Current Trends and Impact of Smoking Cessation Interventions for Adult Smokers in Low and Middle Income Countries: A Systematic Literature Review

Owotomo, Olusegun

doi:10.1017/jsc.2014.14

Cited by 3 publications

(3 citation statements)

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“…This framework mandate countries to take more stringent measures on tobacco control, particularly in monitoring, smoke-free policies, cessation program, warnings, advertising ban, and tobacco taxation [ 55 ]. The government should focus on promoting the coverage and accessibility of smoking cessation interventions, which are culturally appropriate [ 56 ]. While Indonesia has integrated “offer help to quit tobacco” as a part of the WHO Package of Essential NCD (WHO PEN) interventions in the primary health care, [ 57 ] only 34.6% of smokers who visited healthcare providers received advice to quit smoking [ 58 ].…”

Section: Discussionmentioning

confidence: 99%

The relative impact of underweight, overweight, smoking, and physical inactivity on health and associated costs in Indonesia: propensity score matching of a national sample

Ihyauddin

Marthias

Anindya

et al. 2022

BMC Health Serv Res

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Background Indonesia is in the middle of a rapid epidemiological transition with an ageing population and increasing exposure to risk factors for chronic conditions. This study examines the relative impacts of obesity, tobacco consumption, and physical inactivity, on non-communicable diseases multimorbidity, health service use, catastrophic health expenditure (CHE), and loss in employment productivity in Indonesia. Methods Secondary analyses were conducted of cross-sectional data from adults aged ≥ 40 years ( n = 12,081) in the Indonesian Family Life Survey 2014/2015. We used propensity score matching to assess the associations between behavioural risk factors and health service use, CHE, employment productivity, and multimorbidity. Results Being obese, overweight and a former tobacco user was associated with a higher number of chronic conditions and multimorbidity ( p < 0.05). Being a former tobacco user contributed to a higher number of outpatient and inpatient visits as well as CHE incidences and work absenteeism. Physical inactivity relatively increased the number of outpatient visits (30% increase, p < 0.05) and work absenteeism (21% increase, P < 0.06). Although being underweight was associated with an increased outpatient care utilisation (23% increase, p < 0.05), being overweight was negatively associated with CHE incidences (50% decrease, p < 0.05). Conclusion Combined together, obesity, overweight, physical inactivity and tobacco use contributed to an increased number of NCDs as well as medical costs and productivity loss in Indonesia. Interventions addressing physical and behavioural risk factors are likely to have substantial benefits for individuals and the wider society in Indonesia. Supplementary Information The online version contains supplementary material available at 10.1186/s12913-022-08546-6.

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Section: Discussionmentioning

confidence: 99%

The relative impact of underweight, overweight, smoking, and physical inactivity on health and associated costs in Indonesia: propensity score matching of a national sample

Ihyauddin

Marthias

Anindya

et al. 2022

BMC Health Serv Res

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“…To date, two systematic reviews and a scoping review have identified several observational or randomized controlled studies assessing the efficacy of smoking cessation interventions in LMICs [16][17][18] however, none of them focused upon economic evaluations that evaluated both the cost and effectiveness of those interventions.…”

Section: Although Several Tobacco Control Interventions Have Been Foundmentioning

confidence: 99%

Economic evaluations of tobacco control interventions in low‐ and middle‐income countries: a systematic review

et al. 2022

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Background and Aims Tobacco consumption and its associated adverse outcomes remain major public health issues, particularly in low‐ and middle‐income countries. This systematic review aimed to identify and critically assess full economic evaluations for tobacco control interventions in low‐ and middle‐income countries. Methods Electronic databases, including EMBASE, MEDLINE and PsycINFO and the grey literature, were searched using terms such as ‘tobacco’, ‘economic evaluation’ and ‘smoking’ from 1994 to 2020. Study quality was assessed using the Consensus Health Economic Criteria and the Philips checklist. Studies were included which were full economic evaluations of tobacco control interventions in low‐ and middle‐income settings. Reviews, commentaries, conference proceedings and abstracts were excluded. Study selection and quality assessment were conducted by two reviewers independently. A narrative synthesis was conducted to synthesize the findings of the studies. Results This review identified 20 studies for inclusion. The studies evaluated a wide range of interventions, including tax increase, nicotine replacement therapy (nicotine patch/gum) and financial incentives. Overall, 12 interventions were reported to be cost‐effective, especially tax increases for tobacco consumption and cessation counselling. There were considerable limitations regarding data sources (e.g. using cost data from other countries or assumptions due to the lack of local data) and the model structure; sensitivity analyses were inadequately described in many studies; and there were issues around the transferability of results to other settings. Additionally, the affordability of the interventions was only discussed in two studies. Conclusions There are few high‐quality studies of the cost‐effectiveness of tobacco use control interventions in low‐ and middle‐income countries. The methodological limitations of the existing literatures could affect the generalizability of the findings.

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“…Undertaking a systematic literature review, Owotomo (2014) reported that smoking cessation interventions in low-and middleincome countries are not generally available and affordable for adults, and therefore costeffective and culturally appropriate interventions are needed. The situation is similar for adolescents.…”

Section: Interventions In Chinamentioning

confidence: 99%

A Theory-Based Smoking Intervention for Chinese High School Students: Development, Implementation, and Evaluation

Zhao¹

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Background: With 316 million smokers, China is the world's largest tobacco consumer.Adolescent smoking rates are increasing among females, and remain at a high level among males. Reducing smoking behaviour and associated cognitions in this transitional period is important to curb smoking in early adulthood.Objective: There were two objectives in this PhD: (i) to explore the psychological mechanisms underlying Chinese adolescents' smoking behaviour (Study 1); and (ii) to develop, implement, and evaluate a school-based smoking intervention among Chinese adolescents (Study 2). The latter objective was based on the former.Design: Mixed approaches were utilised. Study 1 used semi-structured focus groups based on the Theory of Planned Behaviour (TPB) among high school students. Following the Consensual Qualitative Research (CQR) methods, data were coded into seven domains.Based on the findings in Study 1, a belief-driven smoking programme ("Achieve my healthy future") was designed, and incorporated life skills training. After the implementation of the programme, smoking behaviour, associated cognitions, and skills were evaluated in a longitudinal design (3 time-points). Study 2 also included a qualitative study of the perceptions of school-based tobacco management among high school students and teaching staff members, using focus groups and interviews.Setting: Two middle schools in Kunming, Yunnan Province, China (February -October 2016). Participants: Thirty 10th graders in Study 1 (50% female and 50% male); 207 10 th graders enrolled in Study 2 (106 in the intervention group; 101 in the control group).ii Measurements: Two qualitative studies and one quantitative study were included. For the elicitation study (Study 1), focus groups was used. For the qualitative study (Study 2), smoking behaviour, associated cognitions (intention, attitude, subjective norm, perceived behavioural control, willingness, prototype), and life skills (stress coping, decision making, assertiveness, pragmatics, dispositions towards critical thinking) were tested. For the perception study (Study 2), mixed data from focus groups, interviews, and field observations were used.Intervention: Based on the findings of Study 1, a four-session classroom-based intervention was designed. The programme focused on psychological constructs (attitude, subjective norm, perceived behavioural control, and prototype) as well as life skills (stress coping, decision making, assertiveness and pragmatics, and critical thinking). Each session lasted for 40 minutes.Key findings: (i) Study 1 identified seven domains, namely, advantages, disadvantages, approvers, disapprovers, facilitators, barriers, and smoker images. Smoking as a gendered behaviour, smoking as influenced by cultural and environmental contexts, smoking as a strategy to cope with stress, and awareness of the harm of smoking, are highlighted themes across domains. Based on the elicited beliefs, a smoking intervention programme was designed. Study 2 showed that (ii) the pilot intervention based o...

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Current Trends and Impact of Smoking Cessation Interventions for Adult Smokers in Low and Middle Income Countries: A Systematic Literature Review

Cited by 3 publications

References 23 publications

The relative impact of underweight, overweight, smoking, and physical inactivity on health and associated costs in Indonesia: propensity score matching of a national sample

The relative impact of underweight, overweight, smoking, and physical inactivity on health and associated costs in Indonesia: propensity score matching of a national sample

Economic evaluations of tobacco control interventions in low‐ and middle‐income countries: a systematic review

A Theory-Based Smoking Intervention for Chinese High School Students: Development, Implementation, and Evaluation

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