The predictive utility of micro indicators of concern about smoking: Findings from the International Tobacco Control Four Country study

Timea R. Partos, Ron Borland, James F. Thrasher, Lin Li, Hua Hie Yong, Richard J. O'Connor, Mohammad Siahpush

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

This study explored the association between six "micro indicators" of concern about smoking (1. stubbing out cigarettes before finishing; 2. forgoing cigarettes due to packet warning labels; thinking about. 3. the harms to oneself of smoking; 4. the harms to others of one's smoking; 5. the bad conduct of tobacco companies; and 6. money spent on cigarettes) and cessation outcomes (making quit attempts, and achieving at least six months of sustained abstinence) among adult smokers from Australia, Canada, the United Kingdom, and the United States of America. Participants were 12,049 individuals from five survey waves of the International Tobacco Control Four Country Survey (interviewed between 2002 and 2006, and followed-up approximately one year later). Generalized estimating equation logistic regression analysis was used, enabling us to control for within-participant correlations due to possible multiple responses by the same individual over different survey waves. The frequency of micro indicators predicted making quit attempts, with premature stubbing out, forgoing, and thinking about the harms to oneself of smoking being particularly strong predictors. An interaction effect with expressed intention to quit was observed, such that stubbing out and thinking about the harms on oneself predicted quit attempts more strongly among smokers with no expressed plans to quit. In contrast, there was a negative association between some micro indicators and sustained abstinence, with more frequent stubbing out, forgoing, and thinking about money spent on cigarettes associated with a reduced likelihood of subsequently achieving sustained abstinence. In countries with long-established tobacco control programs, micro indicators index both high motivation by smokers to do something about their smoking at least partly independent of espoused intention and, especially those indicators not part of a direct pathway to quitting, reduced capacity to quit successfully.

Original languageEnglish (US)
Pages (from-to)1235-1242
Number of pages8
JournalAddictive Behaviors
Volume39
Issue number8
DOIs
StatePublished - Aug 2014

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Tobacco
Tobacco Products
Smoking
Regression analysis
Logistics
Labels
Canada
Motivation
Logistic Models
Regression Analysis
Thinking
Industry
Surveys and Questionnaires

Keywords

  • Maintenance
  • Prospective study
  • Relapse
  • Smoking cessation
  • Tobacco

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Toxicology
  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

The predictive utility of micro indicators of concern about smoking : Findings from the International Tobacco Control Four Country study. / Partos, Timea R.; Borland, Ron; Thrasher, James F.; Li, Lin; Yong, Hua Hie; O'Connor, Richard J.; Siahpush, Mohammad.

In: Addictive Behaviors, Vol. 39, No. 8, 08.2014, p. 1235-1242.

Research output: Contribution to journalArticle

Partos, Timea R. ; Borland, Ron ; Thrasher, James F. ; Li, Lin ; Yong, Hua Hie ; O'Connor, Richard J. ; Siahpush, Mohammad. / The predictive utility of micro indicators of concern about smoking : Findings from the International Tobacco Control Four Country study. In: Addictive Behaviors. 2014 ; Vol. 39, No. 8. pp. 1235-1242.
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