Functional beliefs about smoking and quitting activity among adult smokers in four countries: Findings from the international tobacco control four-country survey
Functional beliefs about smoking and quitting activity among adult smokers in four countries: Findings from the international tobacco control four-country survey
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DOI：
10.1037/0278-6133.27.3(suppl.).s216
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发表时间：
2008-05-01
影响因子：
4.2
通讯作者：
Borland, Ron
中科院分区：
文献类型：
--
作者：
Yong, Hua-Hie;Borland, Ron
目的：探讨六种功能性吸烟信念在成年吸烟者中的心理测量学特征、分布特征及其对戒烟行为的预测效用。设计图：数据来自国际烟草控制四国调查（ITC-4）的前三波，这是一项随机数字拨号电话调查，每年对来自英国，美国，加拿大和澳大利亚的8，000多名成年吸烟者进行随访。主要结果测量：放弃尝试和下一波尝试的成功率。结果：六个功能性信念测量彼此适度相关，并且随着时间的推移适度稳定。吸烟的享受和生活改善显着负相关的戒烟尝试，至少部分介导的戒烟意图和依赖。在那些尝试戒烟的人中，吸烟用于压力管理似乎会降低戒烟成功率，这一效果是通过戒烟自我效能和依赖性介导的。为了控制体重、社交便利和帮助集中注意力而吸烟与戒烟无关。结论：吸烟的积极原因可能会阻碍戒烟，但压力管理似乎是唯一能预测戒烟成功的功能。干预应该针对这些信念，并审查干预与戒烟结果无关的信念的价值。
Objective: To examine the psychometric properties, distributions, and predictive utility for quitting behavior of six functional beliefs about smoking among adult smokers. Design: Data was from the first three waves of the International Tobacco Control Four-Country Survey (ITC-4), a random-digit dialed telephone survey of a cohort of over 8,000 adult current smokers from the United Kingdom, United States, Canada, and Australia followed up annually. Main Outcome Measures: Quitting attempts and the success of such attempts at the next wave. Results: The six functional belief measures are modestly correlated with each other and are moderately stable over time. Smoking for enjoyment and life enhancement were significantly negatively related to quitting attempts, at least partly mediated by quitting intention and dependence. Smoking for stress management appeared to reduce quit success among those who tried, an effect mediated by quitting self-efficacy and dependence. Smoking for weight control, social facilitation, and as an aid to concentration were not independently associated with cessation. Conclusion: Positive reasons for smoking may discourage quitting, but stress management is the only function that appears to prospectively predict quit success. Interventions should target those beliefs, and review the value of intervening on beliefs that are unrelated to cessation outcomes.