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- Publisher Website: 10.1093/ntr/ntq192
- Scopus: eid_2-s2.0-78650368266
- PMID: 21059820
- WOS: WOS:000285421200002
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Article: Patterns and predictors of quitting among youth quitline callers in Hong Kong
Title | Patterns and predictors of quitting among youth quitline callers in Hong Kong | ||||||
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Authors | |||||||
Issue Date | 2011 | ||||||
Publisher | Oxford University Press. The Journal's web site is located at http://ntr.oxfordjournals.org/ | ||||||
Citation | Nicotine And Tobacco Research, 2011, v. 13 n. 1, p. 7-14 How to Cite? | ||||||
Abstract | Objectives: To examine the time patterns and predictors of initiating a quit attempt and subsequent sustained abstinence among youth smokers after receiving a telephone smoking cessation intervention. Methods: This was a longitudinal study of 408 current youth smokers aged 12-25 years who called a smoking cessation hotline in Hong Kong. Telephone surveys were conducted at baseline; 1week; and 1, 3, and 6 months to assess smoking status and other risk factors. Nonparametric Kaplan-Meier methods and hierarchical Cox's proportional odds models were applied to explore the time patterns and predictors of the quitting process. Results: Half of the youth smokers initiated a quit attempt within 1 month after receiving the baseline telephone intervention, while the likelihood of further quit attempts decreased over time. Two thirds relapsed within the first 7 days after starting a quit attempt. Intention to quit, previous quit attempts, perceived physical unfitness, and other factors could predict the initiation of a quit attempt. Sustained abstinence was facilitated by making an immediate attempt to quit, adopting self-help strategies, and a perceived improvement in physical health. Conclusions: Our findings support the "catastrophic" pathway of youth smokers initiating a quit attempt. Counselors should capture the quitting momentum and motivate youth smokers to quit immediately. Interventions should include a health assessment and discussion of smokers' physical fitness. During the first week of abstinence, intensive monitoring of withdrawal symptoms, together with booster counseling, is helpful in preventing smoking relapse and could remotivate those who fail to sustain their quit attempt. © The Author 2010. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. | ||||||
Persistent Identifier | http://hdl.handle.net/10722/135950 | ||||||
ISSN | 2023 Impact Factor: 3.0 2023 SCImago Journal Rankings: 1.378 | ||||||
ISI Accession Number ID |
Funding Information: The Youth Quitline project was supported by the Health Care and Promotion Fund of the Food and Health Bureau of the Hong Kong Special Administrative Region Government (#18040084) and the Hong Kong Council on Smoking and Health. | ||||||
References | |||||||
Grants |
DC Field | Value | Language |
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dc.contributor.author | Wong, DCN | en_HK |
dc.contributor.author | Stat, C | en_HK |
dc.contributor.author | Chan, SSC | en_HK |
dc.contributor.author | Fong, DYT | en_HK |
dc.contributor.author | Leung, AYM | en_HK |
dc.contributor.author | Lam, DOB | en_HK |
dc.contributor.author | Lam, TH | en_HK |
dc.date.accessioned | 2011-07-27T02:00:27Z | - |
dc.date.available | 2011-07-27T02:00:27Z | - |
dc.date.issued | 2011 | en_HK |
dc.identifier.citation | Nicotine And Tobacco Research, 2011, v. 13 n. 1, p. 7-14 | en_HK |
dc.identifier.issn | 1462-2203 | en_HK |
dc.identifier.uri | http://hdl.handle.net/10722/135950 | - |
dc.description.abstract | Objectives: To examine the time patterns and predictors of initiating a quit attempt and subsequent sustained abstinence among youth smokers after receiving a telephone smoking cessation intervention. Methods: This was a longitudinal study of 408 current youth smokers aged 12-25 years who called a smoking cessation hotline in Hong Kong. Telephone surveys were conducted at baseline; 1week; and 1, 3, and 6 months to assess smoking status and other risk factors. Nonparametric Kaplan-Meier methods and hierarchical Cox's proportional odds models were applied to explore the time patterns and predictors of the quitting process. Results: Half of the youth smokers initiated a quit attempt within 1 month after receiving the baseline telephone intervention, while the likelihood of further quit attempts decreased over time. Two thirds relapsed within the first 7 days after starting a quit attempt. Intention to quit, previous quit attempts, perceived physical unfitness, and other factors could predict the initiation of a quit attempt. Sustained abstinence was facilitated by making an immediate attempt to quit, adopting self-help strategies, and a perceived improvement in physical health. Conclusions: Our findings support the "catastrophic" pathway of youth smokers initiating a quit attempt. Counselors should capture the quitting momentum and motivate youth smokers to quit immediately. Interventions should include a health assessment and discussion of smokers' physical fitness. During the first week of abstinence, intensive monitoring of withdrawal symptoms, together with booster counseling, is helpful in preventing smoking relapse and could remotivate those who fail to sustain their quit attempt. © The Author 2010. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. | en_HK |
dc.language | eng | en_US |
dc.publisher | Oxford University Press. The Journal's web site is located at http://ntr.oxfordjournals.org/ | en_HK |
dc.relation.ispartof | Nicotine and Tobacco Research | en_HK |
dc.rights | Nicotine & Tobacco Research. Copyright © Informa Healthcare. | - |
dc.subject.mesh | Hong Kong | - |
dc.subject.mesh | Hotlines - statistics and numerical data | - |
dc.subject.mesh | Smoking Cessation - statistics and numerical data | - |
dc.subject.mesh | Health status | - |
dc.subject.mesh | Nicotine replacement therapy | - |
dc.title | Patterns and predictors of quitting among youth quitline callers in Hong Kong | en_HK |
dc.type | Article | en_HK |
dc.identifier.openurl | http://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1462-2203&volume=13&issue=1&spage=7&epage=14&date=2011&atitle=Patterns+and+predictors+of+quitting+among+youth+quitline+callers+in+Hong+Kong | - |
dc.identifier.email | Chan, SSC: scsophia@hku.hk | en_HK |
dc.identifier.email | Fong, DYT: dytfong@hku.hk | en_HK |
dc.identifier.email | Leung, AYM: angleung@hku.hk | en_HK |
dc.identifier.email | Lam, DOB: debbie@hkucc.hku.hk | en_HK |
dc.identifier.email | Lam, TH: hrmrlth@hkucc.hku.hk | en_HK |
dc.identifier.authority | Chan, SSC=rp00423 | en_HK |
dc.identifier.authority | Fong, DYT=rp00253 | en_HK |
dc.identifier.authority | Leung, AYM=rp00405 | en_HK |
dc.identifier.authority | Lam, DOB=rp00571 | en_HK |
dc.identifier.authority | Lam, TH=rp00326 | en_HK |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1093/ntr/ntq192 | en_HK |
dc.identifier.pmid | 21059820 | en_HK |
dc.identifier.scopus | eid_2-s2.0-78650368266 | en_HK |
dc.identifier.hkuros | 187458 | en_US |
dc.relation.references | http://www.scopus.com/mlt/select.url?eid=2-s2.0-78650368266&selection=ref&src=s&origin=recordpage | en_HK |
dc.identifier.volume | 13 | en_HK |
dc.identifier.issue | 1 | en_HK |
dc.identifier.spage | 7 | en_HK |
dc.identifier.epage | 14 | en_HK |
dc.identifier.isi | WOS:000285421200002 | - |
dc.publisher.place | United Kingdom | en_HK |
dc.relation.project | Youth Quitline: an accessible telephone-based smoking cessation hotline for youth | - |
dc.identifier.scopusauthorid | Wong, DCN=24391473100 | en_HK |
dc.identifier.scopusauthorid | Stat, C=37110208700 | en_HK |
dc.identifier.scopusauthorid | Chan, SSC=7404255378 | en_HK |
dc.identifier.scopusauthorid | Fong, DYT=35261710300 | en_HK |
dc.identifier.scopusauthorid | Leung, AYM=7403012650 | en_HK |
dc.identifier.scopusauthorid | Lam, DOB=7201749390 | en_HK |
dc.identifier.scopusauthorid | Lam, TH=7202522876 | en_HK |
dc.identifier.issnl | 1462-2203 | - |