Predictors of smoking cessation among adult smokers in Malaysia and Thailand: Findings from the International Tobacco Control Southeast Asia Survey
Predictors of smoking cessation among adult smokers in Malaysia and Thailand: Findings from the International Tobacco Control Southeast Asia Survey
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DOI：
10.1093/ntr/ntq030
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发表时间：
2010-10-01
影响因子：
4.7
通讯作者：
Fotuhi, Omid
中科院分区：
文献类型：
--
作者：
Li, Lin;Borland, Ron;Fotuhi, Omid
在亚洲，关于戒烟的纵向研究报告有限，目前尚不清楚戒烟的决定因素是否与西方国家相似。这项研究调查了泰国和马来西亚成年吸烟者戒烟的前瞻性预测因素。2005年在马来西亚和泰国调查了4004名吸烟者。其中，2006年对2，426名吸烟者进行了随访（61%的人保持吸烟）。社会人口统计学，依赖性和戒烟兴趣的基线措施被用来预测戒烟尝试和点患病率的case.More泰国比马来西亚吸烟者报告说，在两波之间戒烟尝试，但在那些谁尝试，保持戒烟率之间没有太大的差异马来西亚人和泰国人。多变量分析表明，每天吸烟较少，自我效能水平较高，更直接的戒烟意图是预测两个国家的戒烟尝试和保持戒烟。先前较短的戒烟尝试和对吸烟的较高健康关注仅预测尝试，而先前戒烟6个月或更长时间和更大的年龄与维持有关。在马来西亚和泰国，戒烟活动的预测因素似乎相似。然而，在西方，预测戒烟尝试的人与预测维持的人并不完全相同。实际的预测因素在潜在的重要方面与西方的预测因素不同。我们需要确定文化因素的相对贡献，以及亚洲鼓励戒烟的历史较短。
Limited longitudinal studies on smoking cessation have been reported in Asia, and it remains unclear whether determinants of quitting are similar to those found in Western countries. This study examined prospective predictors of smoking cessation among adult smokers in Thailand and Malaysia.Four thousand and four smokers were surveyed in Malaysia and Thailand in 2005. Of these, 2,426 smokers were followed up in 2006 (61% retention). Baseline measures of sociodemographics, dependence, and interest in quitting were used to predict both making quit attempts and point prevalence maintenance of cessation.More Thai than Malaysian smokers reported having made quit attempts between waves, but among those who tried, the rates of staying quit were not considerably different between Malaysians and Thais. Multivariate analyses showed that smoking fewer cigarettes per day, higher levels of self-efficacy, and more immediate quitting intentions were predictive of both making a quit attempt and staying quit in both countries. Previous shorter quit attempts and higher health concerns about smoking were only predictive of making an attempt, whereas prior abstinence for 6 months or more and older age were associated with maintenance.In Malaysia and Thailand, predictors of quitting activity appear to be similar. However, as in the West, predictors of making quit attempts are not all the same as those who predict maintenance. The actual predictors differ in potentially important ways from those found in the West. We need to determine the relative contributions of cultural factors and the shorter history of efforts to encourage quitting in Asia.