Abstract
Introduction: This study aims to examine the smokers' intention levels to quit smoking and related factors.
Methods: This cross-sectional study was conducted at XXX Family Health Center. The study population consisted of smoker individuals and seeking services at XXX Family Health Center. Research data were collected through face-to-face interviews using a questionnaire (27 questions and the Intention to Quit Smoking Scale) after obtaining informed consent from the participants.
Results: In a study with 268 participants who smoke cigarettes, the mean age of the participants was 41.20, 68.3% of them were male. The mean score for participants' intentions to quit smoking on the Quit Intention Scale was 23.70. According to the self-assessment of dietary habits, individuals who rated themselves as very unhealthy, engaged in physical activity, increased their cigarette consumption over the years, had prior attempts to quit smoking, and those with moderate to high levels of nicotine dependence showed the highest intention to quit smoking scale scores compared to other groups (respectively; p=0.012; p<0.001; p<0.001; p<0.001; p=0.008). In the correlation analysis, a weak negative correlation was found between the intention to quit smoking scale score and age (t=-0.153, p=0.012). According to the regression analysis, while doing physical activity decreased 5.420 times, the amount of smoking over the years increased 3.372 times; previous smoking cessation experience decreased 2.812 times intention to quit smoking.
Conclusions: Health-related behaviors, prior quit attempts, and nicotine dependence were found to be crucial factors influencing quit intentions. The results underscore the importance of considering individual characteristics and experiences when developing smoking cessation interventions.
Keywords
References
- 1. World Health Organisation (WHO) Report on the Global Tobacco Epidemic 2021: addressing new and emerging products, 27 Temmuz 2021, s. 63.
- 2. Jostein R, Velibor K, Peter K, Synnova MI. Predicting the intention to quit smoking and quitting behaviour: Extending the theory of planned behavior. British Journal of Health Psychology, 2008; 13(291-310):304-5.
- 3. Vatan I, Ocakoğlu H. Determining smoking prevalence among Uludağ University Faculty of Medicine.TAF Preventive Medicine Bulletin, 2009; 8 (1):43-8.
- 4. Azak A. Sağlık memurluğu öğrencilerinin sigara kullanımını etkileyen faktörler. Toraks Dergisi Tütün ve Sağlık, 2006;7(2):120-4.
- 5. Söyler S. Sağlık okuryazarlığı, sağlık inancı ve sağlık arama davranışının sigarayı bırakma niyeti üzerindeki etkisinin incelenmesi (Tez No. 771426) [Doktora tezi, Selçuk Üniversitesi]. Yükseköğretim Kurulu Ulusal Tez Merkezi 2022, s. 86-96.
- 6. Bjartveit K, Tverdal A, Skurtveit S. Trends in smoking prevalence in Norway, 1973-2019. Scandinavian Journal of Public Health, 2020;48(3):256-63.
- 7. Siahpush M, Tibbits M, Shaik RA, Singh GK, Sikora Kessler A, Huang TTK. Socioeconomic and country variations in knowledge of health risks of tobacco smoking and toxic constituents of smoke: Results from the 2016 ITC Four Country Smoking and Vaping Survey. Drug and Alcohol Dependence,2018;185:387-92.
- 8. Kotz D, Brown J, West R. Predictive validity of the Motivation To Stop Scale (MTSS): a single-item measure of motivation to stop smoking. Drug Alcohol Depend. 2013 Feb 1;128(1-2):15-9. doi: 10.1016/j.drugalcdep.2012.07.012.
- 9. Onchonga D. Validation of a willingness-to-quit questionnaire for use among active tobacco products users in medical practice. Tobacco Induced Diseases. 2019;17(1):A23. doi:10.18332/tid/111850.
- 10. Türkiye Ulusal İstatistik Kurumu (TUİK), Türkiye Sağlık Araştırması Mikro Veri Seti (2022). https://data.tuik.gov.tr/Bulten/Index?p=Turkiye-Saglik-Arastirmasi-2022-49747
- 11. Sutfin EL, Patel T, Reboussin BA, Farrelly MC, Helme DW. Patterns of self-assessed health status and smoking cessation in the United States. Preventive Medicine Reports.2019;16:100983.
- 12. Moan IS, Rise J. Quitting smoking: Applying an extended version of the theory of planned behaviour in predicting intention and behaviour. J Appl Biobehav Res, 2005;10;39–68.
- 13. Wang Q, Mati K. Intention to Quit among Smokers in Kazakhstan: Data from 2014 Global Adult Tobacco Survey. J Epidemiol Glob Health. 2019;9:23-8.
- 14. Schane RE, Ling PM, Glantz SA. Health effects of light and intermittent smoking: A review. Circulation, 2014;121(13):1518-22.
- 15. Jackson SE, Brown J, Shahab L, Steptoe A, Fancourt D. Smoking cessation aids and socio-economic status: A cross-sectional survey of 18,929 participants in England. Addiction,2018;113(7):1296-304.
- 16. Kathryn L Taylor. A randomized trial of telephone-based smoking cessation treatment in the lung cancer screening setting, JNCI: Journal of the National Cancer Institute, 2022;114(10):1410–9.
- 17. Şahbaz Pirinççi C, Cihan E, Ün Yıldırım N. Üniversite öğrencilerinde fiziksel aktivite düzeyinin yaşam kalitesi, kronik hastalık varlığı, sigara kullanımı ve akademik başarıyla olan ilişkisi . KTO Karatay Üniversitesi Sağlık Bilimleri Dergisi,2020;1(1);15-23.
- 18. Taylor GMJ. Prescribing prevalence, effectiveness, and mental health safety of smoking cessation medicines in patients with mental disorders. Nicotine & Tobacco Research,2020;22(1):48–57.
- 19. Borland R, Partos TR, Yon HH, Cummings KM, Hyland A. The effectiveness of the Australian plain packaging policy on adult smokers’ non-intention to quit. Tobacco Control,2012;21(4):397-403.
- 20. Guichard A, Mdege ND, Uthman OA. Determinants of smoking cessation in African countries: A systematic review. BMJ Open,2019;9(1):e024020.
- 21. McWilliams L, Bellhouse S, Yorke J, Lloyd K, Armitage CJ. Beyond “planning”: A meta-analysis of implementation intentions to support smoking cessation. Health Psychology, 2019;38(12):1059–68.
- 22. Hyland A, Borland R, Li Q, Yong HH, McNeill A, Fong GT, Cummings KM. Individual-level predictors of cessation behaviours among participants in the International Tobacco Control (ITC) Four Country Survey. Tobacco Control,2006;15(suppl 3):iii83-iii94.
- 23. Vangeli E, Stapleton J, Smit ES, Borland R, West R, Owen L. Predictors of attempts to stop smoking and their success in adult general population samples: A systematic review. Addiction,2011;106(12):2110-21.
Bir Birinci Basamak Sağlık Merkezindeki Erişkinlerin Sigara Bırakma Niyetleri ve İlişkili Faktörlerin Değerlendirilmesi
Abstract
Giriş: Bu çalışma, sigara içenlerin sigara bırakma niyet seviyeleri ve bununla ilişkili faktörleri incelemeyi amaçlamaktadır.
Yöntem: Kesitsel tipteki bu çalışma, XXX Aile Sağlığı Merkezi'nde yapılmıştır. Araştırma evrenini sigara kullanan ve XXX Aile Sağlığı Merkezi'ne başvuran bireyler oluşturmuştur. Araştırma verileri, katılımcılardan bilgilendirilmiş onam alındıktan sonra anket (27 soru ve Sigarayı Bırakma Niyet Ölçeği) kullanılarak yüz yüze görüşme yoluyla toplanmıştır.
Bulgular: Sigara içen 268 katılımcı ile yapılan çalışmada katılımcıların yaş ortalaması 41.20 olup, bunların %68.3'ü erkektir. Katılımcıların Sigarayı Bırakma Niyet Ölçeği'nden aldıkları ortalama puan 23,70'dir. Beslenme alışkanlıklarının öz değerlendirmesine göre, kendini çok sağlıksız olarak değerlendirenler, fiziksel aktivite yapanlar, yıllar içinde sigara tüketimini artıranlar, daha önce sigarayı bırakmak için girişimde bulunan ve orta ila yüksek düzeyde nikotin bağımlılığı olan kişilerde diğer gruplara göre sigarayı bırakma niyeti ölçeği puanları daha yüksektir (sırayla; p=0,012; <0,001; <0,001; <0,001; 0,008). Korelasyon analizinde sigarayı bırakma niyeti ölçek puanı ile yaş arasında negatif yönde zayıf bir korelasyon bulundu (t=-0,153, p=0,012). Regresyon analizine göre fiziksel aktivite yapmak sigarayı bırakma niyetini 5,420 kat azalırken, önceki sigara bırakma deneyimi 2,812 kat azaltmakta; yıllara göre sigara içme miktarının artması 3,372 kat arttırmaktadır.
Sonuçlar: Sağlıkla ilgili davranışlar, önceki bırakma girişimleri ve nikotin bağımlılığı, bırakma niyetlerini etkileyen önemli faktörler olarak bulundu. Çalışma sonuçları sigara bırakma müdahalelerini planlarken bireysel özellikleri ve deneyimleri dikkate almanın önemini vurgulamaktadır.
Keywords
References
- 1. World Health Organisation (WHO) Report on the Global Tobacco Epidemic 2021: addressing new and emerging products, 27 Temmuz 2021, s. 63.
- 2. Jostein R, Velibor K, Peter K, Synnova MI. Predicting the intention to quit smoking and quitting behaviour: Extending the theory of planned behavior. British Journal of Health Psychology, 2008; 13(291-310):304-5.
- 3. Vatan I, Ocakoğlu H. Determining smoking prevalence among Uludağ University Faculty of Medicine.TAF Preventive Medicine Bulletin, 2009; 8 (1):43-8.
- 4. Azak A. Sağlık memurluğu öğrencilerinin sigara kullanımını etkileyen faktörler. Toraks Dergisi Tütün ve Sağlık, 2006;7(2):120-4.
- 5. Söyler S. Sağlık okuryazarlığı, sağlık inancı ve sağlık arama davranışının sigarayı bırakma niyeti üzerindeki etkisinin incelenmesi (Tez No. 771426) [Doktora tezi, Selçuk Üniversitesi]. Yükseköğretim Kurulu Ulusal Tez Merkezi 2022, s. 86-96.
- 6. Bjartveit K, Tverdal A, Skurtveit S. Trends in smoking prevalence in Norway, 1973-2019. Scandinavian Journal of Public Health, 2020;48(3):256-63.
- 7. Siahpush M, Tibbits M, Shaik RA, Singh GK, Sikora Kessler A, Huang TTK. Socioeconomic and country variations in knowledge of health risks of tobacco smoking and toxic constituents of smoke: Results from the 2016 ITC Four Country Smoking and Vaping Survey. Drug and Alcohol Dependence,2018;185:387-92.
- 8. Kotz D, Brown J, West R. Predictive validity of the Motivation To Stop Scale (MTSS): a single-item measure of motivation to stop smoking. Drug Alcohol Depend. 2013 Feb 1;128(1-2):15-9. doi: 10.1016/j.drugalcdep.2012.07.012.
- 9. Onchonga D. Validation of a willingness-to-quit questionnaire for use among active tobacco products users in medical practice. Tobacco Induced Diseases. 2019;17(1):A23. doi:10.18332/tid/111850.
- 10. Türkiye Ulusal İstatistik Kurumu (TUİK), Türkiye Sağlık Araştırması Mikro Veri Seti (2022). https://data.tuik.gov.tr/Bulten/Index?p=Turkiye-Saglik-Arastirmasi-2022-49747
- 11. Sutfin EL, Patel T, Reboussin BA, Farrelly MC, Helme DW. Patterns of self-assessed health status and smoking cessation in the United States. Preventive Medicine Reports.2019;16:100983.
- 12. Moan IS, Rise J. Quitting smoking: Applying an extended version of the theory of planned behaviour in predicting intention and behaviour. J Appl Biobehav Res, 2005;10;39–68.
- 13. Wang Q, Mati K. Intention to Quit among Smokers in Kazakhstan: Data from 2014 Global Adult Tobacco Survey. J Epidemiol Glob Health. 2019;9:23-8.
- 14. Schane RE, Ling PM, Glantz SA. Health effects of light and intermittent smoking: A review. Circulation, 2014;121(13):1518-22.
- 15. Jackson SE, Brown J, Shahab L, Steptoe A, Fancourt D. Smoking cessation aids and socio-economic status: A cross-sectional survey of 18,929 participants in England. Addiction,2018;113(7):1296-304.
- 16. Kathryn L Taylor. A randomized trial of telephone-based smoking cessation treatment in the lung cancer screening setting, JNCI: Journal of the National Cancer Institute, 2022;114(10):1410–9.
- 17. Şahbaz Pirinççi C, Cihan E, Ün Yıldırım N. Üniversite öğrencilerinde fiziksel aktivite düzeyinin yaşam kalitesi, kronik hastalık varlığı, sigara kullanımı ve akademik başarıyla olan ilişkisi . KTO Karatay Üniversitesi Sağlık Bilimleri Dergisi,2020;1(1);15-23.
- 18. Taylor GMJ. Prescribing prevalence, effectiveness, and mental health safety of smoking cessation medicines in patients with mental disorders. Nicotine & Tobacco Research,2020;22(1):48–57.
- 19. Borland R, Partos TR, Yon HH, Cummings KM, Hyland A. The effectiveness of the Australian plain packaging policy on adult smokers’ non-intention to quit. Tobacco Control,2012;21(4):397-403.
- 20. Guichard A, Mdege ND, Uthman OA. Determinants of smoking cessation in African countries: A systematic review. BMJ Open,2019;9(1):e024020.
- 21. McWilliams L, Bellhouse S, Yorke J, Lloyd K, Armitage CJ. Beyond “planning”: A meta-analysis of implementation intentions to support smoking cessation. Health Psychology, 2019;38(12):1059–68.
- 22. Hyland A, Borland R, Li Q, Yong HH, McNeill A, Fong GT, Cummings KM. Individual-level predictors of cessation behaviours among participants in the International Tobacco Control (ITC) Four Country Survey. Tobacco Control,2006;15(suppl 3):iii83-iii94.
- 23. Vangeli E, Stapleton J, Smit ES, Borland R, West R, Owen L. Predictors of attempts to stop smoking and their success in adult general population samples: A systematic review. Addiction,2011;106(12):2110-21.
Details
| Primary Language | English |
|---|---|
| Subjects | Family Medicine, Primary Health Care |
| Journal Section | Orijinal Articles |
| Authors | |
| Early Pub Date | December 10, 2023 |
| Publication Date | December 19, 2023 |
| Submission Date | August 7, 2023 |
| Published in Issue | Year 2023 Volume: 17 Issue: 4 - Turkish Journal of Family Medicine and Primary Care |
- Article Files
English or Turkish manuscripts from authors with new knowledge to contribute to understanding and improving health and primary care are welcome.