Correlates of smoking cessation self-efficacy in a community sample of smokers.

Correlates of smoking cessation self-efficacy in a community sample of smokers.
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DOI:
10.1016/j.addbeh.2009.09.016
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发表时间:
2010-02
影响因子:
4.4
通讯作者:
Schnoll, Robert A.
Schnoll, Robert A.
中科院分区:
医学2区
文献类型:
--
作者:
Martinez, Elisa;Tatum, Kristina L.;Glass, Marcella;Bernath, Albert;Ferris, Daron;Reynolds, Patrick;Schnoll, Robert A.

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虽然许多研究表明,较高水平的戒烟自我效能感预测戒烟动机和成功戒烟,但很少有研究评估与戒烟自我效能感相关的因素,这些因素可能是行为干预的目标,以促进戒烟的信心。这项研究使用了一个参加戒烟治疗计划的吸烟者的大型社区样本,评估了戒烟自我效能与人口统计学(例如,年龄、种族),吸烟相关的(例如,率、戒烟史、过去使用治疗),和心理社会(例如,压力、线索反应、自我药疗吸烟)变量。结果表明,与其他种族/族裔群体的吸烟者相比,西班牙裔美国人吸烟者在面对内部刺激(例如,感觉抑郁),吸烟者报告说他们对控制戒烟引起的症状没有信心(F(9,576)= 6.9,p <0.001)。结果还表明,那些报告说他们对控制戒烟引起的症状没有信心,并报告说高吸烟率的吸烟者对非法积极影响的情况(例如,在酒吧,喝咖啡,在聚会上)报告当面对外部刺激时戒烟的自我效能较低(例如,在庆祝期间; F[7,600] = 9.05,p < .05)。这些发现可用于改进行为戒烟干预,以提高戒烟的自我效能。
While numerous studies show that higher levels of smoking cessation self-efficacy predicts motivation to quit smoking and successful smoking cessation, few studies have evaluated factors related to smoking cessation self-efficacy that could be targets of behavioral interventions to promote greater confidence to quit smoking. This study, using a large community sample of smokers enrolled in a smoking cessation treatment program, evaluated potential associations between self-efficacy to quit smoking and demographic (e.g., age, race), smoking-related (e.g., rate, cessation history, past use of treatments), and psychosocial (e.g., stress, cue reactivity, self-medication smoking) variables. The results indicated that Hispanic-American smokers, relative to smokers of other racial/ethnic groups, report significantly lower self-efficacy to quit smoking when facing internal stimuli (e.g., feeling depressed), as do smokers who report that they have little confidence to control abstinence-induced symptoms (F(9,576) = 6.9, p < .001). The results also indicated that smokers who reported that they have little confidence to control abstinence-induced symptoms and report high smoking urge reactivity to situations that illicit positive affect (e.g., at a bar, with coffee, at a party) report lower self-efficacy to quit smoking when facing external stimuli (e.g., during a celebration; F[7,600] = 9.05, p < .05). These findings can be used to refine behavioral smoking cessation interventions to increase self-efficacy to quit smoking.
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