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Title: Predictors of successful quitting among Thai adult smokers: Evidence from ITC-SEA (Thailand) survey
Authors: Aree Jampaklay
Ron Borland
Hua Hie Yong
Buppha Sirirassamee
Omid Fotuhi
Geoffrey T. Fong
Mahidol University
Cancer Council Victoria
Stanford University
University of Waterloo
Ontario Institute for Cancer Research
Keywords: Environmental Science;Medicine
Issue Date: 25-Sep-2015
Citation: International Journal of Environmental Research and Public Health. Vol.12, No.10 (2015), 12095-12109
Abstract: © 2015 by the authors; licensee MDPI, Basel, Switzerland. This study uses longitudinal data from the International Tobacco Control Southeast Asia (ITC-SEA Thailand) survey to explore patterns and predictors of successful quitting among Thai adult smokers as a function of time quit. A cohort of a representative sample of 2000 smokers was surveyed four times from 2005 to 2009. A sample of 1533 individuals provided data for at least one of the reported analyses. Over the four years of follow-up, 97% made attempts to quit. Outcomes were successful quitting/relapse: (a) quit attempts of at least one month (short-term relapse, 43%) (57% remaining quit); (b) surviving at least six months (medium-term) (31%); (c) relapse between one and six months (45%); (d) having continuously quit between Waves 3 and 4 (sustained abstinence) (14%); and (e) relapse from six months on (44%) compared to those who continuously quit between Waves 3 and 4 (56%). Predictors for early relapse (<1 month) differ from longer-term relapse. Age was associated with reduced relapse over all three periods, and was much stronger for longer periods of abstinence. Cigarette consumption predicted relapse for short and medium terms. Self-assessed addiction was predictive of early relapse, but reversed to predict abstinence beyond six months. Previous quit history of more than one week was predictive of early abstinence, but became unrelated subsequently. Self-efficacy was strongly predictive of abstinence in the first month but was associated with relapse thereafter. Some determinants of relapse change with time quit, but this may be in somewhat different to patterns found in the West.
ISSN: 16604601
Appears in Collections:Scopus 2011-2015

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