Effect of tobacco control policies on intention to quit smoking cigarettes: A study from Beirut, Lebanon
Introduction In Lebanon, the tobacco control policy, Law 174, became effective in 2011. Using the International Tobacco Control Policy Evaluation Project (ITC) conceptual model, this study aims to assess the association between exposure to control measures related to the policy and the intention to...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Publishing
2019-09-01
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| Series: | Tobacco Induced Diseases |
| Subjects: | |
| Online Access: | http://www.journalssystem.com/tid/Effect-of-Tobacco-Control-Policies-on-Intention-to-Quit-Smoking-Cigarettes-a-study,111128,0,2.html |
| _version_ | 1818383259024752640 |
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| author | Monique Chaaya Rima Nakkash Dahlia Saab Lina Kadi Rima Afifi |
| author_facet | Monique Chaaya Rima Nakkash Dahlia Saab Lina Kadi Rima Afifi |
| author_sort | Monique Chaaya |
| collection | DOAJ |
| description | Introduction
In Lebanon, the tobacco control policy, Law 174, became effective in
2011. Using the International Tobacco Control Policy Evaluation Project (ITC)
conceptual model, this study aims to assess the association between exposure
to control measures related to the policy and the intention to quit, which is a
mediator in the pathway leading to behavioral change (quitting).
Methods
This is a secondary data analysis of 154 cigarette smokers from a crosssectional
survey that assessed compliance with Law 174 among Beirut residents
aged 15–65 years. Data were collected face-to-face, three months after the
implementation of indoor public places and tobacco advertisement/promotion
bans. Intention to quit smoking was the main outcome. Exposure to policy control
measures such as seeing smokers in restaurants, and noticing warning labels on
cigarette packs were the explanatory variables. Sociodemographics, past smoking
behavior, and psychosocial variables were also considered for their moderating
and mediating effects, respectively. Crude and adjusted odds ratios (ORs) were
generated. Sobel test was used to check for possible mediation.
Results
Intention to quit was reported by 24% of cigarette smokers. The association
between noticing warning labels and having intentions to quit was statistically
significant (adjusted OR=6.27). Concerns about influencing children’s smoking
behavior had a statistically significant mediation effect on the relationship. After
adding the interaction term between noticing the warnings and previous quit
attempts, the OR was inflated to 12.92, suggesting a possible interaction.
Conclusions
This study offers preliminary insight into how Lebanese smokers
are influenced by policy related control measures like health warning labels
on cigarette packs. Tobacco control policy advocates should push for stronger
enforcement of public smoking bans in general. Behavioral intervention should
work on the mediator variables to influence smoking behavior and encourage
quitting. Further prospective studies modelling quitting as outcome are needed. |
| first_indexed | 2024-12-14T03:03:31Z |
| format | Article |
| id | doaj.art-30a6a3ffe55244a3b2942fd9c2a64c1d |
| institution | Directory Open Access Journal |
| issn | 1617-9625 |
| language | English |
| last_indexed | 2024-12-14T03:03:31Z |
| publishDate | 2019-09-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj.art-30a6a3ffe55244a3b2942fd9c2a64c1d2022-12-21T23:19:27ZengEuropean PublishingTobacco Induced Diseases1617-96252019-09-0117September10.18332/tid/111128111128Effect of tobacco control policies on intention to quit smoking cigarettes: A study from Beirut, LebanonMonique Chaaya0Rima Nakkash1Dahlia Saab2Lina Kadi3Rima Afifi4Department of Epidemiology and Population Health, American University of Beirut, Beirut, LebanonDepartment of Health Promotion and Community Health, American University of Beirut, Beirut, LebanonDepartment of Epidemiology and Population Health, American University of Beirut, Beirut, LebanonDepartment of Epidemiology and Population Health, American University of Beirut, Beirut, LebanonDepartment of Community and Behavioral Health, The University of Iowa, Iowa City, United StatesIntroduction In Lebanon, the tobacco control policy, Law 174, became effective in 2011. Using the International Tobacco Control Policy Evaluation Project (ITC) conceptual model, this study aims to assess the association between exposure to control measures related to the policy and the intention to quit, which is a mediator in the pathway leading to behavioral change (quitting). Methods This is a secondary data analysis of 154 cigarette smokers from a crosssectional survey that assessed compliance with Law 174 among Beirut residents aged 15–65 years. Data were collected face-to-face, three months after the implementation of indoor public places and tobacco advertisement/promotion bans. Intention to quit smoking was the main outcome. Exposure to policy control measures such as seeing smokers in restaurants, and noticing warning labels on cigarette packs were the explanatory variables. Sociodemographics, past smoking behavior, and psychosocial variables were also considered for their moderating and mediating effects, respectively. Crude and adjusted odds ratios (ORs) were generated. Sobel test was used to check for possible mediation. Results Intention to quit was reported by 24% of cigarette smokers. The association between noticing warning labels and having intentions to quit was statistically significant (adjusted OR=6.27). Concerns about influencing children’s smoking behavior had a statistically significant mediation effect on the relationship. After adding the interaction term between noticing the warnings and previous quit attempts, the OR was inflated to 12.92, suggesting a possible interaction. Conclusions This study offers preliminary insight into how Lebanese smokers are influenced by policy related control measures like health warning labels on cigarette packs. Tobacco control policy advocates should push for stronger enforcement of public smoking bans in general. Behavioral intervention should work on the mediator variables to influence smoking behavior and encourage quitting. Further prospective studies modelling quitting as outcome are needed.http://www.journalssystem.com/tid/Effect-of-Tobacco-Control-Policies-on-Intention-to-Quit-Smoking-Cigarettes-a-study,111128,0,2.htmltobacco controltobacco policyintention to quit smokingLebanon |
| spellingShingle | Monique Chaaya Rima Nakkash Dahlia Saab Lina Kadi Rima Afifi Effect of tobacco control policies on intention to quit smoking cigarettes: A study from Beirut, Lebanon Tobacco Induced Diseases tobacco control tobacco policy intention to quit smoking Lebanon |
| title | Effect of tobacco control policies on intention to quit smoking
cigarettes: A study from Beirut, Lebanon |
| title_full | Effect of tobacco control policies on intention to quit smoking
cigarettes: A study from Beirut, Lebanon |
| title_fullStr | Effect of tobacco control policies on intention to quit smoking
cigarettes: A study from Beirut, Lebanon |
| title_full_unstemmed | Effect of tobacco control policies on intention to quit smoking
cigarettes: A study from Beirut, Lebanon |
| title_short | Effect of tobacco control policies on intention to quit smoking
cigarettes: A study from Beirut, Lebanon |
| title_sort | effect of tobacco control policies on intention to quit smoking cigarettes a study from beirut lebanon |
| topic | tobacco control tobacco policy intention to quit smoking Lebanon |
| url | http://www.journalssystem.com/tid/Effect-of-Tobacco-Control-Policies-on-Intention-to-Quit-Smoking-Cigarettes-a-study,111128,0,2.html |
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