The Estimated Effect of Physicians' Advice for Smoking Cessation and Assumed Tobacco Retail Price Increase on Smoker's Intention to Quit in Shanghai, China: A Cross-Sectional Study

Wang, Ruiping; Gao, Xiangjin; Yan, Qiang; Yang, Qiong; Li, Xiaopan; Li, Bin

doi:10.3389/fpubh.2021.740476

Cited by 8 publications

(12 citation statements)

References 32 publications

(53 reference statements)

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“…Multistage sampling method was employed to recruit current smokers among the 15 sub-districts in Songjiang district and the 12 sub-districts in Fengxian district, Shanghai. detailed information for smoker recruitment by multistage sampling can be found in our previous published works 25 , 26 . A total of 1104 smokers completed the interview and were included in the final data analysis.…”

Section: Methodsmentioning

confidence: 99%

“…We employed an electronic questionnaire for data collection 25 , 26 . The electronic questionnaire has an audio record function which allows data entry quality inspection and is convenient for paperless data input.…”

Section: Methodsmentioning

confidence: 99%

“…In this study, a current smoker was defined as a person who smoked ≥100 cigarettes in a lifetime and still smoked at the time of investigation 25 , 26 . Smoking duration was defined as the time interval between investigation time and smoking initiation time in current smokers 25 , and then classified it into <20 and ≥20 years.…”

Section: Methodsmentioning

confidence: 99%

“…Individual monthly income was categorized into three groups: <5000, 5000–10000, and >10000 RMB (1000 Chinese Renminbi about 140 US$). The 7 types of NCD were classified into respiratory system (RS) related NCD and non-RS-related NCD 25 , 26 .…”

Section: Methodsmentioning

confidence: 99%

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Prevalence of non-communicable diseases and its association with tobacco smoking cessation intention among current smokers in Shanghai, China

Wang¹,

Yan²,

Gao³

et al. 2022

Tob. Induc. Dis.

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INTRODUCTION Smoking remains one of the biggest public health challenges worldwide, quitting tobacco smoking can lead to substantial health gains, even later in life. Previous studies indicate that illness can be a powerful motivation to quit and physicians’ advice on smoking cessation has been shown to improve quit rates, but evidence on the role of non-communicable diseases in smoking cessation is limited. This cross-sectional study aims to evaluate the prevalence of non-communicable diseases and to explore its role in smoking cessation intention in smokers in Shanghai. METHODS From January to June 2021, 1104 current smokers were recruited in the Songjiang and Fengxian districts of Shanghai. We used an Android assisted electronic questionnaire for data collection, and implemented logistic regression for odds ratio (OR) and 95% confidence interval (CI) calculation to explore how smoking cessation intention would be influenced by non-communicable diseases comorbidity among smokers. RESULTS The 1104 current smokers included 914 males (82.8%), with an average age of 43.6 years. Approximately 22% of smokers had at least 1 type of non-communicable disease, with 17.8% for non-respiratory system related non-communicable diseases and 6.6% for respiratory system related non-communicable diseases. The prevalence of non-communicable diseases comorbidity ranged from 0.5% to 13.9%, and was higher in male smokers; 41.8% of current smokers had intention to quit smoking in a recent year, and the percentage of smoking cessation intention was higher in smokers with non-communicable diseases. Logistic regression indicated that smokers with non-communicable diseases had 1.3 (95% CI: 1.0–1.8) times higher smoking cessation intention than those without non-communicable disease. The findings were consistent in respiratory system related and non-respiratory system related non-communicable diseases. CONCLUSIONS The prevalence of non-communicable diseases was high among current smokers in Shanghai, and their smoking cessation intention was associated with non-communicable diseases comorbidity. Physicians should treat illness as a powerful motivation and provide professional cessation service to tobacco users to reverse the severe tobacco epidemic.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Prevalence of non-communicable diseases and its association with tobacco smoking cessation intention among current smokers in Shanghai, China

Wang¹,

Yan²,

Gao³

et al. 2022

Tob. Induc. Dis.

Self Cite

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show abstract

“…This association between cigarette price increase and quantity decrease has also been observed in many other countries such as China, Japan, and Argentina [ 6 , 8 , 13 ]. Additionally, an increase in cigarette price changed smokers’ intention to quit and made them more likely to lower their level of consumption [ 14 ].…”

Section: Literature Reviewmentioning

confidence: 99%

Reactions to Pictorial and Text Cigarette Pack Warning Labels among Chinese Smokers

Wang

Yao

Wang

et al. 2022

IJERPH

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Objectives. This study aims at examining the impact of graphic pictorial warning labels on inten-tion to quit smoking and perceived harms among Chinese working-age adults (n = 661). Methods. A randomized controlled trial is utilized as the research design by comparing three scenarios: Group 1 as baseline (n = 193) and presented with real market tobacco products with text-only la-bels, Group 2 as price group and with hypothetical scenarios of manipulated prices, and Group 3 as the imaging group and with hypothetical scenarios of graphic pictorial cigarette warning la-bels. Both bivariate and multivariate analyses are utilized to determine the effectiveness of warn-ing labels. Results. Graphic pictorial cigarette warning labels are associated with stronger inten-tion to quit smoking and greater perceived harms. Smokers have a greater number of attempts if they are less nicotine dependent and express greater smoking risk perceptions. Conclusions. This study adds to the evidence that graphic pictorial warning labels are more effective than text-only labels in increasing intention to quit smoking. As China strives to achieve a reduction in smoking to meet the goal of the Healthy China 2030 initiative, this work strengthens the evidence base for policy makers, practitioners, and researchers to design low-cost warning labels on cigarette packs to promote tobacco control.

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Exposure to Second-hand Smoke and Having Regular Family Physicians Are Associated With Cessation of Smoking During Pregnancy: A Population-based Study

Dahal,

Dharel,

Pokhrel

et al. 2024

Canadian Journal of Addiction

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Background: The association of second-hand smoke with prenatal smoking cessation is less studied, and so is the family physician’s role in prenatal smoking cessation. We examined the association between second-hand smoke during pregnancy and having a regular family physician with prenatal smoking cessation in a representative sample of Canadian households. Method: We used the data from Canadian Community Health Surveys (CCHS), 2017–2018, with a sample of 838 women who reported regular (every day) smoking within the 3 months before knowing their last pregnancy. The outcome variable was dichotomized as cessation or continuation of smoking during pregnancy. We used multivariable logistic regression, adjusted for socio-demographic variables, to examine the association of smoking cessation during pregnancy with second-hand smoke and having a regular family physician. Results: Overall, 33.9% (95% confidence interval, 30.0%, 39.2%) of women who were regular smokers before pregnancy reported quitting smoking during pregnancy. The smoking cessation rate was 17.6% (95% CI 11.8, 25.4) among women who had exposure to second-hand smoke and 38.1% (95% CI 32.1, 44.5) women who had a regular family physician. When adjusted for maternal age, maternal education, total household income, and indigenous status, exposure to second-hand smoke was associated with lower odds of smoking cessation during pregnancy, adjusted odds ratios (aOR) of 0.22 (95% CI: 0.12, 0.41) and having a regular family physician was associated with higher odds of quitting smoking [aOR 2.67 (95% CI: 1.23, 5.79)]. Conclusion: Smoking cessation during pregnancy was negatively associated with ongoing exposure to second-hand smoke and was positively associated with having a regular family physician. Contexte: L’association entre l’exposition à la fumée secondaire et le renoncement au tabac pendant la grossesse est moins étudiée, tout comme le rôle du médecin de famille dans le renoncement au tabac pendant la grossesse. Nous avons examiné l’association entre la fumée secondaire pendant la grossesse et le fait d’avoir un médecin de famille régulier et l’abandon du tabagisme prénatal dans un échantillon représentatif de ménages canadiens. Méthode: Nous avons utilisé les données des enquêtes sur la santé dans les collectivités canadiennes (ESCC), 2017–2018, avec un échantillon de 838 femmes qui ont déclaré avoir fumé régulièrement (tous les jours) au cours des trois mois avant de connaitre leur dernière grossesse. La variable de résultat a été divisée en cessation ou poursuite du tabagisme pendant la grossesse. Nous avons utilisé une régression logistique multivariable, ajustée sur les variables sociodémographiques, pour examiner l’association de l’arrêt du tabac pendant la grossesse avec l’exposition à la fumée secondaire et le fait d’avoir un médecin de famille régulier. Résultats: Dans l’ensemble, 33.9% (intervalle de confiance à 95%, 30.0%, 39.2%) des femmes qui fumaient régulièrement avant la grossesse ont déclaré avoir cessé de fumer pendant la grossesse. Le taux d’abandon du tabac était de 17.6% (IC 95% 11.8, 25.4) chez les femmes exposées à la fumée secondaire et de 38.1% (IC 95% 32.1, 44.5) chez les femmes qui avaient un médecin de famille régulier. Après ajustement en fonction de l'âge maternel, du niveau d'éducation de la mère, du revenu total du ménage et du statut d’autochtone, l’exposition à la fumée secondaire était associée à une probabilité plus faible d’arrêt du tabac pendant la grossesse, rapport de cotes ajusté (RCA) de 0.22 (IC à 95%: 0.12, 0.41), et le fait d’avoir un médecin de famille régulier était associé à une probabilité plus élevée d’arrêt du tabac [RCA de 2.67 (IC à 95% : 1.23, 5.79)]. Conclusion: L’arrêt du tabac pendant la grossesse est négativement associé à l’exposition continue à la fumée secondaire et positivement associé au fait d’avoir un médecin de famille régulier.

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The Estimated Effect of Physicians' Advice for Smoking Cessation and Assumed Tobacco Retail Price Increase on Smoker's Intention to Quit in Shanghai, China: A Cross-Sectional Study

Cited by 8 publications

References 32 publications

Prevalence of non-communicable diseases and its association with tobacco smoking cessation intention among current smokers in Shanghai, China

Prevalence of non-communicable diseases and its association with tobacco smoking cessation intention among current smokers in Shanghai, China

Reactions to Pictorial and Text Cigarette Pack Warning Labels among Chinese Smokers

Exposure to Second-hand Smoke and Having Regular Family Physicians Are Associated With Cessation of Smoking During Pregnancy: A Population-based Study

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