期刊
NICOTINE & TOBACCO RESEARCH
卷 12, 期 -, 页码 S4-S11出版社
OXFORD UNIV PRESS
DOI: 10.1093/ntr/ntq050
关键词
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资金
- National Cancer Institute of the United States [R01 CA 100362]
- Roswell Park Transdisciplinary Tobacco Use Research Center [P50 CA111236]
- Robert Wood Johnson Foundation [045734]
- Canadian Institutes of Health Research [57897, 79551]
- National Health and Medical Research Council of Australia [265903, 450110]
- Cancer Research UK [C312/A3726]
- Canadian Tobacco Control Research Initiative [014578]
- Centre for Behavioural Research and Program Evaluation, National Cancer Institute of Canada/Canadian Cancer Society
- Economic and Social Research Council [ES/G007489/1] Funding Source: researchfish
To explore whether measures of motivation to quit smoking have different predictive relationships with making quit attempts and the maintenance of those attempts. Data are from three wave-to-wave transitions of the International Tobacco Control Four (ITC-4) country project. Smokers' responses at one wave were used to predict the likelihood of making an attempt and among those trying the likelihood of maintaining an attempt for at least a month at the next wave. For both outcomes, hierarchical logistic regressions were used to explore the predictive capacity of seven measures of motivation to quit smoking, controlling for a range of other known or possible predictors. Bivariate analyses indicate that measures of motivation to quit are predictive of making quit attempts, but they predict relapse among those making attempts. Multivariate analyses identified wanting to quit and frequency of prematurely butting out cigarettes as the main positive predictors of making attempts, but this was reduced by intention and recency of last attempt. For maintenance, premature butting out was the main motivation variable predicting relapse and was essentially unaffected by other measures. The findings show that it is wrong to suggest that all one needs to quit is to be motivated to do so. The reality is that one needs to be motivated to prompt action to stop smoking, but this is not sufficient in and of itself to ensure that cessation is maintained. These findings call attention to the importance of understanding the differential roles that prequit and postquit experiences play in smoking cessation and of providing help to smokers to stay off cigarettes.
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