Smoking-related psychosocial beliefs and justifications among smokers in India: Findings from Tobacco Control Policy (TCP) India Surveys.
Smoking-related psychosocial beliefs and justifications among smokers in India: Findings from Tobacco Control Policy (TCP) India Surveys.
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DOI：
10.1186/s12889-022-14112-w
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发表时间：
2022-09-13
影响因子：
4.5
通讯作者：
中科院分区：
文献类型：
--
作者：
先前在高收入国家（HIC）的研究表明，吸烟者随着时间的推移通过两种类型的理由来减少他们的认知失调：风险最小化和功能信念。然而，迄今为止，这些理由与吸烟行为之间的关系随着时间的推移，从低收入和中等收入国家的证据有限。本研究探讨了这些理由及其与印度吸烟者戒烟行为和意图的关系。这些数据来自烟草控制政策（TCP）印度调查，这是一个具有全国代表性的烟草使用者样本的前瞻性队列。受访者包括参与第1波（W1; 2010-2011）和第2波（W2; 2012-2013）调查的吸烟（香烟和比迪）使用者（n = 1112）。关键措施包括有关社会心理信仰的问题，如功能性信仰（例如，当你有压力或心烦意乱时，吸烟会让你平静下来）和风险最小化信念（例如，吸烟有害的医学证据被夸大了）和第二波的戒烟行为和意图。在W1的1112名吸烟者中，78名（7.0%）在W2时戒烟，86名（7.8%）有戒烟意向。与W1相比，在W2时，过渡到混合使用（使用吸烟和无烟烟草）的吸烟者的功能信念显着增加，而戒烟者的功能信念显着减少。在W2，戒烟者的功能信念水平显著低于持续吸烟者和混合使用者（M分别为2.96，3.30和3.93，p <0.05）。相比之下，风险最小化信念在两次浪潮之间没有显著变化。此外，较高的收入和较低的功能信念是戒烟行为在W2的显着预测。这些结果表明，印度的吸烟者表现出与HIC研究报告中相似的失调减少模式：戒烟的吸烟者以功能信念的形式减少了吸烟的理由，而不是风险最小化信念。吸烟者的信念变化与他们的吸烟行为和功能性信念相比，风险最小化信念往往发挥重要作用。烟草控制信息和干预措施可以针对这些功能性信念来制定，以促进戒烟。在线版本包含补充材料，可通过10.1186/s12889-022-14112-w获得。
Previous research in high-income countries (HICs) has shown that smokers reduce their cognitive dissonance through two types of justifications over time: risk minimizing and functional beliefs. To date, however, the relationship between these justifications and smoking behaviors over time has limited evidence from low- and middle-income countries. This study examines these of justifications and their relation to quitting behavior and intentions among smoking tobacco users in India. The data are from the Tobacco Control Policy (TCP) India Survey, a prospective cohort of nationally representative sample of tobacco users. The respondents include smoked tobacco (cigarettes and bidi) users (n = 1112) who participated in both Wave 1 (W1; 2010–2011) and Wave 2 (W2; 2012–2013) surveys. Key measures include questions about psychosocial beliefs such as functional beliefs (e.g., smoking calms you down when you are stressed or upset) and risk-minimizing beliefs (e.g., the medical evidence that smoking is harmful is exaggerated) and quitting behavior and intentions at Wave 2. Of the 1112 smokers at W1, 78 (7.0%) had quit and 86 (7.8%) had intentions to quit at W2. Compared to W1, there was a significant increase in functional beliefs at W2 among smokers who transitioned to mixed use (using both smoking and smokeless tobacco) and a significant decrease among those who quit. At W2, smokers who quit held significantly lower levels of functional beliefs, than continuing smokers, and mixed users ((M = 2.96, 3.30, and 3.93, respectively, p < .05). In contrast, risk-minimizing beliefs did not change significantly between the two waves. Additionally, higher income and lower functional beliefs were significant predictors of quitting behavior at W2. These results suggest that smokers in India exhibit similar patterns of dissonance reduction as reported in studies from HICs: smokers who quit reduced their smoking justifications in the form of functional beliefs, not risk-minimizing beliefs. Smokers’ beliefs change in concordance with their smoking behavior and functional beliefs tend to play a significant role as compared to risk-minimizing beliefs. Tobacco control messaging and interventions can be framed to target these functional beliefs to facilitate quitting. The online version contains supplementary material available at 10.1186/s12889-022-14112-w.
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影响因子：
5.2
作者：
El-Toukhy S;Choi K;Hitchman SC;Bansal-Travers M;Thrasher JF;Yong HH;O'Connor RJ;Shang C
通讯作者：
Shang C
影响因子：
4.7
作者：
Hyland, A;Li, Q;Cummings, KN
通讯作者：
Cummings, KN
影响因子：
4.2
作者：
Yong, Hua-Hie;Borland, Ron
通讯作者：
Borland, Ron
影响因子：
12.7
作者：
CROOG, SH;RICHARDS, NP
通讯作者：
RICHARDS, NP
影响因子：
6
作者：
Yong, Hua-Hie;Borland, Ron;Partos, Timea
通讯作者：
Partos, Timea