Factors associated with desire to quit smoking among Estonian physicians: Cross-sectional data of 2002 and 2014

Põld, Mariliis; Pärna, Kersti

doi:10.18332/tpc/93009

Cited by 6 publications

(9 citation statements)

References 29 publications

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“…According to the previous results, more than half of currently smoking Estonian physicians expressed a desire to quit [32]. The results of the present study, however, indicate that smokers might still be facing difficulties to do so and therefore would benefit from cessation counselling specifically tailored to physicians' needs.…”

Section: Discussioncontrasting

confidence: 54%

Nicotine Dependence and Factors Related to Smoking Cessation among Physicians in Estonia

Põld

Pärna

2020

IJERPH

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Smoking withdrawal can be difficult due to nicotine dependence (ND). The study objective was to describe ND and to analyze the association between ND and factors related to smoking cessation among daily smoking physicians in Estonia. Data was collected in 2014, using cross-sectional postal survey sampling all practicing physicians (n = 5666) in Estonia, of whom 2939 responded (corrected response rate 53.1%). The study sample was restricted to daily smoking physicians (n = 171). Results of the Fagerström Test for Nicotine Dependence (FTND) were described and ND scores calculated. Logistic regression was used to determine the association of ND (at-least-moderate vs. low) with factors related to smoking cessation. Crude and fully adjusted ORs with 95% CIs were calculated. The mean FTND score was 2.8 ± 2.1. The odds of having at-least-moderate ND decreased significantly with each year postponing smoking initiation (OR = 0.82, 95% CI 0.72–0.94). After adjustment, ND was no longer associated with the desire to quit smoking and motives to quit. In conclusion, more than half of daily smoking physicians had low ND. Higher ND was associated with younger age of smoking initiation. Knowledge of ND and factors related to smoking cessation is useful in the prevention of smoking and in development of cessation counselling tailored for physicians.

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Section: Discussioncontrasting

confidence: 54%

Nicotine Dependence and Factors Related to Smoking Cessation among Physicians in Estonia

Põld

Pärna

2020

IJERPH

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“…Several Estonian hospitals are smoke-free, and many hospitals actively promote smoking cessation among their staff and, in some cases, pay for cessation treatment. Moreover, according to the previous results, more than half of currently smoking Estonian physicians expressed a desire to quit (36). The results of the present study, however, indicate that smokers might still be facing difficulties to do so and therefore would benefit from cessation counselling specifically tailored to physicians' needs.…”

Section: Discussionsupporting

confidence: 43%

Nicotine dependence and related factors among physicians: results from a cross-sectional survey in Estonia

Põld

Pärna

2019

Preprint

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Background Smoking withdrawal can be difficult due to nicotine dependence (ND). Individual, environmental and social factors must be considered when researching ND. The objective of the present study is to describe ND and to analyse associations between ND and smoking-related and background factors among daily smoking Estonian physicians. Methods A cross-sectional postal survey was used to collect data from Estonian physicians in 2014. The initial sample consisted of all practising physicians in Estonia (n=5666). In total, 2939 physicians participated. The corrected response rate was 53.1%. The current study sample was restricted to physicians who smoked daily (n=171). The outcome variable was ND level, measured using the Fagerström Test for Nicotine Dependence (FTND). The mean age of smoking initiation was calculated, along with the standard deviation and the distribution of ND levels with 95% confidence intervals (CIs). T-tests and chi-square tests were used to test for differences between groups. To compensate for non-response, the data were weighted. Using multiple logistic regression, the association between ND level (at-least-moderate vs low) and smoking-related and background factors was determined. Crude and fully adjusted odds ratios (ORs) with 95% CIs were calculated. Results The mean FTND score for daily smoking physicians was 2.8±2.1, and 60.8% of them had low, 33.1% moderate and 6.1% high ND levels. The mean age of smoking initiation differed statistically between physicians with low and at-least-moderate ND levels (21.0±5.1 and 18.4±3.3, respectively) (p<0.001). In the adjusted model, having at least moderate ND levels was associated with a younger age of smoking initiation (OR=0.82, 95% CI 0.72–0.94). After adjustment, ND levels were not significantly associated with the desire to quit, motives to quit and gender. No association was found between ND level and other background factors. Conclusions More than half of daily smoking Estonian physicians had low ND levels. A higher ND level was associated with a younger age of smoking initiation. Knowledge of ND and related factors is useful in the development of smoking cessation counselling services for physicians.

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“…Furthermore, quitting smoking before age 30 can reduce most of the tobacco-related deaths (Horn et al, 2018). A person's attitude toward quitting smoking can be reflected by the desire or intention to quit smoking (Põld and Pärna, 2018). The intention is an indication that a person is ready to exhibit a behavior (Ajzen, 1991).…”

Section: Research Articlementioning

confidence: 99%

Factors Affecting the Intention to Quit among Women Smokers in Turkey

Alkan

Demir

2020

Asian Pac J Cancer Prev

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Objectives: Tobacco use is an important public health problem that affects adversely the quality of life. A person's attitude toward quitting tobacco use can be reflected by the desire or intention to quit smoking. The aim of this study was to determine risk factors affecting women's intention to quit tobacco in Turkey. Methods: In this study, the data obtained from the Global Adult Tobacco Survey (GATS) were used. The GATS is a standard method used in countries to monitor and evaluate the frequency of tobacco use in adults and tobacco control practices. The data used in the study was obtained from the GATS carried out in Turkey in 2008 and 2012. The data related to 1248 women smoking tobacco were used in the analysis. The relationship between women's intention to quit tobacco use and socio-demographic and economic variables was examined. Results: Men were excluded from the analysis because the focus of the study was women. It was determined that 732 of 1248 women using tobacco intend to quit smoking tobacco. 40.4% of women smoking tobacco are primary school graduates. Women, who were aware of anti-smoking messages and exposed to stimulants that promote smoking, were 36.4% and 27% more likely to intend to stop tobacco use after the next month, respectively. It was observed that women living in a house, where smoking is allowed, are less likely to quit smoking than others (ME =-0.522). This shows the importance of domestic restrictions. Conclusion: Intending to quit is an important preliminary step to quit. Understanding the factors associated with the intention to quit smoking can help tobacco users to stop using it and shape effective policies to increase the quit rates.

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Factors associated with desire to quit smoking among Estonian physicians: Cross-sectional data of 2002 and 2014

Cited by 6 publications

References 29 publications

Nicotine Dependence and Factors Related to Smoking Cessation among Physicians in Estonia

Nicotine Dependence and Factors Related to Smoking Cessation among Physicians in Estonia

Nicotine dependence and related factors among physicians: results from a cross-sectional survey in Estonia

Factors Affecting the Intention to Quit among Women Smokers in Turkey

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