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- Title
Receipt of Healthcare Provider's Advice for Smoking Cessation and Quit Attempts in Zambia.
- Authors
Zyambo, Cosmas; Siziya, Seter; Ng'ambi, Wingston; Gakumo, Ann C.; Burkholder, Greer A.; Hendricks, Peter S.
- Abstract
Background: Healthcare providers play a critical role in facilitating smoking cessation, however, despite evidence supporting the effectiveness of brief advice, most healthcare providers rarely advice and assist their patients in quitting smoking. Our study investigated the proportion of smokers in Zambia who receive smoking cessation advice from their healthcare providers; and estimated the prevalence and factors associated with quit attempts in Zambia. Methods: The cross sectional study included 475 adults current smokers. Quit status, behavior and psychological factors; and clinical characteristics were assessed. Logistic regression was used to obtain unadjusted (UOR) and adjusted odds ratios (AOR) and 95% confidence interval (CI) for the association between various factors and quit attempt status. Results: Of the 475 current smokers who participated in the STEPS survey, more than half were aged between 18-44 years (63.8%). The majority of the smokers were men (87.2%), rural (70.9%), less educated with no education or less than primary education (42.6%). Among the 387 current smokers who visited a healthcare provider in the past 12 months for any other medical reasons, most were men (87.1%), less educated with no education or less than primary education (42.1%) married/cohabiting (67.5%), and self-employed/formally employed (59.2%. In multivariable analysis, being advised to quit was associated with increased odds of attempting to quit. (OR, 2.84[1.11-7.25]). Conclusions: Our findings underscore that few smokers in Zambia are advised to quit smoking during encounters with healthcare providers. The study also found that quit advice offered by healthcare providers was significantly associated with quit attempts of the smoker. There is a need to strengthen smoking cessation policies that encourage routine screening, quit advice, and treatment of smokers so as to reduce tobacco-related comorbidities.
- Subjects
ZAMBIA; MEDICAL personnel; SMOKING cessation; PSYCHOLOGICAL factors; ADVICE; CROSS-sectional method
- Publication
Medical Journal of Zambia, 2022, Vol 49, p34
- ISSN
0047-651X
- Publication type
Article