Moderators of the association between regular smoking exposure and motivation and attempts to quit: a repeat cross‐sectional study.

Aims: To estimate the associations between regular exposure to smoking by other people and motivation and attempts to quit among current smokers. To examine whether socio‐demographic and other factors moderate these associations. Design A repeat nationally representative cross‐sectional survey. Data...

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Publicado en:Addiction Vol. 116; no. 10; pp. 2837 - 2847
Autores principales: Tattan‐Birch, Harry, Brown, Jamie, Kock, Loren, Shahab, Lion
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Oct2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2021
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Moderators of the association between regular smoking exposure and motivation and attempts to quit: a repeat cross‐sectional study.
      aug:
        au:
          Tattan‐Birch, Harry
          Brown, Jamie
          Kock, Loren
          Shahab, Lion
        affil: Department of Behavioural Science and Health, University College London, 1‐19 Torrington Place, London, UK
      sug:
        subj:
          Motivation
          Smoking
          Smoking Cessation
          Socioeconomic Factors
          Environmental Exposure
          Cross Sectional Studies
          Surveys
          Odds Ratio
          Confidence Intervals
          England
          Tobacco Control
          Health Services Accessibility
          Random Sample
          Probability Sample
          Quota Sample
          Scales
          Clinical Assessment Tools
          Self Report
          Descriptive Statistics
          Logistic Regression
          Human
          Male
          Female
          Adolescence
          Adult
          Middle Age
          Aged
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Aims: To estimate the associations between regular exposure to smoking by other people and motivation and attempts to quit among current smokers. To examine whether socio‐demographic and other factors moderate these associations. Design A repeat nationally representative cross‐sectional survey. Data were collected monthly between November 2014 and February 2019. Setting: England. Participants: Current smokers ≥16 years of age from the Smoking Toolkit Study (n = 15 136). Measurements Participants were asked whether other people regularly smoke in their presence, how motivated they were to quit and whether they had made a quit attempt in the past year. Moderators assessed were occupation‐based social grade, housing tenure, urges to smoke, high‐risk alcohol consumption, and disability. Adjusted analyses included moderators, socio‐demographic (age/sex/ethnicity/sexual orientation/marital status/children in household) and seasonal (quarter/year) confounders. Findings Current smokers who were regularly exposed to other people smoking in their presence were less likely to be highly motivated to quit (OR = 0.88 [95% CI 0.80–0.97]), but were no less likely to have made a quit attempt in the past year (OR 1.04 [0.97–1.13], Bayes Factor (BF) = 0.05). The inverse relationship between regular smoking exposure and motivation to quit was moderated by urges to smoke, such that exposure was only associated with a reduction in motivation among those without strong urges to smoke (OR 0.83 [0.75–0.93] versus OR 1.04 [0.86–1.26]; P = 0.048). None of the other factors significantly moderated the association with motivation to quit, and none moderated the relationship between regular smoking exposure and quit attempts. All non‐significant interactions, except social grade (BF = 1.44) with quit attempts, had Bayes Factors that supported the hypothesis of no moderation (BF range: 0.12–0.21). Conclusions: Among current smokers in England, regular exposure to other smokers appears to be associated with lower motivation to quit in people without strong urges to smoke, yet there appears to be no association with quit attempts in the previous year. Social grade, housing tenure, high‐risk alcohol consumption and disability do not moderate these associations.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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