Identifying the barriers of smoking cessation and predictors of nicotine dependence among adult Malaysian smokers: A cross-sectional study.

Autor: Marzo RR; Department of Community Medicine, International Medical School, Management and Science University, Shah Alam, Malaysia.; Department of Community Medicine, Faculty of Medicine, Asia Metropolitan University, Bandar Seri Alam, Malaysia.; Global Public Health, Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Kuala Lumpur, Malaysia., El-Fass KA; Department of Pharmacy Practice, College of Clinical Pharmacy, King Faisal University, Hofuf, Egypt., Osman NA; Department of Biomedical Informatics and Medical Statistics, Medical Research Institute, Alexandria University, Alexandria, Egypt., Kyaw TM; Department of Community Medicine, Faculty of Medicine, University of Cyberjaya, Cyberjaya, Malaysia.; Department of Community Medicine, Faculty of Medicine, Manipal University College Malaysia, Melaka, Malaysia., Arivanandan PKA; Department of Community Medicine, Faculty of Medicine, University of Cyberjaya, Cyberjaya, Malaysia., Morgan LM; Department of Community Medicine, Faculty of Medicine, University of Cyberjaya, Cyberjaya, Malaysia., Latchumana K; Department of Community Medicine, Faculty of Medicine, University of Cyberjaya, Cyberjaya, Malaysia., Arasu K; Department of Community Medicine, Faculty of Medicine, University of Cyberjaya, Cyberjaya, Malaysia., Obaromi AD; Department of Biostatistics, Federal University of Health Sciences, Otukpo, Nigeria., Lin Y; Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, People's Republic of China.
Jazyk: angličtina
Zdroj: Tobacco induced diseases [Tob Induc Dis] 2022 Dec 07; Vol. 20, pp. 109. Date of Electronic Publication: 2022 Dec 07 (Print Publication: 2022).
DOI: 10.18332/tid/154964
Abstrakt: Introduction: Proper understanding of the prevalence and determinants of nicotine dependence is crucial for developing and implementing effective tobacco control interventions. The aim of the study was to identify the intrinsic and extrinsic barriers to smoking cessation, and to assess the association between nicotine dependence with demographic variables in Malaysia.
Methods: A cross-sectional survey based on the Challenges to Stopping Smoking Scale (CSS-21) and Fagerström test for nicotine dependence (FTND) was performed on smoking Malaysian citizens aged ≥18 years, from February to June 2021.
Results: A total of 1026 parents responded to the survey. As for the smoking dependence based on FTND, 39.1% suffered low-moderate dependence, while about 33.6% suffered moderate dependence. Only 1.8% suffered high dependence. Considering the barriers of quitting smoking based on CSS-21, the mean score of the intrinsic barriers domain was 5.7 ± 2.9, and for the extrinsic domain was 7.4 ± 4.0. The most common barrier reported in the intrinsic domain was the easy availability of cigarettes (69.8%), followed by experiencing withdrawal symptoms (68.5%). On the other hand, the most common barrier reported in the extrinsic domain was the belief in the capability of stopping smoking in the future (72.8%), followed by the fear of having side effects after stopping smoking (63.2%). Gender, race, education level, occupation, marital status, place of residence, and monthly income were also significantly associated with the FTND nicotine dependence category (all p<0.05). Pearson correlation analysis reported a positive association between intrinsic score (r=0.38), extrinsic score (r=0.43) and FTND score (all p<0.001).
Conclusions: Barriers to stopping smoking should be taken into consideration in initiatives to decrease smoking-related mortality. Vulnerable populations that are susceptible to high nicotine dependence should be given particular attention.
Competing Interests: The authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none was reported.
(© 2022 Marzo R.R. et al.)
Databáze: MEDLINE
Externí odkaz: