intention to quit, quit attempts, and successful cessation among African American smokers in the United States and explored whether price effects differed by income level and menthol use status. Price effects were further compared to White counterparts. Methods We used pooled cross-sectional data from 2006 to 2007 and 2010 to 2011 Tobacco Use Supplements to the Current Population Survey to analyze 4213 African American recent active smokers. Three dependent variables were examined: any quit attempts in the past 12 months, successful cessation for at least 3 months, and intention to quit in the next 6 months. For each dependent variable, separate multiple logistic regression models were estimated to determine the impact of cigarette prices. Results There was no indication that price was associated with quit attempts or successful cessation, but price was positively associated with increased odds of intending to quit among African American smokers (p < .001). In contrast, prices were positively associated with intention to quit and quit attempts for White smokers. The association between price and intention to quit was significantly positive for African American low-income and menthol smokers but was not statistically significant for African American high-income and non-menthol smokers. There was no evidence of a price effect on quit attempts and successful cessation for each subgroup of African Americans. Conclusions Tobacco tax policy alone may not be enough to increase quit attempts or successful cessation among African Americans. Community-based cessation programs tailored toward African American smokers, especially low-income menthol smokers, are needed. Implications The results revealed that, among African American smokers, particularly among low-income and menthol smoking African American smokers, price appears to be positively associated with intention to quit; nevertheless, this deterrent effect does not appear to translate to actualized quit attempts or successful cessation. Increasing cigarette prices as a standalone policy may not be independently effective in increasing quit attempts and successful cessation within the African American community. Community-based cessation interventions tailored for African Americans are needed to help further translate desired cessation into actualized quit attempts.

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Lipophilic Statin Use and Suicidal Ideation in a Sample of Adults With Mood Disorders

Crisis ◽

10.1027/0227-5910/a000260 ◽

2014 ◽

Vol 35 (4) ◽

pp. 278-282 ◽

Cited By ~ 14

Author(s):

Karen M. Davison ◽

Bonnie J. Kaplan

Keyword(s):

Suicidal Ideation ◽

Mood Disorders ◽

Prevalence Ratio ◽

Cross Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Symptom Scores ◽

Unit Increase ◽

Predominantly Female ◽

Lipophilic Statin

Background: Mood disorders are associated with a high risk of suicide. Statin therapy has been implicated in this relationship. Aims: To further clarify reported associations between suicide and cholesterol in mental health conditions, we conducted an analysis of dietary, clinical, and suicidal ideation measures in community-living adults with mood disorders. Method: Data were used from a cross-sectional study of a randomly selected community-based sample (> 18 years; n = 97) with verified mood disorders. Dietary (e.g., fat, iron, vitamin intakes), clinical (e.g., current depression and mania symptoms, medications), and sociodemographic (age, sex, and income) measures were analyzed using bivariate statistics and Poisson regression with robust variance. Results: Participants were predominantly female (71.1%) with bipolar disorder (59.8%); almost one-third (28.9%) were taking lipophilic statins. The prevalence of suicidal ideation was more than 2.5 times in those taking statins, PR = 2.59, 95% CI 1.27–5.31, p < .05. The prevalence ratio for suicidal ideation was 1.10, 95% CI 1.06–1.15, p < .001, for each unit increase in mania symptom scores. No associations between suicidal ideation and dietary intake measures were identified. Conclusion: Individuals with mood disorders may be susceptible to neuropsychiatric effects of cholesterol-lowering drugs, which warrants further research.

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Implementing Cancer Exercise Rehabilitation: An Update on Recommendations for Clinical Practice

Current Cancer Therapy Reviews ◽

10.2174/1573394714666180730100432 ◽

2019 ◽

Vol 15 (2) ◽

pp. 100-109 ◽

Cited By ~ 2

Author(s):

Kirsten Suderman ◽

Carolyn McIntyre ◽

Christopher Sellar ◽

Margaret L. McNeely

Keyword(s):

Cancer Survivors ◽

Research Evidence ◽

Clinical Care ◽

Preliminary Evidence ◽

Model Of Care ◽

Community Based ◽

Exercise Rehabilitation ◽

Barriers To Exercise ◽

Growing Body ◽

After Cancer

A growing body of research evidence supports the benefit of exercise for cancer survivors both during and after cancer treatment. The purpose of this paper is to provide an update on our previously published review in 2006 on the state of the evidence supporting exercise for survivors of cancer as well as guidelines for integrating exercise programming in the cancer clinical setting. First, we provide a brief overview on the benefits of exercise as well as preliminary evidence supporting the implementation of community-based exercise programs. Second, we summarize the principles and goals of exercise, and the identified barriers to exercise among cancer survivors. Finally, we propose an interdisciplinary model of care for integrating exercise programming into clinical care including guidelines for medical and pre-exercise screening, exercise testing and programming considerations.

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Population survey of attitudes and beliefs regarding organic, genetically modified, and irradiated foods

Nutrition and Health ◽

10.1177/0260106017690739 ◽

2017 ◽

Vol 23 (1) ◽

pp. 7-11 ◽

Cited By ~ 2

Author(s):

Jane A Gwira Baumblatt ◽

L Rand Carpenter ◽

Caleb Wiedeman ◽

John R Dunn ◽

William Schaffner ◽

...

Keyword(s):

Telephone Survey ◽

Genetically Modified ◽

Organic Food ◽

Prevalence Ratio ◽

Attitudes And Beliefs ◽

Consumer Health ◽

Organic Foods ◽

Gm Foods ◽

Irradiated Foods ◽

Organic Food Consumption

Background: Sales of organic foods are increasing due to public demand, while genetically modified (GM) and irradiated foods are often viewed with suspicion. Aim: The aim of this research was to examine consumer attitudes toward organic, GM and irradiated foods to direct educational efforts regarding their consumption Methods: A telephone survey of 1838 residents in Tennessee, USA was conducted regarding organic, GM, and irradiated foods. Results: Approximately half of respondents (50.4%) purchased organic food during the previous 6 months (‘consumers’). The most common beliefs about organic foods by consumers were higher cost (92%), and fewer pesticides (89%). Consumers were more likely than non-consumers to believe organic food tasted better (prevalence ratio 3.6; 95% confidence interval 3.02–4.23). A minority of respondents were familiar with GM foods (33%) and irradiated foods (22%). Conclusion: Organic food consumption is common in Tennessee, but knowledge about GM and irradiated foods is less common. Consumer health education should emphasize the benefits of these food options, and the safety of GM and irradiated foods.

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Hubungan Persepsi tentang Penularan HIV/AIDS dari Ibu ke Anak terhadap Praktik Penggunaan Kontrasepsi pada Wanita Usia Subur Penerima Obat Antiretroviral di Kota Bandung

Media Penelitian dan Pengembangan Kesehatan ◽

10.22435/mpk.v29i4.2179 ◽

2020 ◽

Vol 29 (4) ◽

Author(s):

Riska Regia Catur Putri ◽

Zulvayanti Zulvayanti ◽

Panji Fortuna Hadisoemarto ◽

Deni K. Sunjaya ◽

Elsa Pudji Setiawati ◽

...

Keyword(s):

Contraceptive Use ◽

Health Belief ◽

Hiv Positive ◽

Childbearing Age ◽

Perceived Susceptibility ◽

Perceived Severity ◽

Hiv Positive Women ◽

Belief Model ◽

Mother To Child ◽

Hiv Aids

Abstract More than 90% of cases of Human Immunodeficiency Virus (HIV) / Acquired Immune Deficiency Syndrom (AIDS) in children, occur due to transmission from mother to child. Prevention of unwanted pregnancies with contraception in HIV positive women is important strategy to reduce the rate of mother to child HIV/AIDS transmission. The practice of contraceptive use in HIV positive women is strongly influenced by individual beliefs regarding the benefits and effectiveness of contraception for the prevention of mother to child HIV/AIDS transmission. This study aims to determine the relationship of perceptions based on the construct of the Health Belief Model (HBM) wich consists of perceived susceptibility, perceived severity, perceived benefit, perceived barrier, self efficacy, and cues to action and based on pluralistic ignorance on the practice of contraceptive use among woman of childbearing age recipients of antiretroviral in Bandung. The design of this study was quantitative non-experimental with survey methods. Data were collected for one month, using questionnaire from 188 women of childbearing age receiving antiretroviral drughs taken by consecutive sampling (non-probability) technique. Data were analyzed by logistic regression. The results revealed perceived susceptibility is an HBM construct that affects contraceptive use (Adjusted Odds Ratio (AOR):4.5). While knowledge (AOR:7.3) and age (AOR:0.801), emerged as other factors that influence contraceptive use among WUS recipients of antiretroviral in Bandung. The HBM is used to predict contraceptive behavior in women. HIV positive women who believe themselves to be at high risk of infecting HIV/AIDS from mother to child will tend to use contraception, besides that knowledge is the basis for HIV positive women taking action to use contraception. Abstrak Lebih dari 90% kasus Human Immunodeficiency Virus (HIV)/Acquired Immune Deficiency Syndrom (AIDS) pada anak, terjadi akibat penularan dari ibu ke anak. Pencegahan kehamilan yang tidak direncanakan dengan kontrasepsi pada wanita HIV positif merupakan strategi penting untuk menurunkan angka penularan HIV/AIDS dari ibu ke anak. Praktik penggunaan kontrasepsi oleh wanita HIV positif sangat dipengaruhi oleh keyakinan individu terkait manfaat dan efektivitas kontrasepsi terhadap pencegahan penularan HIV/AIDS dari ibu ke anak. Penelitian ini bertujuan untuk mengetahui hubungan persepsi berdasarkan konstruk Health Belief Model (HBM) yang terdiri dari perceived susceptibility, perceived severity, perceived benefit, perceived barrier, self efficacy, dan cues to action serta berdasarkan ketidaktahuan majemuk terhadap praktik penggunaan kontrasepsi pada Wanita Usia Subur (WUS) penerima obat antiretroviral di Kota Bandung. Desain penelitian ini adalah kuantitatif non-experimental dengan metode survei. Data dikumpulkan selama satu bulan, menggunakan kuesioner dari 188 WUS penerima obat antiretroviral yang diambil dengan teknik consecutive sampling (non-probability). Data dianalisis dengan regresi logistik. Hasil penelitian mengungkapkan perceived susceptibility adalah konstruk HBM yang berpengaruh terhadap penggunaan kontrasepsi (Adjusted Odds Ratio (AOR):4,5). Sementara pengetahuan (AOR:7,3) dan usia (AOR:0,801) muncul sebagai faktor-faktor lain yang berpengaruh terhadap praktik penggunaan kontrasepsi pada WUS penerima obat antiretroviral di Kota Bandung. HBM digunakan untuk memprediksi perilaku kontrasepsi pada wanita. Wanita HIV positif yang meyakini dirinya berisiko tinggi dapat menularkan HIV/AIDS ke anak, akan cenderung menggunakan kontrasepsi, disamping itu pengetahuan menjadi dasar bagi wanita HIV positif dalam mengambil tindakan untuk menggunakan kontrasepsi.

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Analisis Faktor Perilaku Lansia Dengan Penyakit Kronis Berdasarkan Health Belief Model Di Puskesmas

Jurnal Ilmu Kesehatan MAKIA ◽

10.37413/jmakia.v11i1.153 ◽

2021 ◽

Vol 11 (1) ◽

pp. 71-79

Author(s):

Ellia Ariesti ◽

Felisitas A. Sri S ◽

Elizabeth Y. Y. Vinsur ◽

Kristianto D. N

Keyword(s):

Health Belief Model ◽

Health Belief ◽

Perceived Barriers ◽

Perceived Benefits ◽

Chi Square ◽

Cross Sectional ◽

Perceived Susceptibility ◽

Perceived Severity ◽

Belief Model

ABSTRAK Proses menua sering dikaitkan dengan insiden penyakit kronik seiring dengan penurunan kondisi fisik, psikologis, maupun sosial serta berkurangnya daya tahan tubuh dalam menghadapi pengaruh luar dari ketahanan tubuhnya. Banyak permasalahan timbul dari kondisi kronis di lansia karena meningkatnya jumlah lansia. Pengontrolan maupun pencegahan menuju kondisi lebih parah dapat dilakukan melalui gaya hidup sehat. Salah satu model yang dikembangkan untuk melihat faktor-faktor yang mempengaruhi tindakan seseorang untuk mencari upaya hidup sehat adalah model kepercayaan kesehatan atau Health Belief Model. Tujuan penelitian mengetahui faktor-faktor yang mempengaruhi perilaku lansia dengan penyakit kronis dalam mengatasi penyakitnya berdasarkan Health Belief Model di Puskesmas. Jenis penelitian deskriptif analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah lansia yang mengalami penyakit kronis di Puskesmas Bareng Kota Malang. Jumlah sampel sebanyak 76 responden. Hasil analisis menggunakan uji chi-square menunjukkan bahwa variabel perceived susceptibility, perceived severity, perceived benefits, perceived barriers yang berhubungan dengan perilaku lansia (p<0.05). Hasil model akhir analisis multivariat, variabel perceived barriers merupakan variabel yang berhubungan dengan perilaku lansia yang menderita penyakit kronis. Dukungan individu lain terhadap lansia mulai dari mereka yang tinggal bersama maupun oleh aparat penduduk setempat untuk meminimalkan atau menghilangkan rintangan mesti dilakukan agar kualitas hidup lansia dengan penyakit kronis dapat optimal. Kata Kunci : Health Belief Model, Penyakit Kronis, Perilaku Lansia

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Associations between the number of children, age at childbirths and prevalence of chronic low back pain: the Nord-Trøndelag Health Study

BMC Public Health ◽

10.1186/s12889-020-09480-0 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Ingrid Heuch ◽

Ivar Heuch ◽

Knut Hagen ◽

Kjersti Storheim ◽

John-Anker Zwart

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Prevalence Ratio ◽

Health Study ◽

Low Back ◽

Community Based ◽

Cross Sectional ◽

Number Of Children ◽

Cross Sectional Design ◽

Generalised Linear Modelling

Abstract Background Associations between childbirths and subsequent risk of low back pain (LBP) have not been clarified. Changes in sex hormone levels or lumbar posture during pregnancy may have an impact on LBP later in life. The purpose of this study was to explore associations between the number of childbirths, age at childbirths and prevalence of chronic LBP in a general population of women. Methods Data were obtained from the Norwegian community-based Nord-Trøndelag Health Study, HUNT2 (1995–1997). Women aged 20–69 years indicated whether they suffered from chronic LBP, defined as LBP persisting at least 3 months continuously during last year. Information about LBP was collected from 3936 women who had experienced no childbirths, 3143 women who had delivered one child only and 20,584 women who had delivered 2 or more children. Of these, 7339 women reported chronic LBP. The 595 women who were pregnant when information was collected were considered separately, regardless of previous births, with 80 women reporting chronic LBP. Associations with prevalence of chronic LBP were examined by generalised linear modelling with adjustment for potential confounders in a cross-sectional design. Results Women who had delivered one child only showed a higher prevalence of chronic LBP than women with no childbirths (prevalence ratio (PR) 1.11; 95% CI: 1.01–1.22). Among women with one or more childbirths, no overall change in prevalence could be demonstrated with an increasing number of children in analyses adjusted for age at first delivery. In women with at least two childbirths, an age less than 20 years at first childbirth was associated with an increased prevalence of chronic LBP (PR 1.36; 95% CI: 1.25–1.49; compared with age 25–29 years). No association was observed between age at last delivery and chronic LBP. The lowest prevalence of chronic LBP was found among women who were currently pregnant (PR 0.80; 95% CI: 0.63–1.00; compared with women with no childbirths). Conclusions Having experienced at least one childbirth seems to be associated with a higher prevalence of chronic LBP later in life. A young age at first childbirth is also associated with a long-lasting increased prevalence.

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Mobilising community networks for early identification of tuberculosis and treatment initiation in Cambodia: an evaluation of a seed-and-recruit model

ERJ Open Research ◽

10.1183/23120541.00368-2019 ◽

2020 ◽

Vol 6 (2) ◽

pp. 00368-2019

Author(s):

Alvin Kuo Jing Teo ◽

Kiesha Prem ◽

Sovannary Tuot ◽

Chetra Ork ◽

Sothearith Eng ◽

...

Keyword(s):

Early Identification ◽

Proportional Hazards ◽

Treatment Initiation ◽

Prevalence Ratio ◽

Cox Proportional Hazards ◽

Case Finding ◽

Community Networks ◽

Community Based ◽

Time To Treatment ◽

Time To Treatment Initiation

Background and objectivesThe effects of active case finding (ACF) models that mobilise community networks for early identification and treatment of tuberculosis (TB) remain unknown. We investigated and compared the effect of community-based ACF using a seed-and-recruit model with one-off roving ACF and passive case finding (PCF) on the time to treatment initiation and identification of bacteriologically confirmed TB.MethodsIn this retrospective cohort study conducted in 12 operational districts in Cambodia, we assessed relationships between ACF models and: 1) the time to treatment initiation using Cox proportional hazards regression; and 2) the identification of bacteriologically confirmed TB using modified Poisson regression with robust sandwich variance.ResultsWe included 728 adults with TB, of whom 36% were identified via the community-based ACF using a seed-and-recruit model. We found community-based ACF using a seed-and-recruit model was associated with shorter delay to treatment initiation compared to one-off roving ACF (hazard ratio 0.81, 95% CI 0.68–0.96). Compared to one-off roving ACF and PCF, community-based ACF using a seed-and-recruit model was 45% (prevalence ratio (PR) 1.45, 95% CI 1.19–1.78) and 39% (PR 1.39, 95% CI 0.99–1.94) more likely to find and detect bacteriologically confirmed TB, respectively.ConclusionMobilising community networks to find TB cases was associated with early initiation of TB treatment in Cambodia. This approach was more likely to find bacteriologically confirmed TB cases, contributing to the reduction of risk of transmission within the community.

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