Predictive Factors of Stages of Change in Hookah Smoking Cessation Among Iranian Adults Based on the Transtheoretical Model

Background: Hookah, as a traditional method of smoking, is widely used in Iran, especially in Bushehr province. It is essential to identify the most important determinants of modifying hookah smoking behavior. This study aimed to investigate the predictors of the stages of change in quitting hookah...

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Main Authors: Adel Moqaddas, Mahnoush Reisi, Marzieh Mahmoodi, Homamodin Javadzade
Format: Article
Language:English
Published: Kerman University of Medical Sciences 2023-04-01
Series:Addiction and Health
Subjects:
Online Access:https://ahj.kmu.ac.ir/article_92215_5622e7dda2d8e1464f0ae2a0b36539da.pdf
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author Adel Moqaddas
Mahnoush Reisi
Marzieh Mahmoodi
Homamodin Javadzade
author_facet Adel Moqaddas
Mahnoush Reisi
Marzieh Mahmoodi
Homamodin Javadzade
author_sort Adel Moqaddas
collection DOAJ
description Background: Hookah, as a traditional method of smoking, is widely used in Iran, especially in Bushehr province. It is essential to identify the most important determinants of modifying hookah smoking behavior. This study aimed to investigate the predictors of the stages of change in quitting hookah smoking in 15-60-year-old individuals in Bushehr province, southern Iran, based on the transtheoretical model (TTM).   Methods: This descriptive-analytical study was conducted on 1173 Hookah smokers in Bushehr province. The samples were selected by two-stage random sampling from 10 cities. Data were collected using a valid and reliable questionnaire consisting of 5 sections (demographic characteristics, stages of change, processes of change, decisional balance, and self-efficacy). Data were analyzed by R version.3.3.1 using analysis of variance and ordinal logistic regression at a significant level of 0.05.  Findings: The data revealed 82% of the participants were in the preparatory phase (55.3% in pre-contemplation and 26.7% in contemplation stages). Marital status, family members smoking hookah, cigarette smoking, level of education, number of family members, number of quitting attempts, self-efficacy, self-reevaluation, counter-conditioning, reinforcement management, and stimulus control were predictors of quitting hookah smoking. Conclusion: Given that most study participants were in the inactive stages of quitting hookah smoking, it seems necessary to design and implement behavioral interventions based on the predictive TTM constructs in this population.
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spelling doaj.art-f0817f4cd4eb4a969df6838d624977892023-09-04T06:42:15ZengKerman University of Medical SciencesAddiction and Health2008-46332008-84692023-04-01152778610.34172/ahj.2023.134792215Predictive Factors of Stages of Change in Hookah Smoking Cessation Among Iranian Adults Based on the Transtheoretical ModelAdel Moqaddas0Mahnoush Reisi1Marzieh Mahmoodi2Homamodin Javadzade3Department of Health Education and Health Promotion, Faculty of Health, Bushehr University of Medical Sciences, Bushehr, IranDepartment of Health Education and Health Promotion, Faculty of Health, Bushehr University of Medical Sciences, Bushehr, IranDepartment of Epidemiology and Biostatistics, Faculty of Health, Bushehr University of Medical Sciences, Bushehr, IranDepartment of Health Education and Health Promotion, Bushehr University of Medical Sciences, Bushehr, IranBackground: Hookah, as a traditional method of smoking, is widely used in Iran, especially in Bushehr province. It is essential to identify the most important determinants of modifying hookah smoking behavior. This study aimed to investigate the predictors of the stages of change in quitting hookah smoking in 15-60-year-old individuals in Bushehr province, southern Iran, based on the transtheoretical model (TTM).   Methods: This descriptive-analytical study was conducted on 1173 Hookah smokers in Bushehr province. The samples were selected by two-stage random sampling from 10 cities. Data were collected using a valid and reliable questionnaire consisting of 5 sections (demographic characteristics, stages of change, processes of change, decisional balance, and self-efficacy). Data were analyzed by R version.3.3.1 using analysis of variance and ordinal logistic regression at a significant level of 0.05.  Findings: The data revealed 82% of the participants were in the preparatory phase (55.3% in pre-contemplation and 26.7% in contemplation stages). Marital status, family members smoking hookah, cigarette smoking, level of education, number of family members, number of quitting attempts, self-efficacy, self-reevaluation, counter-conditioning, reinforcement management, and stimulus control were predictors of quitting hookah smoking. Conclusion: Given that most study participants were in the inactive stages of quitting hookah smoking, it seems necessary to design and implement behavioral interventions based on the predictive TTM constructs in this population.https://ahj.kmu.ac.ir/article_92215_5622e7dda2d8e1464f0ae2a0b36539da.pdftranstheoretical modelstage of changepredictive factorshookah
spellingShingle Adel Moqaddas
Mahnoush Reisi
Marzieh Mahmoodi
Homamodin Javadzade
Predictive Factors of Stages of Change in Hookah Smoking Cessation Among Iranian Adults Based on the Transtheoretical Model
Addiction and Health
transtheoretical model
stage of change
predictive factors
hookah
title Predictive Factors of Stages of Change in Hookah Smoking Cessation Among Iranian Adults Based on the Transtheoretical Model
title_full Predictive Factors of Stages of Change in Hookah Smoking Cessation Among Iranian Adults Based on the Transtheoretical Model
title_fullStr Predictive Factors of Stages of Change in Hookah Smoking Cessation Among Iranian Adults Based on the Transtheoretical Model
title_full_unstemmed Predictive Factors of Stages of Change in Hookah Smoking Cessation Among Iranian Adults Based on the Transtheoretical Model
title_short Predictive Factors of Stages of Change in Hookah Smoking Cessation Among Iranian Adults Based on the Transtheoretical Model
title_sort predictive factors of stages of change in hookah smoking cessation among iranian adults based on the transtheoretical model
topic transtheoretical model
stage of change
predictive factors
hookah
url https://ahj.kmu.ac.ir/article_92215_5622e7dda2d8e1464f0ae2a0b36539da.pdf
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