Changes in Smoking Status among Current Male Smokers and Factors Associated with Smoking Cessation Success

성인남성 흡연자의 흡연행태 변화와 관련 요인

  • Lee, Jin-Seok (Department of Health Policy and Management, College of Medicine, Seoul National University) ;
  • Kim, Yang-Jung (Department of Economic Policy, Korea University Graduate School) ;
  • Kim, Won-Nyon (Department of Economics, Korea University) ;
  • Hwang, Seung-Sik (Research Institute for National Cancer Control and Evaluation, National Cancer Center) ;
  • Kim, Yong-Ik (Department of Health Policy and Management, College of Medicine, Seoul National University)
  • 이진석 (서울대학교 의과대학 의료관리학교실) ;
  • 김양중 (고려대학교 대학원 경제정책학과) ;
  • 김원년 (고려대학교 경제학과) ;
  • 황승식 (국립암센터 국가암관리사업지원평가연구단) ;
  • 김용익 (서울대학교 의과대학 의료관리학교실)
  • Published : 2006.07.31

Abstract

Objectives: This study (a) investigated the rate of smoking cessation sucess for current male smokers, and (b) identified the factors that are associated with the smoking cessation success. Methods: Data were collected from four follow-up surveys of 700 current male smokers. The follow-up period was from December 2004 to June 2005. Success of smoking cessation was defined as "maintaining a smoking cessation status for six months". The demographic and socioeconomic factors included age, the household income level and, occupation. The smoking behavioral factors were composed of the amount of smoking, the duration of smoking, the age of initiating smoking, the willingness to quit, the frequency of trying to quit smoking and the smoker's attitude toward the anti-smoking policies. Results: The proportion of quitters increased from 6.6% to 11.0% during the follow-up period. The majority of quitters answered that the increase of tobacco price acted as cue to achieve smoking cessation. The age-standardized experience and success rate of smoking cessation were 16.0% (95% C.I.=13.0% to, 19.0%) and 4.5% (95% C.I.=3.0% to, 6.0%), respectively. On the multivariate analysis, success for smoking cessation was associated with the willingness to quit smoking, low prior tobacco consumption, and agreement on the tobacco price increase. Conclusions: The results of this study suggest that the recent anti-smoking policies provided an opportunity to quit smoking. The results of this study can be used to establish evidence for further anti-smoking policies.

Keywords

References

  1. Ministry of Health and Welfare. Plan for Health Promotion. 2002 (Korean)
  2. Warner KE, Chaloupka FJ, Cook PJ, Manning WG, Newhouse JP, Novotny TE, Schelling TC, Townsend J. Criteria for determining an optimal cigarette tax: the economist's perspective. Tob Control 1995; 4: 380-386 https://doi.org/10.1136/tc.4.4.380
  3. Asia Pacific Cohort Studies Collaboration. Smoking, quitting, and the risk of cardiovascular disease among women and men in the Asia-Pacific region. International J Epidemiol 2005; 34(5): 1036-1045 https://doi.org/10.1093/ije/dyi104
  4. McFall M, Saxon AJ, Thompson CE, Yoshimoto D, Malte C, Straits-Troster K, Kanter E, Zhou XH, Dougherty CM, Steele B. Improving the rates of quitting smoking for veterans with posttraumatic stress disorder. Am J Psychiatry 2005; 162(7): 1311-1319 https://doi.org/10.1176/appi.ajp.162.7.1311
  5. Netemeyer RG, Andrews JC, Burton S. Effects of antismoking advertising-based beliefs on adult smokers' consideration of quitting. Am J Public Health 2005; 95(6): 1062-1066 https://doi.org/10.2105/AJPH.2004.050195
  6. Petersen R, Garrett JM, Melvin CL, Hartmann KE. Medicaid reimbursement for prenatal smoking intervention influences quitting and cessation. Tob Control 2006; 15(1): 30-34 https://doi.org/10.1136/tc.2005.012187
  7. USDHHS. The Health Benefits of Smoking Cessation: A Report of the Surgeon General, 1990. Washington, DC: Government Printing Office; 1990
  8. Lancaster T, Stead LF. Self-help Interventions for Smoking Cessation. The Cochrane Database of Systematic Reviews Vol. 4, 2004
  9. Law M, Tang JL. The analysis of the effectiveness of interventions intended to help people stop smoking. Arch Int Med 1995; 155(18): 1933-1941 https://doi.org/10.1001/archinte.155.18.1933
  10. Prochaska JJ, Delucchi K, Hall SM. A meta-analysis of smoking cessation interventions with individuals in substance abuse treatment or recovery. J Consult Clinl Psychol 2004; 72(6): 1144-1156 https://doi.org/10.1037/0022-006X.72.6.1144
  11. Silagy C, Lancaster T, Stead L, Mante D, Fowler G. Nicotine Replacement Therapy for Smoking Ccessation. The Cochrane Database of Systematic Reviews Vol. 4, 2004
  12. 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(supp13): s363-369 https://doi.org/10.1080/14622200412331320761
  13. Hymowitz N, Cummings KM, Hyland A, Lynn WR, Pechacek TF, Hartwell TD. Predictors of smoking cessation in a cohort of adult smokers followed for five years. Tob Control 1997; 6(supp12): s57-62 https://doi.org/10.1136/tc.6.suppl_2.S57
  14. Janzon E, Engstrom G, Lindstrom M, Berglund G, Hedblad B, Janzon L. Who are the 'quitter'? a cross-sectional study of circumstances associated with women giving up smoking. Scand J Public Health 2005; 33(3): 175-182 https://doi.org/10.1080/14034940410019244
  15. Osler M, Prescott E. Psychosocial, behavioural, and health determinants of successful smoking cessation: a longitudinal study of Danish adults. Tob Control 1998; 7: 262-267 https://doi.org/10.1136/tc.7.3.262
  16. Ryu SY, Kim KS, Kang MG, Park HC, Kim JS. Smoking status and smoking cessation activity among physicians in a community. Korean J Prev Med 2003; 36(3): 271-278 (Korean)
  17. Park SW, Park JH, Lee SW, Lim HS, Lee JT, Kang YS. Smoking behaviors and its relationships with other health behaviors among medical students. J Preve Med Public Health 2004; 37(3): 238-245 (Korean)
  18. Lee EH, Chun KH, Song MS, Lee SY, Kim JY. Relationships of smoking, stress and social support of high school students. Korean J Prev Med 2003; 36(2): 131-136 (Korean) https://doi.org/10.1016/S0091-7435(02)00024-5
  19. Jarvis MJ, Wardle J. Social Patterning of Individual Health Behaviors: The Case of Cigarette Smoking. In: Marmot M, Wilkinson RG, editors. Social Determinants of Health. New York: Oxford University Press; 1999
  20. Pederson L. Prevalence of Selected Cigarette Smoking Behaviors by Occupation in the United States. Boston: Organized Labor, Public Health, and Tobacco Control Policy; 2000
  21. Siahpush M. Socioeconomic status and tobacco expenditure among Australian households: Results from the 1998-99 household expenditure survey. J Epidemiol Community Health 2003; 57: 798-801 https://doi.org/10.1136/jech.57.10.798
  22. Korean Labor Institute. Explanation Paper about Korean Labor Income Panel Study. 2005 (Korean)
  23. Biener L, McCallum-Keeler G, Nyman AL. Adults' response to Massachusetts anti-tobacco television advertisements: impact of viewer and advertisement characteristics. Tob Control 2000; 9(4): 401-407 https://doi.org/10.1136/tc.9.4.401
  24. Gilpin EA, Lee L, Pierce JP. How have smoking risk factors changed with recent declines in California adolescent smoking? Addiction 2005; 100(1): 117-125 https://doi.org/10.1111/j.1360-0443.2005.00938.x
  25. Mitra M, Chung MC, Wilber N, Klein Walker D. Smoking status and quality of life: a longitudinal study among adults with disabilities. Am J Prev Med 2004; 27(3): 258-260
  26. Ministry of Health and Welfare. Changes in Smoking Prevalence after Tobacco Price Increase. Press Release. 2005.7.4. (Korean)
  27. Hu TW, Sung HY, Keeler TE. Reducing cigarette consumption in California: Tobacco taxes vs an anti-smoking media campaign. Am J Public Health 1995; 85(9): 1218-1222 https://doi.org/10.2105/AJPH.85.9.1218
  28. Scollo M, Sweanor D. Tobacco taxation. BMJ 2000; 9(2): 228-236
  29. Economist Intelligence Unit. Worldwide Cost of Living . 2005
  30. Chandola T, Head J, Bartley M. Sociodemographic predictors of quitting smoking: how important are household factors? Addiction 2004; 99(6): 770-777 https://doi.org/10.1111/j.1360-0443.2004.00756.x