We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Stages of Change, Determinants, and Mortality for Smoking Cessation in Adult Taiwanese Screenees.
- Authors
Luh, Dih-Ling; Chen, Hsiu-Hsi; Liao, Long-Ren; Chen, Sam; Yen, Amy; Wang, Ting-Ting; Chiu, Sherry; Fann, Ching-Yuan
- Abstract
We aimed to investigate the associations between three smoking-related constructs (pros and cons of smoking, temptation to smoke, and self-efficacy of resisting smoking) and stage of change (precontemplation, contemplation, preparation, and action) based on the transtheoretical model among smokers attending a community-based screening program. We also assessed their effects on long-term all-cause mortality. A prospective cohort study, with an average of 7 years of follow-up, was conducted by enrolling 454 male smoking screenees. The comparisons of the mean score of each variable pertaining to three smoking-related constructs across four stages of smoking cessation were assessed by analysis of variance. The impacts of both smoking-related constructs and smoking cessation stage measured at baseline on 7-year mortality were assessed by using proportional hazards regression model. The differences in the mean scores of pros and cons of smoking, temptation to smoke, and self-efficacy of resisting smoking across four stages of smoking cessation were statistically significant ( P < 0.01). The precontemplation group and the contemplation group as opposed to the action group increased the risk for all-cause mortality, but the size of effect was not statistically significant ( P = 0.39) when age, duration of smoking, and three smoking- related constructs were controlled. Those with a lower social aspect of self-efficacy were approximately threefold [adjusted hazard ratio = 3.22 (95 % CI 1.26-8.21)] risk for all-cause death compared with those with a higher one. Three smoking-related constructs were highly associated with smoking cessation stage, and low self-efficacy was independently predictive of long-term mortality among male smokers attending a community-based screening program.
- Subjects
SMOKING cessation; CONTEMPLATION; MORTALITY; COMMUNITY-based programs; MEDICAL screening; TAIWANESE people; HEALTH of adults; SELF-efficacy; HEALTH
- Publication
Prevention Science, 2015, Vol 16, Issue 2, p301
- ISSN
1389-4986
- Publication type
Article
- DOI
10.1007/s11121-014-0471-5