Factors Contributing to the Intention to Quit Smoking in Community-dwelling Elderly Smokers

지역사회 거주 노인의 금연의도 영향요인

  • Received : 2012.08.17
  • Accepted : 2012.12.07
  • Published : 2012.12.31

Abstract

Purpose: The purpose of this study was to investigate factors associated with the intention to quit smoking in community-dwelling elderly smokers. Methods: From the database of the Fourth Korean National Health and Nutrition Examination Survey (KNHANES-IV), the researchers selected 448 elderly smokers over the age of 65. Data were analyzed with the $x^2$ test and multiple logistic regression using the SPSS/WIN 18.0 program. Results: Of the respondents, 45.5% intended to quit. The factors associated with the intention to quit were relative youth, having limit of activity day living and having past attempts to quit. Conclusion: Population-based smoking cessation programs, especially those targeted at the elderly, should take these predictors into consideration in the design of interventions.

Keywords

References

  1. Abdullah, A. S., Ho, L. M., Kwan, Y. H., Cheung, W. L., McGhee, S. M., & Chan, W. H. (2006). Promoting smoking cessation among the elderly: What are the predictors of intention to quit and successful quitting? Journal of Aging and Health, 18 (4), 552-564. https://doi.org/10.1177/0898264305281104
  2. Appel, D. W., & Aldrich, T. K. (2003). Smoking cessation in the elderly. Clinical Geriatric Medicine, 19 (1), 77-100. https://doi.org/10.1016/S0749-0690(02)00053-8
  3. Cataldo, J. K. (2003). Smoking and aging: Clinical implications. Part 1: Health and consequence. Journal of Gerontological Nursing, 29 (9), 15-20.
  4. Cataldo, J. K. (2007). Clinical implications of smoking and aging: Breaking through the barriers. Journal of Gerontological Nursing, 33 (8), 32-41.
  5. Chaaya, M., Mehio-Sibai, A., & El-Chemaly, S. (2006). Smoking patterns and predictors of smoking cessation in elderly populations in Lebanon. The International Journal Tuberculosis and Lung Disease, 10 (8), 917-923.
  6. DiClemente, C. C., Prochaska, J. O., Fairhurst, S. K., Velicer, W. F., Velasquez, M. M., & Rossi, J. S. (1991). The process of smoking cessation: An analysis of precontemplation, contemplation, and preparation stages of change. Journal of Consulting and Clinical Psychology, 59 (2), 295-304.
  7. Feng, G., Jiang, Y., Li, Q., Yong, H. H., Elton-Marshall, T., Yang, J., et al. (2010). Individual-level factors associated with intentions to quit smoking among adult smokers in six cities of china: Findings from the ITC china survey. Tobacco Control, 19 (Suppl 2), i6-i11.
  8. Hyland, A., Borland, R., Li, Q., Yong, H. H., McNeill, A., Fong, G. T., et al. (2006). Individual-level predictors of cessation behaviors among participants in the International Tobacco Control (ITC) Four Country Survey. Tobacco Control, 15 (Suppl III), 83-94.
  9. Kerr, S., Watson, H., Tolson, D., Lough, M., & Brown, M. (2006). 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 and Social Care in the Community, 14 (6), 572-582. https://doi.org/10.1111/j.1365-2524.2006.00659.x
  10. Kerr, S., Watson, H., Tolson, D., Lough, M., & Brown, M. (2007). An exploration of the knowledge, attitudes and practice of members of the primary care team in relation to smoking and smoking cessation in later life. Primary Health Care Research & Development, 8 (1), 68-79. https://doi.org/10.1017/S1463423607000084
  11. Kim, D. H., & Suh, U. S. (2009). Smoking as a disease. Korean Journal of Family Medicine, 30 (7), 494-502. https://doi.org/10.4082/kjfm.2009.30.7.494
  12. Kim, J. G. (2011). The impact of family type on health behavior of elderly people. Journal of Welfare for the Aged, 51, 35-55.
  13. Korea Centers for Disease Control and Prevention. (2010, December). The Fourth Korea National Health and Nutrition Examination Survey [KNHANES IV-3]. Retrieved August 22, 2011, from http://knhanes.cdc.go.kr/
  14. Korea National Statistical Office. (2010, October). Census of elderly population in Korean 2010 year. Seoul: Author.
  15. Lam, T. H., Li, Z. B., Ho, S. Y., Chan, W. M., Ho, K. S., Tham, M. K., et al. (2007). Smoking, quitting and mortality in an elderly cohort of 56,000 Hong Kong Chinese. Tobacco Control, 16 (3), 182-189. https://doi.org/10.1136/tc.2006.019505
  16. Marques-Vidal, P., Melich-Cerveira, J., Paccaud, F., Waeber, G., Vollenweider, P., & Cornuz, J. (2011). Prevalence and factors associated with difficulty and intention to quit smoking in switzerland. BMC Public Health, 11 (1), 227. https://doi.org/10.1186/1471-2458-11-227
  17. Myung, S. K., McDonnell, D. D., Kazinets, G., Seo, H. G., & Moskowitz, J. M. (2010). Relationships between household smoking restrictions and intention to quit smoking among Korean American male smokers in California. Journal of Korean Medical Science, 25 (2), 245-250. https://doi.org/10.3346/jkms.2010.25.2.245
  18. Park, S. M., Son, K. Y., Lee, Y. J., Lee, H. S., Kang, J. H., Lee, Y. J., et al. (2004). A preliminary investigation of early smoking initiation and nicotine dependence in Korean adults. Drug and Alcohol Dependence, 74 (2), 197-203. https://doi.org/10.1016/j.drugalcdep.2004.01.001
  19. Rusanen, M., Kivipelto, M., Quesenberry, Jr. C. P., Zhou, J., & Whitmer, R. A. (2011). Heavy smoking in midlife and long-term risk of alzheimer disease and vascular dementia. Archives of Internal Medicine, 171 (4), 333-339. https://doi.org/10.1001/archinternmed.2010.393
  20. Runciman, P., Watson, H., McIntosh, J., & Tolson, D. (2006). Community nurses' health promotion work with older people. Journal of Advanced Nursing, 55 (1), 46-57. https://doi.org/10.1111/j.1365-2648.2006.03882.x
  21. Ryu, S. Y., Shin, J. H., Kang, M. G., & Park, J. (2011). Factors associated with intention to quit smoking among male smokers in 13 communities in Honam region of Korea: 2010 Community Health Survey. Korean Journal of Health Education and Promotion, 28 (2), 75-85.
  22. Sachs-Ericsson, N., Schmidt, N. B., Zvolensky, M. J., Mitchell, M., Collins, N., & Blazer, D. G. (2009). Smoking cessation behavior in older adults by race and gender: The role of health problems and psychological distress. Nicotine & Tobacco Research, 11 (4), 433-443. https://doi.org/10.1093/ntr/ntp002
  23. Schofield, I., Kerr, S., & Tolson, D. (2007). An exploration of the smoking-related health beliefs of older people with chronic obstructive pulmonary disease. Journal of Clinical Nursing, 16 (9), 1726-1735. https://doi.org/10.1111/j.1365-2702.2007.01701.x
  24. Suh, K. H. (2007). Updates in the smoking and smoking cessation of Korean women. The Korean Journal of Health Psychology, 12 (4), 695-713.
  25. Son, G. Y. (2010). Analysis of influencing factors on elderly smoker's smoking-cessation intention based on theory of planned behavior. Unpublished master's thesis, Keimyung University, Daegu.