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Article: Quitting trajectories of Chinese women smokers following telephone smoking cessation counselling: A longitudinal study

TitleQuitting trajectories of Chinese women smokers following telephone smoking cessation counselling: A longitudinal study
Authors
Keywordscounselling
quitting trajectory
smoking cessation
smoking reduction
women smokers
Issue Date2020
PublisherWiley-Blackwell Publishing Ltd. The Journal's web site is located at http://www.wiley.com/bw/journal.asp?ref=0962-1067
Citation
Journal of Clinical Nursing, 2020, v. 29 n. 3-4, p. 556-566 How to Cite?
AbstractAims and Objectives: This study mapped the quitting patterns (trajectories) of Hong Kong Chinese women smokers who had received counselling via a quitline service and examined factors correlated with different trajectories. Background: Quitting smoking is always a gradual and progressive process. However, most existing studies on smoking cessation have adopted a cross‐sectional approach to conduct evaluation. Little is known about the quitting trajectories of smokers, particularly those who are women after receiving smoking cessation counselling. Methods: We used a retrospective longitudinal design and analysed 474 women smokers who had called the quitline. Quitting trajectories were mapped using latent growth modelling. Multinomial logistic regression was performed to identify factors associated with class membership. A STROBE checklist was completed. Results: We identified three trajectory groups: ‘quitters’ who quit smoking at 6 months and abstained from cigarettes up to 6 years; ‘reducers’ who cut down cigarette consumption ≥50% at 3 years and maintained reduced levels up to 6 years; and ‘increasers’ who increased smoking ≥20% at 3 years and continued smoking up to 6 years. Participants who perceived more difficulties in quitting were more likely to be increasers. Those with higher daily cigarette consumption at baseline were more likely to be reducers. Conclusions: We clarified three trajectory groups of women smokers. The results indicate that existing cessation services need to be improved, especially for women smokers who do not quit after receiving telephone counselling. Relevance to clinical practice: Existing cessation services need to be improved, especially for women smokers who do not quit after receiving telephone counselling. For those who reduce smoking but fail to quit, quit plans should be developed that provide step‐by‐step guidance in achieving abstinence through smoking reduction. Instant messages may complement telephone counselling to deliver cessation support for those who increase their cigarette consumption.
Persistent Identifierhttp://hdl.handle.net/10722/280336
ISSN
2023 Impact Factor: 3.2
2023 SCImago Journal Rankings: 1.235
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorHo, KY-
dc.contributor.authorLi, HCW-
dc.contributor.authorLam, KWK-
dc.contributor.authorWang, MP-
dc.contributor.authorXia, W-
dc.contributor.authorHO, LKL-
dc.contributor.authorOu, YJ-
dc.contributor.authorChan, SSC-
dc.contributor.authorLam, TH-
dc.date.accessioned2020-02-07T07:39:40Z-
dc.date.available2020-02-07T07:39:40Z-
dc.date.issued2020-
dc.identifier.citationJournal of Clinical Nursing, 2020, v. 29 n. 3-4, p. 556-566-
dc.identifier.issn0962-1067-
dc.identifier.urihttp://hdl.handle.net/10722/280336-
dc.description.abstractAims and Objectives: This study mapped the quitting patterns (trajectories) of Hong Kong Chinese women smokers who had received counselling via a quitline service and examined factors correlated with different trajectories. Background: Quitting smoking is always a gradual and progressive process. However, most existing studies on smoking cessation have adopted a cross‐sectional approach to conduct evaluation. Little is known about the quitting trajectories of smokers, particularly those who are women after receiving smoking cessation counselling. Methods: We used a retrospective longitudinal design and analysed 474 women smokers who had called the quitline. Quitting trajectories were mapped using latent growth modelling. Multinomial logistic regression was performed to identify factors associated with class membership. A STROBE checklist was completed. Results: We identified three trajectory groups: ‘quitters’ who quit smoking at 6 months and abstained from cigarettes up to 6 years; ‘reducers’ who cut down cigarette consumption ≥50% at 3 years and maintained reduced levels up to 6 years; and ‘increasers’ who increased smoking ≥20% at 3 years and continued smoking up to 6 years. Participants who perceived more difficulties in quitting were more likely to be increasers. Those with higher daily cigarette consumption at baseline were more likely to be reducers. Conclusions: We clarified three trajectory groups of women smokers. The results indicate that existing cessation services need to be improved, especially for women smokers who do not quit after receiving telephone counselling. Relevance to clinical practice: Existing cessation services need to be improved, especially for women smokers who do not quit after receiving telephone counselling. For those who reduce smoking but fail to quit, quit plans should be developed that provide step‐by‐step guidance in achieving abstinence through smoking reduction. Instant messages may complement telephone counselling to deliver cessation support for those who increase their cigarette consumption.-
dc.languageeng-
dc.publisherWiley-Blackwell Publishing Ltd. The Journal's web site is located at http://www.wiley.com/bw/journal.asp?ref=0962-1067-
dc.relation.ispartofJournal of Clinical Nursing-
dc.rightsPreprint This is the pre-peer reviewed version of the following article: [FULL CITE], which has been published in final form at [Link to final article using the DOI]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. Postprint This is the peer reviewed version of the following article: [FULL CITE], which has been published in final form at [Link to final article using the DOI]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.-
dc.subjectcounselling-
dc.subjectquitting trajectory-
dc.subjectsmoking cessation-
dc.subjectsmoking reduction-
dc.subjectwomen smokers-
dc.titleQuitting trajectories of Chinese women smokers following telephone smoking cessation counselling: A longitudinal study-
dc.typeArticle-
dc.identifier.emailLi, HCW: william3@hkucc.hku.hk-
dc.identifier.emailWang, MP: mpwang@hku.hk-
dc.identifier.emailXia, W: xiavive@hku.hk-
dc.identifier.emailChan, SSC: scsophia@hku.hk-
dc.identifier.emailLam, TH: hrmrlth@hkucc.hku.hk-
dc.identifier.authorityHo, KY=rp02339-
dc.identifier.authorityLi, HCW=rp00528-
dc.identifier.authorityWang, MP=rp01863-
dc.identifier.authorityChan, SSC=rp00423-
dc.identifier.authorityLam, TH=rp00326-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/jocn.15101-
dc.identifier.scopuseid_2-s2.0-85076375490-
dc.identifier.hkuros309144-
dc.identifier.volume29-
dc.identifier.issue3-4-
dc.identifier.spage556-
dc.identifier.epage566-
dc.identifier.isiWOS:000501263500001-
dc.publisher.placeUnited Kingdom-
dc.identifier.issnl0962-1067-

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