Intention to Quit among Smokers in Kazakhstan: Data from 2014 Global Adult Tobacco Survey

Qian Wang, Komi Mati, Qian Wang, Komi Mati

Abstract

Kazakhstan is one of the countries with higher-than-average smoking prevalence and tobacco-related mortality. Intention to quit is a key step toward smoking cessation, yet has not been studied in Kazakhstan. This study explored prevalence and correlates of intention to quit among smokers in Kazakhstan. We drew data from the nationally representative survey, the Global Adult Tobacco Survey (GATS), conducted during 2014 in Kazakhstan. Our sample consisted of 649 smokers aged ≥15 years. We examined prevalence of intention to quit by demographics, knowledge of tobacco-related diseases, nicotine dependence, attempt to quit in the past 12 months, household smoking restrictions, and awareness of antismoking messages. Univariate and multivariate logistic regressions were used to test the significance of these correlates. Prevalence of intention to quit was around 75.9% among smokers. Older age (p < 0.001), knowledge of tobacco-related diseases (p < 0.01), moderate nicotine dependence (p < 0.001), attempt to quit within the past 12 months (p < 0.001), and having household smoking restrictions (p < 0.001) were all significant correlates. We suggest investing in efforts to promote cessation activities for smokers of all ages, to disseminate comprehensive information on tobacco-related diseases, and to uphold and strengthen policies on smoking bans.

Keywords: Global Adult Tobacco Survey; Kazakhstan; intention to quit.

Conflict of interest statement

None.

© Atlantis Press International B.V.

References

    1. World Health Organization (WHO) WHO global report on trends in prevalence of tobacco smoking 2000–2025. second edition. Geneva: WHO; 2018. Available from: .
    1. Zhylkaidarova A, Nurguzhayev K. Expansion of the Quit & Win competition in Kazakhstan as the instrument of the building capacity for a tobacco-free society. Poster session presented at The 13th World Conference on Tobacco OR Health; July 13th, 2006; Washington DC, U.S.. Available from: .
    1. World Health Organization (WHO) FCTC implementation database, 2014. Geneva: WHO; Kazakhstan. 2014 report. Available from: (in Russian).
    1. The Tobacco Atlas Consumption. American Cancer Society; Vital Strategies; 2019. Available from: .
    1. Lopez AD. Alcohol and smoking as risk factors. In: Chamie J, Cliquet RL, editors. Health and mortality: issues of global concern; Proceedings of the United Nations Symposium on Health and Mortality; 19–22 November, 1997; Brussels. New York: United Nations Population Division; 1999.
    1. U.S. Department of Health and Human Services . The Health Consequences of Smoking: 50 Years of Progress. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2014.
    1. U.S. Department of Health and Human Services . Smoking and cancer (fact sheet) Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2014.
    1. U.S. Department of Health and Human Services . Smoking and diabetes (fact sheet) Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2014.
    1. U.S. Department of Health and Human Services . Smoking and respiratory diseases (fact sheet) Atlanta: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2014.
    1. World Health Organization (WHO) Guidelines for implementation of the WHO Framework Convention on Tobacco Control. Geneva: WHO; 2011.
    1. Decree of the President of the Republic of Kazakhstan № 193-IV ZRK from 18.09.2009, the “The Code on health of people and health care system”.
    1. World Health Organization (WHO) Global Adult Tobacco Survey. Fact sheet. Kazakhstan 2014. Geneva: WHO; Available from: .
    1. Nguyen AB, Zhao X, Hoffman L, Morse AL, Delahanty J. Nicotine and addiction beliefs and perceptions among the US-born and foreign-born populations. Prev Med. 2018;114:107–14. doi: 10.1016/j.ypmed.2018.06.018.
    1. Jha P, Peto R. Global effects of smoking, of quitting, and of taxing tobacco. N Engl J Med. 2014;370:60–8. doi: 10.1056/nejmra1308383.
    1. Horn K, Ali M, Gray T, Anesetti-Rothermel A, Branstetter S. School-level disadvantage and failed cessation treatment among adolescent smokers. Tob Prev Cessation. 2018;4:11. doi: 10.18332/tpc/87074.
    1. Jiang N, Ho SY, Wang MP, Leung LT, Lam TH. Exclusive and concurrent use of cigarettes and alternative tobacco products among Hong Kong adolescents. Tob Prev Cessation. 2018;4:19. doi: 10.18332/tpc/90659.
    1. Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50:179–211. doi: 10.1016/0749-5978(91)90020-t.
    1. Hyland A, Borland R, Li Q, McNeill A, Fong GT, O’Connor RJ, et al. Individual-level predictors of cessation behaviours among participants in the International Tobacco Control (ITC) Four Country Survey. Tob Control. 2006;15:iii83–iii94. doi: 10.1136/tc.2005.013516.
    1. Hyland A, Li Q, Bauer JE, Giovino GA, Steger C, Cummings KM. Predictors of cessation in a cohort of current and former smokers followed over 13 years. Nicotine Tob Res. 2004;6:S363–S9. doi: 10.1080/14622200412331320761.
    1. Feng G, Jiang Y, Li Q, Yong HH, Elton-Marshall T, Yang J, et al. Individual-level factors associated with intentions to quit smoking among adult smokers in six cities of China: findings from the ITC China Survey. Tob Control. 2010;19:i6–i11. doi: 10.1136/tc.2010.037093.
    1. Yang J, Hammond D, Driezen P, Fong GT, Jiang Y. Health knowledge and perception of risks among Chinese smokers and non-smokers: findings from the Wave 1 ITC China Survey. Tob Control. 2010;19:i18–i23. doi: 10.1136/tc.2009.029710.
    1. Gilpin EA, White MM, Farkas AJ, Pierce JP. Home smoking restrictions: which smokers have them and how they are associated with smoking behavior. Nicotine Tob Res. 1999;1:153–62. doi: 10.1080/14622299050011261.
    1. de Betânia Caixeta R, Sinha DN, Khoury RN, Rarick J, Fouad H, Tursan d’Espaignet E, et al. Antismoking messages and intention to quit – 17 countries, 2008–2011. MMWR Morb Mortal Wkly Rep. 2013;62:417–22.
    1. Stockings SE, Bowman J, McElwaine K, Baker A, Terry M, Clancy R, et al. Readiness to quit smoking and quit attempts among Australian mental health inpatients. Nicotine Tob Res. 2013;15:942–9. doi: 10.1093/ntr/nts206.
    1. Global Adult Tobacco Survey Collaborative Group . Global Adult Tobacco Survey (GATS): sample design manual, version 2.0. Atlanta: Centers for Disease Control and Prevention; 2010.
    1. Global Adult Tobacco Survey the Republic of Kazakhstan 2014 Country Report. Ministry of Healthcare and Social Development of the Republic of Kazakhstan; 2014. Available from: .
    1. Heatherton TF, Kozlowski LT, Frecker RC, Fagerstrom KO. The Fagerström test for nicotine dependence: a revision of the Fagerstrom tolerance questionnaire. Br J Addict. 1991;86:1119–27. doi: 10.1111/j.1360-0443.1991.tb01879.x.
    1. Kozlowski LT, Porter CQ, Orleans CT, Pope MA, Heatherton T. Predicting smoking cessation with self-reported measures of nicotine dependence: FTQ, FTND, and HSI. Drug Alcohol Depend. 1994;34:211–6. doi: 10.1016/0376-8716(94)90158-9.
    1. Popova L, Majeed B, Owusu D, Spears CA, Ashley DL. Who are the smokers who never plan to quit and what do they think about the risks of using tobacco products? Addict Behav. 2018;87:62–8. doi: 10.1016/j.addbeh.2018.06.024.
    1. Nagelhout GE, Crone MR, van den Putte B, Willemsen MC, Fong GT, de Vries H. Age and educational inequalities in smoking cessation due to three population-level tobacco control interventions: findings from the International Tobacco Control (ITC) Netherlands Survey. Health Educ Res. 2013;28:83–91. doi: 10.1093/her/cys101.
    1. Yong HH, Borland R, Siahpush M. Quitting-related beliefs, intentions, and motivations of older smokers in four countries: findings from the international tobacco control policy evaluation survey. Addict Behav. 2005;30:777–88. doi: 10.1016/j.addbeh.2004.08.023.
    1. Owusu D, Quinn M, Wang KS, Aibangbee J, Mamudu HM. Intentions to quit tobacco smoking in 14 low- and middle-­income countries based on the transtheoretical model. Drug Alcohol Depend. 2017;178:425–9. doi: 10.1016/j.drugalcdep.2017.05.033.
    1. Kerr S, Watson H, Tolson D, Lough M, Brown M. Smoking after the age of 65 years: a qualitative exploration of older current and former smokers’ views on smoking, stopping smoking, and smoking cessation resources and services. Health Soc Care Community. 2006;14:572–82. doi: 10.1111/j.1365-2524.2006.00659.x.
    1. Østbye T, Taylor DH. The effect of smoking on years of healthy life (YHL) lost among middle-aged and older Americans. Health Serv Res. 2004;39:531–52. doi: 10.1111/j.1475-6773.2004.00243.x.
    1. Taylor DH, Hasselblad V, Henley SJ, Thun MJ, Sloan FA. Benefits of smoking cessation for longevity. Am J Public Health. 2002;92:990–6. doi: 10.2105/ajph.92.6.990.
    1. Siahpush M, McNeill A, Hammond D, Fong GT. Socioeconomic and country variations in knowledge of health risks of tobacco smoking and toxic constituents of smoke: results from the 2002 International Tobacco Control (ITC) Four Country Survey. Tob Control. 2006;15:iii65–iii70. doi: 10.1136/tc.2005.013276.
    1. Weinstein N, Slovic P, Waters E, Gibson G. Public understanding of the illnesses caused by cigarette smoking. Nicotine Tob Res. 2004;6:349–55. doi: 10.1080/14622200410001676459.
    1. Hammond D, Fong GT, Borland R, McNeill A, Cummings KM, Hastings G. Effectiveness of cigarette warning labels in informing smokers about the risks of smoking: findings from the International Tobacco Control (ITC) Four Country Survey. Tob Control. 2006;15:iii19–iii25. doi: 10.1136/tc.2005.012294.
    1. The International Tobacco Control Policy Evaluation Project . ITC Bangladesh report on tobacco warning labels. Waterloo, Ontario: University of Waterloo; 2011. Dhaka: University of Dhaka;
    1. The International Tobacco Control Policy Evaluation Project . ITC Bhutan project report. Waterloo, Ontario: University of Waterloo; 2011. Thimpu, Bhutan: Ministry of Health;
    1. Jha P, Chaloupka FJ. Curbing the epidemic: governments and the economics of tobacco control. Washington: World Bank; 1999.
    1. Marques-Vidal P, Melich-Cerveira J, Paccaud F, Waeber G, Vollenweider P, Cornuz J. Prevalence and factors associated with difficulty and intention to quit smoking in Switzerland. BMC Public Health. 2011;11:227. doi: 10.1186/1471-2458-11-227.
    1. Reitzel LR, Costello TJ, Mazas CA, Vidrine JI, Businelle MS, Kendzor DE, et al. Low-level smoking among Spanish-speaking Latino smokers: relationships with demographics, tobacco dependence, withdrawal, and cessation. Nicotine Tob Res. 2009;11:178–84. doi: 10.1093/ntr/ntn021.
    1. Kaai SC, Chung-Hall J, Sun MC, Burhoo P, Moussa L, Yan M, et al. Predictors of quit intentions among adult smokers in Mauritius: Findings from the ITC Mauritius Survey. Tob Prev Cessation. 2016;2:75. doi: 10.18332/tpc/65770.
    1. Hyland A, Levy DT, Rezaishiraz H, Hughes JR, Bauer JE, Giovino GA, et al. Reduction in amount smoked predicts future cessation. Psychol Addict Behav. 2005;19:221–5. doi: 10.1037/0893-164x.19.2.221.
    1. Mons U, Nagelhout GE, Allwright S, Guignard R, van den Putte B, Willemsen MC, et al. Impact of national smoke-free legislation on home smoking bans: findings from the International Tobacco Control Policy Evaluation Project Europe Surveys. Tob Control. 2013;22:e2–e9. doi: 10.1136/tobaccocontrol-2011-050131.
    1. World Health Organization (WHO) WHO framework convention on tobacco control. Geneva: WHO; 2003.
    1. Thun MJ, Carter BD, Feskanich D, Freedman ND, Prentice R, Lopez AD, et al. 50-year trends in smoking-related mortality in the United States. N Engl J Med. 2013;368:351–64. doi: 10.1056/nejmsa1211127.

Source: PubMed

3
Subscribe