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Article: Patterns and predictors of quitting among youth quitline callers in Hong Kong

TitlePatterns and predictors of quitting among youth quitline callers in Hong Kong
Authors
Issue Date2011
PublisherOxford 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?
AbstractObjectives: 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 Identifierhttp://hdl.handle.net/10722/135950
ISSN
2015 Impact Factor: 3.811
2015 SCImago Journal Rankings: 1.904
ISI Accession Number ID
Funding AgencyGrant Number
Food and Health Bureau of the Hong Kong Special Administrative Region Government18040084
Hong Kong Council on Smoking and Health
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 FieldValueLanguage
dc.contributor.authorWong, DCNen_HK
dc.contributor.authorStat, Cen_HK
dc.contributor.authorChan, SSCen_HK
dc.contributor.authorFong, DYTen_HK
dc.contributor.authorLeung, AYMen_HK
dc.contributor.authorLam, DOBen_HK
dc.contributor.authorLam, THen_HK
dc.date.accessioned2011-07-27T02:00:27Z-
dc.date.available2011-07-27T02:00:27Z-
dc.date.issued2011en_HK
dc.identifier.citationNicotine And Tobacco Research, 2011, v. 13 n. 1, p. 7-14en_HK
dc.identifier.issn1462-2203en_HK
dc.identifier.urihttp://hdl.handle.net/10722/135950-
dc.description.abstractObjectives: 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.languageengen_US
dc.publisherOxford University Press. The Journal's web site is located at http://ntr.oxfordjournals.org/en_HK
dc.relation.ispartofNicotine and Tobacco Researchen_HK
dc.rightsNicotine & Tobacco Research. Copyright © Informa Healthcare.-
dc.subject.meshHong Kong-
dc.subject.meshHotlines - statistics and numerical data-
dc.subject.meshSmoking Cessation - statistics and numerical data-
dc.subject.meshHealth status-
dc.subject.meshNicotine replacement therapy-
dc.titlePatterns and predictors of quitting among youth quitline callers in Hong Kongen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://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.emailChan, SSC: scsophia@hku.hken_HK
dc.identifier.emailFong, DYT: dytfong@hku.hken_HK
dc.identifier.emailLeung, AYM: angleung@hku.hken_HK
dc.identifier.emailLam, DOB: debbie@hkucc.hku.hken_HK
dc.identifier.emailLam, TH: hrmrlth@hkucc.hku.hken_HK
dc.identifier.authorityChan, SSC=rp00423en_HK
dc.identifier.authorityFong, DYT=rp00253en_HK
dc.identifier.authorityLeung, AYM=rp00405en_HK
dc.identifier.authorityLam, DOB=rp00571en_HK
dc.identifier.authorityLam, TH=rp00326en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1093/ntr/ntq192en_HK
dc.identifier.pmid21059820en_HK
dc.identifier.scopuseid_2-s2.0-78650368266en_HK
dc.identifier.hkuros187458en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-78650368266&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume13en_HK
dc.identifier.issue1en_HK
dc.identifier.spage7en_HK
dc.identifier.epage14en_HK
dc.identifier.isiWOS:000285421200002-
dc.publisher.placeUnited Kingdomen_HK
dc.relation.projectYouth Quitline: an accessible telephone-based smoking cessation hotline for youth-
dc.identifier.scopusauthoridWong, DCN=24391473100en_HK
dc.identifier.scopusauthoridStat, C=37110208700en_HK
dc.identifier.scopusauthoridChan, SSC=7404255378en_HK
dc.identifier.scopusauthoridFong, DYT=35261710300en_HK
dc.identifier.scopusauthoridLeung, AYM=7403012650en_HK
dc.identifier.scopusauthoridLam, DOB=7201749390en_HK
dc.identifier.scopusauthoridLam, TH=7202522876en_HK

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