Methods and factors influencing successful smoking cessation in Thailand: A case-control study among smokers at the community level
Introduction Despite comprehensive tobacco control policies being in place since 1992, smoking prevalence in Thailand has not declined since 2009, indicating a potential need for individual-level measures. This study examined factors influencing successful smoking cessation attempts in Thailand. Me...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Publishing
2022-07-01
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| Series: | Tobacco Induced Diseases |
| Subjects: | |
| Online Access: | http://www.tobaccoinduceddiseases.org/Methods-and-factors-influencing-successful-smoking-cessation-in-Thailand-A-case-control,150345,0,2.html |
| _version_ | 1818010092134465536 |
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| author | Bundit Sornpaisarn Nadia Parvez Werayut Chatakan Weena Thitiprasert Pattanapong Precha Ronnachai Kongsakol Udomsak Saengow Jürgen Rehm |
| author_facet | Bundit Sornpaisarn Nadia Parvez Werayut Chatakan Weena Thitiprasert Pattanapong Precha Ronnachai Kongsakol Udomsak Saengow Jürgen Rehm |
| author_sort | Bundit Sornpaisarn |
| collection | DOAJ |
| description | Introduction
Despite comprehensive tobacco control policies being in
place since 1992, smoking prevalence in Thailand has not declined
since 2009, indicating a potential need for individual-level measures.
This study examined factors influencing successful smoking cessation
attempts in Thailand.
Methods
With a case-control design, smoking cessation experiences of
284 successful (defined as having quit smoking for at least six months)
and 837 unsuccessful quitters, who were all lifetime daily smokers,
were compared, using sociodemographic data, smoking behaviors, and
smoking cessation experiences from their last quitting attempt. Data
were collected between August and December 2020. Multivariateadjusted
logistic regressions were employed.
Results
Unaided smoking cessation was the most popular method among
Thais attempting to quit smoking; more than 99% of both successful and
unsuccessful quitters used this method. A significantly higher proportion
of successful quitters favored stopping their smoking abruptly than
did unsuccessful quitters. Depending on the cessation phases (nicotine
withdrawal or relapse prevention), cessation-supporting factors included
a doctor’s recommendation to stop smoking due to smoker’s sickness
(OR=2.6; 95% CI: 1.9–3.6), having a grandchild (OR=2.5; 95% CI:
1.1–5.6) or child (OR=2.0; 95% CI: 1.2–3.1), exercising (OR=13.9;
95% CI: 7.2–26.9), avoiding smokers (OR=6.7; 95% CI: 4.1–11.1), selfefficacy
(OR=8.5; 95% CI: 3.6–20.0), having a good appetite (OR=1.9;
95% CI: 1.3–2.8), wishing to avoid the unpleasant smell of other
people’s smoking after cessation (OR=3.7; 95% CI: 2.5–5.5), smoking
prohibitions in public places (OR=2.8; 95% CI: 1.2–6.4) and workplaces
(OR=4.5; 95% CI: 1.9–10.3), and expensive tobacco (OR=1.9; 95% CI:
1.3–2.9). Barriers to successful cessation included using roll-your-own
(OR=0.4; 95% CI: 0.3–0.5), insomnia (OR=0.3; 95% CI: 0.2–0.5), social
pressure to smoke (OR=0.4; 95% CI: 0.3–0.6), associating smoking
with a habit/specific activity (OR=0.4; 95% CI: 0.3–0.5), and pleasure
of smoking (OR=0.5; 95% CI: 0.3–0.7).
Conclusions
This study highlights several factors found to influence
successful smoking cessation among Thai smokers which can be used
to design a guideline for unaided smoking cessation, and for smoking
cessation enhancement programs and policies. |
| first_indexed | 2024-04-14T05:51:00Z |
| format | Article |
| id | doaj.art-f3b8afd4b19e44aca764ef23f09dc7e7 |
| institution | Directory Open Access Journal |
| issn | 1617-9625 |
| language | English |
| last_indexed | 2024-04-14T05:51:00Z |
| publishDate | 2022-07-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj.art-f3b8afd4b19e44aca764ef23f09dc7e72022-12-22T02:09:07ZengEuropean PublishingTobacco Induced Diseases1617-96252022-07-0120July11210.18332/tid/150345150345Methods and factors influencing successful smoking cessation in Thailand: A case-control study among smokers at the community levelBundit Sornpaisarn0https://orcid.org/0000-0001-8541-1172Nadia Parvez1https://orcid.org/0000-0002-7633-0140Werayut Chatakan2Weena Thitiprasert3Pattanapong Precha4Ronnachai Kongsakol5Udomsak Saengow6https://orcid.org/0000-0001-6102-168XJürgen Rehm7https://orcid.org/0000-0001-5665-0385Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, CanadaDalla Lana School of Public Health, University of Toronto, Toronto, CanadaGraduate School, Nakhon Sri Thammarat Rajabhat University, Nakhon Sri Thammarat, ThailandAssociation of Innovation for Thailand Development, Nakhon Sri Thammarat, ThailandNoppitham Hospital, Nakhon Sri Thammarat Provincial Office, Nakhon Sri Thammarat, ThailandFaculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, ThailandCenter of Excellence in Data Science for Health Study, Nakhon Si Thammarat, ThailandInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, CanadaIntroduction Despite comprehensive tobacco control policies being in place since 1992, smoking prevalence in Thailand has not declined since 2009, indicating a potential need for individual-level measures. This study examined factors influencing successful smoking cessation attempts in Thailand. Methods With a case-control design, smoking cessation experiences of 284 successful (defined as having quit smoking for at least six months) and 837 unsuccessful quitters, who were all lifetime daily smokers, were compared, using sociodemographic data, smoking behaviors, and smoking cessation experiences from their last quitting attempt. Data were collected between August and December 2020. Multivariateadjusted logistic regressions were employed. Results Unaided smoking cessation was the most popular method among Thais attempting to quit smoking; more than 99% of both successful and unsuccessful quitters used this method. A significantly higher proportion of successful quitters favored stopping their smoking abruptly than did unsuccessful quitters. Depending on the cessation phases (nicotine withdrawal or relapse prevention), cessation-supporting factors included a doctor’s recommendation to stop smoking due to smoker’s sickness (OR=2.6; 95% CI: 1.9–3.6), having a grandchild (OR=2.5; 95% CI: 1.1–5.6) or child (OR=2.0; 95% CI: 1.2–3.1), exercising (OR=13.9; 95% CI: 7.2–26.9), avoiding smokers (OR=6.7; 95% CI: 4.1–11.1), selfefficacy (OR=8.5; 95% CI: 3.6–20.0), having a good appetite (OR=1.9; 95% CI: 1.3–2.8), wishing to avoid the unpleasant smell of other people’s smoking after cessation (OR=3.7; 95% CI: 2.5–5.5), smoking prohibitions in public places (OR=2.8; 95% CI: 1.2–6.4) and workplaces (OR=4.5; 95% CI: 1.9–10.3), and expensive tobacco (OR=1.9; 95% CI: 1.3–2.9). Barriers to successful cessation included using roll-your-own (OR=0.4; 95% CI: 0.3–0.5), insomnia (OR=0.3; 95% CI: 0.2–0.5), social pressure to smoke (OR=0.4; 95% CI: 0.3–0.6), associating smoking with a habit/specific activity (OR=0.4; 95% CI: 0.3–0.5), and pleasure of smoking (OR=0.5; 95% CI: 0.3–0.7). Conclusions This study highlights several factors found to influence successful smoking cessation among Thai smokers which can be used to design a guideline for unaided smoking cessation, and for smoking cessation enhancement programs and policies.http://www.tobaccoinduceddiseases.org/Methods-and-factors-influencing-successful-smoking-cessation-in-Thailand-A-case-control,150345,0,2.htmltobaccosmoking cessationquitting smokingthailand |
| spellingShingle | Bundit Sornpaisarn Nadia Parvez Werayut Chatakan Weena Thitiprasert Pattanapong Precha Ronnachai Kongsakol Udomsak Saengow Jürgen Rehm Methods and factors influencing successful smoking cessation in Thailand: A case-control study among smokers at the community level Tobacco Induced Diseases tobacco smoking cessation quitting smoking thailand |
| title | Methods and factors influencing successful smoking cessation in Thailand: A case-control study among smokers at the community level |
| title_full | Methods and factors influencing successful smoking cessation in Thailand: A case-control study among smokers at the community level |
| title_fullStr | Methods and factors influencing successful smoking cessation in Thailand: A case-control study among smokers at the community level |
| title_full_unstemmed | Methods and factors influencing successful smoking cessation in Thailand: A case-control study among smokers at the community level |
| title_short | Methods and factors influencing successful smoking cessation in Thailand: A case-control study among smokers at the community level |
| title_sort | methods and factors influencing successful smoking cessation in thailand a case control study among smokers at the community level |
| topic | tobacco smoking cessation quitting smoking thailand |
| url | http://www.tobaccoinduceddiseases.org/Methods-and-factors-influencing-successful-smoking-cessation-in-Thailand-A-case-control,150345,0,2.html |
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