Document Detail

Functional beliefs about smoking and quitting activity among adult smokers in four countries: findings from the International Tobacco Control Four-Country Survey.
MedLine Citation:
PMID:  18979974     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To examine the psychometric properties, distributions, and predictive utility for quitting behavior of six functional beliefs about smoking among adult smokers. DESIGN: Data was from the first three waves of the International Tobacco Control Four-Country Survey (ITC-4), a random-digit dialed telephone survey of a cohort of over 8,000 adult current smokers from the United Kingdom, United States, Canada, and Australia followed up annually. MAIN OUTCOME MEASURES: Quitting attempts and the success of such attempts at the next wave. RESULTS: The six functional belief measures are modestly correlated with each other and are moderately stable over time. Smoking for enjoyment and life enhancement were significantly negatively related to quitting attempts, at least partly mediated by quitting intention and dependence. Smoking for stress management appeared to reduce quit success among those who tried, an effect mediated by quitting self-efficacy and dependence. Smoking for weight control, social facilitation, and as an aid to concentration were not independently associated with cessation. CONCLUSION: Positive reasons for smoking may discourage quitting, but stress management is the only function that appears to prospectively predict quit success. Interventions should target those beliefs, and review the value of intervening on beliefs that are unrelated to cessation outcomes.
Hua-Hie Yong; Ron Borland
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Publication Detail:
Type:  Comparative Study; Journal Article; Multicenter Study; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Health psychology : official journal of the Division of Health Psychology, American Psychological Association     Volume:  27     ISSN:  0278-6133     ISO Abbreviation:  Health Psychol     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-11-04     Completed Date:  2008-12-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8211523     Medline TA:  Health Psychol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S216-23     Citation Subset:  IM    
Cancer Council Victoria, Melbourne, Victoria, Australia.
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MeSH Terms
Cross-Sectional Studies
Great Britain
Health Knowledge, Attitudes, Practice*
Health Surveys
Logistic Models
Multivariate Analysis
North America
Predictive Value of Tests
Prospective Studies
Smoking / prevention & control,  psychology*
Smoking Cessation / psychology*
Grant Support
P50 CA111236/CA/NCI NIH HHS; R01 CA100362/CA/NCI NIH HHS

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