Previously submitted to: Journal of Medical Internet Research (no longer under consideration since Dec 13, 2022)
Date Submitted: Nov 17, 2022
Open Peer Review Period: Nov 17, 2022 - Dec 13, 2022
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Attitudes and Influencing Factors Associated with Smoking Cessation among Smokers: An Online Cross-sectional Survey in China
ABSTRACT
Background:
Smoking remains a worldwide public health issue, and it is the leading cause of preventable death. Exploring factors that help individuals to quit smoking are immensely important.
Objective:
The aim of this study was to explore the attitudes and influencing factors on smoking cessation in order to provide comprehensive clues for subsequent studies and tobacco control policy.
Methods:
Ex-smokers and current smokers were recruited online in this cross-sectional survey. The observational data was collected using questionnaire distributed through WeChat, a cloud-based social media networking application in China from October 1 to November 31, 2019. SPSS 26.0 was used for descriptive statistical analysis.
Results:
The total number of eligible respondents was 638 smokers from 30 provinces, with a mean age of 37.3 ± 11.7 years old and a mean smoking history of 15.9 ± 13.7 years. There were 589 (92.3%) males. Of the 638 respondents, 25 (3.9%) had no intention to stop smoking. Among 155 subjects who had quitted smoking successfully, willpower (86, 55.5%) was considered as the most important contributing factor. Among 365 subjects who tried to quit but failed, lack of willpower (103, 28.2%), tobacco dependence (59, 16.2%), impact of surrounding smokers or smoking environments (58, 15.9%), bad moods (36, 9.9%), stress from work or life (29, 7.9%), habits (26, 7.1%), socialization (15, 4.1%), easy availability of tobacco (10, 2.7%) were considered as the adverse factors leading to failure in quitting smoking.
Conclusions:
The vast majority of respondents held the intention to quit. Willpower and support from family members were the vital factors increasing successful smoking cessation. Future tobacco control policies should also focus on addressing withdrawal symptoms and creating smoke-free environments as well as other factors.
Citation
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