Smoking cessation attitudes among adult smokers.

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Published Jul 22, 2015
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Vol. 93 No. 3 (2015): Issue Mar 2015

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Sriha Belguith Asma
Elmhamdi Sana
Bouanene Iness
Harizi Chahida
Ben Salah Aroua
Ben Salem Kamel
Soltani Essoussi Mohamed

Abstract

Aim: The failure of attempts to quit smoking was the cause of stagnation even the increasing prevalence of smoking in Tunisia. The aim of our study was to describe the previous quit attempts among smokers, the degree of motivation to the next stop and analyze the associated factors.
Methods: We carried out a survey based on an anonymous selfadministered questionnaire on tobacco, targeting smokers who participated in awareness sessions conducted in public places and universities in the city of Monastir.
Results: Nine hundred fourteen smokers had participated in our study. More than 2/3 of them (70 %) had at least one quit attempt, which lasted longer than 6 months for 81 patients (9%) and the last attempt dated for over 6 months for 486 smokers (53%). These previous attempts were unaccompanied and non-medicalized in 97 % of cases. 2/3 of smokers (67%) had a very strong desire to quit smoking, and 41% had a very strong self-confidence to succeed in their attempts. According to multivariate analysis, the presence of previous quit attempts to stop was statistically related to the importance of quitting smoking (OR=2.20,95%CI[1.23 - 3.96]). Selfconfidence to successfully stop was statistically related to the duration of smoking (OR=1.03 , 95% CI [1.01 - 1.06] ) , the strong dependence (OR=0.53 ;95% CI [ 0.29 - 0.97 ]) , and having at least one smoking member of the family (OR = 0.36 , 95% CI [0.15 - 0.86]).
Conclusion: These results show that the strong physical dependence is a major factor related to the failure of attempts to quit, to the loss of self-confidence to succeed new attempts among smokers and thus, maintain a fairly high smoking prevalence in a country like Tunisia.

Keywords:

Tabacco Smoking ; Motivation; Attempts, Cessation.

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References

  1. Fakhfakh R, Hsairi M, Maalej M, Achour N, T. N. Tabagisme en Tunisie: comportement et connaissances. World Health Organisation. 2002; 80: 350-6.
  2. Martinet Y, Wirth N, Béguinot E, Cagnat-Lardeau C. Le contrôle du tabac. Jour Fran Viet Pul. 2011;2:6-13.
  3. Matheny KB, Weatherman KE. Predictors of smoking cessation and maintenance. J Clin Psychol. 1998;54:223-35
  4. Hyland A, Borland R, Li Q, Yong HH, McNeill A, Fong GT, et al. Individuallevel predictors of cessation behaviours among participants in the International Tobacco Control (ITC) Four Country Survey. Tob Control. 2006; 15:83-94
  5. Li L, Borland R, Yong HH, Fong GT, Bansal-Travers M, Quah AC, et al. Predictors of smoking cessation among adult smokers in Malaysia and Thailand: findings from the International Tobacco Control Southeast Asia Survey. Nicotine Tob Res. 2010;12:4-44
  6. Sienkiewicz-Jarosz H, Zatorski P, Baranowska A, Ryglewicz D, Bienkowski P. Predictors of smoking abstinence after first-ever ischemic stroke: a 3-month follow-up. Stroke. 2009;40 :2592-3
  7. Zhou X, Nonnemaker J, Sherrill B, Gilsenan AW, Coste F, West R. Attempts to quit smoking and relapse: factors associated with success or failure from the attempt cohort study. Addict Behav. 2009;34:365-73.
  8. Bouaiti E, Mzouri M, Sbai-Idrissi K, Razine R, Kassouati J, Lamrabet M, et al. Factors predictive of good motivation to quit smoking among Moroccan smokers attending a lung disease outpatient clinic in 2008. Rev Epidemiol Sante Publique. 2010;58 :68-73
  9. Ben Saad H. Le narguilé et ses effets sur la santé. Partie II : les effets du narguilé sur la santé. Revue de pneumologie clinique. 2010;66:132-44
  10. Perriot J. La conduite de l'aide au sevrage tabagique. Rev Mal Respir. 2006;23:85-105
  11. Grémy I, Halfen S, Sasco A, Slama K. Les connaissances,attitudes et perceptionsdes Franciliens à l'égard du tabac. adsp. 2002;40:53-6
  12. Schiller JS, Ni H. Cigarette smoking and smoking cessation among persons with chronic obstructive pulmonary disease. Am J Health Promot. 2006;20:319-23
  13. Martinson BC, O'Connor PJ, Pronk NP, Rolnick SJ. Smoking cessation attempts in relation to prior health care charges: the effect of antecedent smoking-related symptoms? Am J Health Promot. 2003;18:125-32
  14. Mak YW, Loke AY, Abdullah AS, Lam TH. Household smoking practices of parents with young children, and predictors of poor household smoking practices. Public Health. 2008; 122:1199-209.
  15. Ortendahl M. Predicting lapse when stopping smoking among pregnant and non-pregnant women. J Obstet Gynaecol. 2007; 27:138-43.
  16. Nollen NL, Mayo MS, Sanderson Cox L, Okuyemi KS, Choi WS, Kaur H, et al. Predictors of quitting among African American light smokers enrolled in a randomized, placebo-controlled trial. J Gen Intern Med. 2006;21:590-5
  17. Oncken C, McKee S, Krishnan-Sarin S, O'Malley S, Mazure CM. Knowledge and perceived risk of smoking-related conditions: a survey of cigarette smokers. Prev Med. 2005;40:779-84
  18. Fidler JA, Shahab L, West R. Strength of urges to smoke as a measure of severity of cigarette dependence: comparison with the Fagerstrom Test for Nicotine Dependence and its components. Addiction. 2011;106:631-8
  19. Lagrue G, Mautrait C, Béhar C, Cormier S. Développement des addictions chez l'adolescent. Rôle de la vulnérabilité psychologique. Alcoologie et addictologie 2005;27 :47-51.
  20. Kasteridis P, Yen ST. Smoking Cessation and Body Weight: Evidence from the Behavioral Risk Factor Surveillance Survey. Health Serv Res. 2012; 47: 1580-602
  21. Underner M, Paquereau J, Meurice JC. Tabagisme et troubles du sommeil. 2006;23:67-77
  22. Torchalla I, Strehlau V, Okoli CT, Li K, Schuetz C, Krausz M. Smoking and Predictors of Nicotine Dependence in a Homeless Population. Nicotine Tob Res. 2011;13:934-42.
  23. Torchalla I, Strehlau V, Okoli CT, Li K, Schuetz C, Krausz M. Smoking and Predictors of Nicotine Dependence in a Homeless Population. Nicotine Tob Res. 2011;13:934-42.
  24. Jacquin P, Boudailliez B. État des lieux des pratiques de prévention du tabagisme en milieu ambulatoire et hospitalier. Archives de pédiatrie 2004;11:590-2
  25. Heffner JL, Mingione C, Blom TJ, Anthenelli RM. Smoking history, nicotine dependence, and changes in craving and mood during shortterm smoking abstinence in alcohol dependent vs. control smokers. Addict Behav. 2011;36:244-7.
  26. Schnoll RA, Martinez E, Tatum KL, Glass M, Bernath A, Ferris D, et al. Increased self-efficacy to quit and perceived control over withdrawal symptoms predict smoking cessation following nicotine dependence treatment. Addict Behav. 2011;36:144-7
  27. Borland R, Yong HH, Wilson N, Fong GT, Hammond D, Cummings KM, et al. How reactions to cigarette packet health warnings influence quitting: findings from the ITC Four-Country survey. Addiction. 2009;104:669-75
  28. . Borland R, Yong HH, Cummings KM, Hyland A, Anderson S, Fong GT. Determinants and consequences of smoke-free homes: findings from the International Tobacco Control (ITC) Four Country Survey. Tob Control. 2006;15:42-50
  29. Borland R, Yong HH, O'Connor RJ, Hyland A, Thompson ME. The reliability and predictive validity of the Heaviness of Smoking Index and its two components: findings from the International Tobacco Control Four Country study. Nicotine Tob Res. 2010;12: 945-50
  30. Borland R, Yong HH, Balmford J, Fong GT, Zanna MP, Hastings G. Do risk-minimizing beliefs about smoking inhibit quitting? Findings from the International Tobacco Control (ITC) Four-Country Survey. Prev Med. 2009;49:219-23
  31. Borland R, Yong HH, Balmford J, Cooper J, Cummings KM, O'Connor RJ, et al. Motivational factors predict quit attempts but not maintenance of smoking cessation: findings from the International Tobacco Control Four country project. Nicotine Tob Res.2010;12:4-11.
  32. Margery J, Margery D, Goutier K, Dot J. Sevrage tabagique et adolescence. Rev Mal Respir 2007;24:663-4
  33. Huang HL, Yen YY, Lin PL, Chiu CH, Hsu CC, Chen T, et al. Household secondhand smoke exposure of elementary schoolchildren in Southern Taiwan and factors associated with their confidence in avoiding exposure: a cross-sectional study.BMC Public Health.2010; 10:606
  34. Ben Ayoub W, Djoufelkit K, Stoebner-Delbarre A, Fakhfakh R, Mansour Ben A. BA, Sancho Garnier H. La consultation d'aide au sevrage tabagique de l'institut de cancérologie Salah-Azeiz de Tunis : résultats à un an. Revue d'Épidémiologie et de Santé Publique. 2008;56:280-5
  35. Rostker G, Le Faou AL, Lagrue G. Traitement de l'addiction au tabac au cours des maladies rénales chroniques.Nephrologie et Thérapeutique. 2013;9:73-84
  36. Beck F, Guilbert P, Gautier A. Baromètre santé 2005. Attitudes et comportements de santé.Editions INPES.