Project EX — A teen smoking cessation initial study in Wuhan, China

Zheng, Hong; Sussman, Steve; Chen, Xinguang; Xia, Jing; Gong, Jicheng; Liu, Chunhong; Shan, Jianguo; Unger, Jennifer B.; Johnson, C. Anderson

doi:10.1016/j.addbeh.2004.03.035

Cited by 33 publications

(47 citation statements)

References 11 publications

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“…The program resulted in a 14.3% 7-day quit rate, 10.5% 30-day quit rate, and, among those who did not quit, a 16% reduction in daily smoking at post-test and 33% reduction at 4-month follow-up. The use of cell phone text messaging and other web-based approaches hold tremendous potential for scalable cost-effective methods of reaching large populations as is the case in China ( Zheng et al, 2004 ).…”

Section: Introductionmentioning

confidence: 99%

Tobacco Smoking, Quitting, and Relapsing Among Adult Males in Mainland China: The China Seven Cities Study

Gruder

Trinidad

Palmer

et al. 2012

Nicotine & Tobacco Research

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Introduction: Despite an estimated 1 million tobacco-related deaths annually in China, public health offi cials face overwhelming barriers to implementing effective tobacco control policies and programs. Models of effective tobacco control can be adapted for Chinese tobacco use and culture based on reliable and valid data regarding predictors of smoking and abstaining. Methods:As part of the China Seven Cities Study to assess the role of rapid social, economic, and cultural change on tobacco use and related health practices and outcomes, 4,072 adult male smokers provided data in 3 annual waves. Measures included current smoking, nicotine dependence, readiness for quitting, perceived stress, hostility, depressive symptoms, as well as covariates (e.g., age, marital status, educational attainment, and family income).Results: Odds of being abstinent at Wave 3 were increased by: lower nicotine dependence at Wave 1 and becoming less dependent between Waves 1 and 3; progressing beyond the contemplation stage between Waves 1 and 3; perceiving less stress, whether initially at Wave 1 or over time from Wave 1 to Wave 3; and lower hostility scores at Wave 1 and decreased hostility from Wave 1 to Wave 3. Among those who quit, odds of remaining abstinent rather than relapsing by Wave 3 were higher among those who were less dependent at Wave 1 and who became less dependent from Wave 1 to Wave 3; and those who showed decreases in hostility from Wave 1 to Wave 3. Conclusions:The public health challenge posed by very high prevalence of male smoking in China can be met by policies and programs that lead to successful long-term cessation. This can only be done successfully by designing interventions based on knowledge of the country ' s smokers and the current study suggests several elements.

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Section: Introductionmentioning

confidence: 99%

Tobacco Smoking, Quitting, and Relapsing Among Adult Males in Mainland China: The China Seven Cities Study

Gruder

Trinidad

Palmer

et al. 2012

Nicotine & Tobacco Research

View full text Add to dashboard Cite

show abstract

“…At the end of the eight-session intervention, 3.8% had not smoked in the past 30 days and 12.4% had not smoked in the past week; at the four-month follow-up, 10.5% had been continuously abstinent for 30 days and 14.3% had been abstinent for the past week. Overall, participants reduced smoking by 16% at the end of treatment and by one-third at the four-month follow-up 48 . Finally, a recent article 49 provided some evidence that Project EX could be successfully adapted to a classroom-based setting from the traditional school clinic-based setting.…”

Section: Project Exmentioning

confidence: 93%

“…Project EX was examined in a sample of 46 Chinese adolescents, using an open-label design adapted to a Chinese population 48 . At the end of the eight-session intervention, 3.8% had not smoked in the past 30 days and 12.4% had not smoked in the past week; at the four-month follow-up, 10.5% had been continuously abstinent for 30 days and 14.3% had been abstinent for the past week.…”

Section: Project Exmentioning

confidence: 99%

“…Given the immense morbidity, mortality and cost associated with smoking, investigations to establish the most cost-effective and efficacious treatments for individual adolescents, based on salient variables, should be the long-term goal for adolescent smoking cessation treatment. [37] NR, Open-label [79] MI & skill building [80] Patten et al, 2006 [81] Transtheoretical model-based skill building 24 weeks of access to website 4-session brief intervention CO [48] 46 0% (all Chinese) 5.7…”

Section: Future Directionsmentioning

confidence: 99%

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Smoking Cessation for Adolescents: A Review of Pharmacological and Psychosocial Treatments

Schepis

Rao²

2008

CDAR

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Unlike the vast literature on smoking cessation in adults, research in adolescents has gained significant attention only within the last decade. Even with this increase in focus, research into pharmacological aids for smoking cessation in adolescents (e.g., nicotine replacement therapy, bupropion) is a more recent phenomenon and has produced only modest results. While more extensive, much of the research on behaviorally-or psychosocially-based adolescent smoking cessation interventions has been limited by a lack of control for contact time, biochemical verification of self-reported abstinence, and/or a theoretical focus for the interventions. The MEDLINE, PubMed, PSYCInfo CINHAL and Cochrane Systematic Review databases were searched for articles relevant to adolescent smoking cessation treatment. After briefly examining the adolescent smoking cessation research prior to 2000, more recent developments in pharmacological aids and psychological treatment will be reviewed. Investigations have made progress in elucidating efficacious treatments for adolescent smokers, but much work remains to be done in both pharmacological and non-pharmacological areas of treatment. With the current state of the literature as a guide, future directions for research into smoking cessation for adolescents will be proposed.

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“…Data were collected using the Chinese Student Health Behavior Questionnaire (CSHBQ), a paper-and-pencil survey we previously used in China (Zheng, Sussman, Chen, Wang, Xia et al, 2004;Lau, Chen, & Ren., 2012). The participants filled out the questionnaire in their classrooms.…”

Section: Participants and Data Collectionmentioning

confidence: 99%

Receptivity to Pro-Tobacco Media and Cigarette Smoking among Vocational High School Students in China

Chen

Gong

et al. 2013

IJPS

Self Cite

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The purpose of this study was to assess the association of receptivity to pro-smoking media and cigarette smoking among adolescents in China and updating data on smoking prevalence and typology. Data were collected from a random sample (n=553) of vocational high school students in Wuhan, China, with a response rate of 99%. Media receptivity was assessed using the Adolescent Tobacco Media Receptivity Scale (ATMRS, score range of 1-4). Smoking typology including habitual smokers and chippers, and smoking prevalence in one day, two days, one week, one month, two months, six months and one year were assessed. Reported smoking was verified using exhaled carbon monoxide. It was found that the initiation rates of smoking were 71.3% for boys and 27.4% for girls with 45% of the boys and 6.3% of the girls smoking in the past 30 days. Of the smokers, 40.7% were self-stoppers and 29.6% were chippers. The mean ATMRS score was 2.45 (SD=0.83) with boys scoring higher than girls. ATMRS scores were significantly associated with initiation and after-initiation smoking assessed at various durations. Findings of this study imply that Chinese youth are highly receptive to pro-tobacco media. Social marketing against tobacco advertising should be adopted as an important strategy for tobacco control in China. In addition, the period of 30-day appears to be an optimal choice to assess cigarette smoking as conventionally used in past research.

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Project EX — A teen smoking cessation initial study in Wuhan, China

Cited by 33 publications

References 11 publications

Tobacco Smoking, Quitting, and Relapsing Among Adult Males in Mainland China: The China Seven Cities Study

Tobacco Smoking, Quitting, and Relapsing Among Adult Males in Mainland China: The China Seven Cities Study

Smoking Cessation for Adolescents: A Review of Pharmacological and Psychosocial Treatments

Receptivity to Pro-Tobacco Media and Cigarette Smoking among Vocational High School Students in China

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