Educational disparities in the intention to quit smoking among male smokers in China: a cross-sectional survey on the explanations provided by the theory of planned behaviour.
BMJ Open
; 6(10): e011058, 2016 Oct 07.
Article
in En
| MEDLINE
| ID: mdl-27855086
ABSTRACT
OBJECTIVES:
We aim to describe the intention to quit smoking among Chinese male smokers from different educational backgrounds and to explain this intention from their attitude, perceived social norms and self-efficacy regarding smoking cessation.SETTING:
Participants were recruited from workplaces and communities to reflect the occupational distribution in three cities (Shanghai, Nanning and Mudanjiang) in China. DESIGN ANDPARTICIPANTS:
In 2013 interviews were conducted with 3676 male smokers aged 18â years and older. OUTCOMEMEASURES:
Multivariate logistic regression analyses calculated educational differences in the intention to quit smoking as well as the association between the intention to quit smoking and attitude, subjective norms, and self-efficacy. Bootstrapping estimated to what extent the educational disparities in the intention to quit smoking were mediated by these three determinants.RESULTS:
No educational disparities in the intention to quit smoking within 1 or 6â months were observed among male Chinese smokers (p=0.623 and p=0.153, respectively). A less negative attitude, a higher perceived subjective norm towards smoking cessation, and a higher perceived self-efficacy to quit smoking were all associated with intention to quit (all p values <0.001). Perceived subjective norms were the only component of the theory of planned behaviour that statistically significantly mediated the differences in the intention to quit smoking (within 1 or 6â months) between the lowest educated Chinese men and the groups with lower (ß=0.039, 95% CI 0.017 to 0.071 and ß=0.043, 95% CI 0.019 to 0.073), higher (ß=0.041, 95% CI 0.017 to 0.075 and ß=0.045, 95% CI 0.019 to 0.077) and the highest education (ß=0.045, 95% CI 0.019 to 0.080 and ß=0.050, 95% CI 0.023 to 0.083).CONCLUSIONS:
In order to prevent future socioeconomic disparities in smoking cessation, investment in a more stimulating social environment and norms towards smoking cessation among particularly the lowest educated Chinese men is warranted.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Tobacco Use Disorder
/
Attitude
/
Smoking
/
Smoking Cessation
/
Intention
/
Educational Status
/
Social Norms
Type of study:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limits:
Adult
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
Asia
Language:
En
Journal:
BMJ Open
Year:
2016
Document type:
Article
Affiliation country:
China