Predictors for quitting smoking in smoking cessation clinics among female smokers in China

Introduction The number of cessation clinics in China have been increasing ever since the Chinese government supported the establishment of smoking cessation clinics (SCCs) in each province in 2014. Many studies have examined smoking cessation behaviors among male smokers, but few of female smokers....

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Main Authors: Bingliang Lin, Li Xie, Xiaoyun Xie, Yongfu Yan, Luge Zhang, Lin Xiao
Format: Article
Language:English
Published: European Publishing 2023-02-01
Series:Tobacco Induced Diseases
Subjects:
Online Access:http://www.tobaccoinduceddiseases.org/Predictors-for-quitting-smoking-in-smoking-cessation-clinics-namong-female-smokers,159132,0,2.html
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author Bingliang Lin
Li Xie
Xiaoyun Xie
Yongfu Yan
Luge Zhang
Lin Xiao
author_facet Bingliang Lin
Li Xie
Xiaoyun Xie
Yongfu Yan
Luge Zhang
Lin Xiao
author_sort Bingliang Lin
collection DOAJ
description Introduction The number of cessation clinics in China have been increasing ever since the Chinese government supported the establishment of smoking cessation clinics (SCCs) in each province in 2014. Many studies have examined smoking cessation behaviors among male smokers, but few of female smokers. This study aimed to understand female smokers’ quitting behaviors in SCCs and identify predictors of successful cessation. Methods This study used data of the SCCs Platform in China from 2018 to 2020. The self-reported 7-day point prevalence of abstinence rate (PPAR) at 1 month and at 3 months follow-up and the continuous abstinence rate (CAR) at 3 months follow-up are reported based on smokers’ characteristics and intention to treat analysis. A multiple logistic regression model was used to identify predictors of continuous abstinence at 3 months follow-up. Results The 7-day PPAR of female outpatients in SCCs was 29.20% at 1 month follow-up and 28.36% at 3 months follow-up. The CAR at 3 months followup was 19.88%. Female smokers who were prepared to quit within 7 days (AOR=2.86; 95% CI: 1.53–5.32), today (AOR=4.01; 95% CI: 2.35–6.85), had started to quit (AOR=7.11; 95% CI: 4.12–12.27), and used a combination of counseling and drugs (AOR=2.41; 95% CI: 1.73–3.35) were more likely to quit smoking. Associated with lower quitting rates were: living in the central region of China (AOR=0.47; 95% CI: 0.31–0.73) and the west region (AOR=0.48; 95% CI: 0.31–0.73); being aged 30–39 years (AOR=0.39; 95% CI: 0.23–0.64), and 40–49 years (AOR=0.41; 95% CI:0.24–0.69); being unemployed (AOR=0.64; 95% CI: 0.45–0.91); having a fair perceived health status at the first visit (AOR=0.65; 95% CI: 0.47–0.91) and a poor one (AOR=0.37; 95% CI: 0.21–0.64); having a moderate nicotine dependence (AOR=0.64; 95% CI: 0.44–0.92) and a severe one (AOR=0.50; 95% CI: 0.34–0.72). Conclusions In our study, the region of residence, age, employment, perceived health status, Fagerström test for nicotine dependence (FTND), readiness to quit, and intervention model were independent predictors of quitting for female smokers. Improving the motivation to quit, providing intensive psychological interventions and equipping SCCs with cessation medication would assist female smokers to quit.
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spelling doaj.art-ab89490032584545b05f91a480945ccf2023-05-23T11:04:11ZengEuropean PublishingTobacco Induced Diseases1617-96252023-02-0121February11310.18332/tid/159132159132Predictors for quitting smoking in smoking cessation clinics among female smokers in ChinaBingliang Lin0https://orcid.org/0000-0002-2257-1598Li Xie1https://orcid.org/0000-0002-3182-4972Xiaoyun Xie2https://orcid.org/0000-0003-3189-5583Yongfu Yan3https://orcid.org/0000-0001-9888-6695Luge Zhang4https://orcid.org/0000-0001-9739-551XLin Xiao5https://orcid.org/0000-0002-5052-6663Tobacco Control Office, Chinese Center for Disease Control and Prevention, Beijing, People’s Republic of ChinaTobacco Control Office, Chinese Center for Disease Control and Prevention, Beijing, People’s Republic of ChinaTobacco Control Office, Chinese Center for Disease Control and Prevention, Beijing, People’s Republic of ChinaTobacco Control Office, Chinese Center for Disease Control and Prevention, Beijing, People’s Republic of ChinaTobacco Control Office, Chinese Center for Disease Control and Prevention, Beijing, People’s Republic of ChinaTobacco Control Office, Chinese Center for Disease Control and Prevention, Beijing, People’s Republic of ChinaIntroduction The number of cessation clinics in China have been increasing ever since the Chinese government supported the establishment of smoking cessation clinics (SCCs) in each province in 2014. Many studies have examined smoking cessation behaviors among male smokers, but few of female smokers. This study aimed to understand female smokers’ quitting behaviors in SCCs and identify predictors of successful cessation. Methods This study used data of the SCCs Platform in China from 2018 to 2020. The self-reported 7-day point prevalence of abstinence rate (PPAR) at 1 month and at 3 months follow-up and the continuous abstinence rate (CAR) at 3 months follow-up are reported based on smokers’ characteristics and intention to treat analysis. A multiple logistic regression model was used to identify predictors of continuous abstinence at 3 months follow-up. Results The 7-day PPAR of female outpatients in SCCs was 29.20% at 1 month follow-up and 28.36% at 3 months follow-up. The CAR at 3 months followup was 19.88%. Female smokers who were prepared to quit within 7 days (AOR=2.86; 95% CI: 1.53–5.32), today (AOR=4.01; 95% CI: 2.35–6.85), had started to quit (AOR=7.11; 95% CI: 4.12–12.27), and used a combination of counseling and drugs (AOR=2.41; 95% CI: 1.73–3.35) were more likely to quit smoking. Associated with lower quitting rates were: living in the central region of China (AOR=0.47; 95% CI: 0.31–0.73) and the west region (AOR=0.48; 95% CI: 0.31–0.73); being aged 30–39 years (AOR=0.39; 95% CI: 0.23–0.64), and 40–49 years (AOR=0.41; 95% CI:0.24–0.69); being unemployed (AOR=0.64; 95% CI: 0.45–0.91); having a fair perceived health status at the first visit (AOR=0.65; 95% CI: 0.47–0.91) and a poor one (AOR=0.37; 95% CI: 0.21–0.64); having a moderate nicotine dependence (AOR=0.64; 95% CI: 0.44–0.92) and a severe one (AOR=0.50; 95% CI: 0.34–0.72). Conclusions In our study, the region of residence, age, employment, perceived health status, Fagerström test for nicotine dependence (FTND), readiness to quit, and intervention model were independent predictors of quitting for female smokers. Improving the motivation to quit, providing intensive psychological interventions and equipping SCCs with cessation medication would assist female smokers to quit.http://www.tobaccoinduceddiseases.org/Predictors-for-quitting-smoking-in-smoking-cessation-clinics-namong-female-smokers,159132,0,2.htmlfemale smokerssmoking cessation clinicquitting ratepredictors of quitting
spellingShingle Bingliang Lin
Li Xie
Xiaoyun Xie
Yongfu Yan
Luge Zhang
Lin Xiao
Predictors for quitting smoking in smoking cessation clinics among female smokers in China
Tobacco Induced Diseases
female smokers
smoking cessation clinic
quitting rate
predictors of quitting
title Predictors for quitting smoking in smoking cessation clinics among female smokers in China
title_full Predictors for quitting smoking in smoking cessation clinics among female smokers in China
title_fullStr Predictors for quitting smoking in smoking cessation clinics among female smokers in China
title_full_unstemmed Predictors for quitting smoking in smoking cessation clinics among female smokers in China
title_short Predictors for quitting smoking in smoking cessation clinics among female smokers in China
title_sort predictors for quitting smoking in smoking cessation clinics among female smokers in china
topic female smokers
smoking cessation clinic
quitting rate
predictors of quitting
url http://www.tobaccoinduceddiseases.org/Predictors-for-quitting-smoking-in-smoking-cessation-clinics-namong-female-smokers,159132,0,2.html
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