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Published in: BMC Public Health 1/2011

Open Access 01-12-2011 | Research article

The use of cessation assistance among smokers from China: Findings from the ITC China Survey

Authors: Jilan Yang, David Hammond, Pete Driezen, Richard J O'Connor, Qiang Li, Hua-Hie Yong, Geoffrey T Fong, Yuan Jiang

Published in: BMC Public Health | Issue 1/2011

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Abstract

Background

Stop smoking medications significantly increase the likelihood of smoking cessation. However, there are no population-based studies of stop-smoking medication use in China, the largest tobacco market in the world. This study examined stop-smoking medication use and its association with quitting behavior among a population-based sample of Chinese smokers.

Methods

Face-to-face interviews were conducted with 4,627 smokers from six cities in the ITC China cohort survey. Longitudinal analyses were conducted using Wave 1 (April to August, 2006) and Wave 2 (November 2007 to January 2008).

Results

Approximately 26% of smokers had attempted to quit between Waves 1 and 2, and 6% were abstinent at 18-month follow-up. Only 5.8% of those attempting to quit reported NRT use and NRT was associated with lower odds of abstinence at Wave 2 (OR = 0.11; 95%CI = 0.03-0.46). Visiting a doctor/health professional was associated with greater attempts to quit smoking (OR = 1.60 and 2.78; 95%CI = 1.22-2.10 and 2.21-3.49 respectively) and being abstinent (OR = 1.77 and 1.85; 95%CI = 1.18-2.66 and 1.13-3.04 respectively) at 18-month follow-up relative to the smokers who did not visit doctor/health professional.

Conclusions

The use of formal help for smoking cessation is low in China. There is an urgent need to explore the use and effectiveness of stop-smoking medications in China and in other non-Western markets.
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Literature
1.
go back to reference Federal Register: U.S. Department of Health and Human Services, Food and Drug Administration. Regulations restricting the sale and distribution of cigarettes and smokeless tobacco to protect children and adolescents. 1996, 44395-445. 61 Fed Reg Federal Register: U.S. Department of Health and Human Services, Food and Drug Administration. Regulations restricting the sale and distribution of cigarettes and smokeless tobacco to protect children and adolescents. 1996, 44395-445. 61 Fed Reg
2.
go back to reference Thun MJ, Day-Lally C, Myers DG: Trends in tobacco smoking and mortality from cigarette use in Cancer Prevention Studies I (1959 through 1965) and II (1982 through 1988). 1997, National Cancer Institute. Smoking and Tobacco Control Monograph No. 8. U.S. Department of Health and Human Services, Public Health Service, National Institutes of Health, National Cancer Institute, 305-82. NIH Publication No. 97-4213 Thun MJ, Day-Lally C, Myers DG: Trends in tobacco smoking and mortality from cigarette use in Cancer Prevention Studies I (1959 through 1965) and II (1982 through 1988). 1997, National Cancer Institute. Smoking and Tobacco Control Monograph No. 8. U.S. Department of Health and Human Services, Public Health Service, National Institutes of Health, National Cancer Institute, 305-82. NIH Publication No. 97-4213
3.
go back to reference Peto R, Darby S, Deo H, Silcocks P, Whitley E, Doll R: Smoking, smoking cessation, and lung cancer in the UK since 1950: combination of national statistics with two case-control studies. Br Med J. 2000, 321: 323-329. 10.1136/bmj.321.7257.323.CrossRef Peto R, Darby S, Deo H, Silcocks P, Whitley E, Doll R: Smoking, smoking cessation, and lung cancer in the UK since 1950: combination of national statistics with two case-control studies. Br Med J. 2000, 321: 323-329. 10.1136/bmj.321.7257.323.CrossRef
5.
go back to reference Doll R, Peto R, Boreham J, Sutherland I: Mortality in relation to smoking: 50 years' observations on male British doctors. Br Med J. 2004, 328: 1519-1527. 10.1136/bmj.38142.554479.AE.CrossRef Doll R, Peto R, Boreham J, Sutherland I: Mortality in relation to smoking: 50 years' observations on male British doctors. Br Med J. 2004, 328: 1519-1527. 10.1136/bmj.38142.554479.AE.CrossRef
6.
go back to reference Parsons A, Daley A, Begh R, Aveyard P: Influence of smoking cessation after diagnosis of early stage lung cancer on prognosis: systematic review of observational studies with meta-analysis. BMJ. 2010, 340: b5569-10.1136/bmj.b5569.CrossRefPubMedPubMedCentral Parsons A, Daley A, Begh R, Aveyard P: Influence of smoking cessation after diagnosis of early stage lung cancer on prognosis: systematic review of observational studies with meta-analysis. BMJ. 2010, 340: b5569-10.1136/bmj.b5569.CrossRefPubMedPubMedCentral
7.
go back to reference Storr CL, Cheng H, Alonso J, Angermeyer M, Bruffaerts R: Smoking estimates from around the world: Data from the first 17 participating countries in the World Mental Health Survey Consortium. Tob Con. 2009 Storr CL, Cheng H, Alonso J, Angermeyer M, Bruffaerts R: Smoking estimates from around the world: Data from the first 17 participating countries in the World Mental Health Survey Consortium. Tob Con. 2009
8.
go back to reference Yang GH, Fan LX, Tan J: Smoking in China: Findings of the 1996 National Prevalence Survey. JAMA. 1999, 282: 1247-1253. 10.1001/jama.282.13.1247.CrossRefPubMed Yang GH, Fan LX, Tan J: Smoking in China: Findings of the 1996 National Prevalence Survey. JAMA. 1999, 282: 1247-1253. 10.1001/jama.282.13.1247.CrossRefPubMed
9.
go back to reference Qian JC, Rao KQ, Gao J: Reasons of quitting and relapsing smoking and analysis of quitter's health status. Chin J Health Stat. 2009, 26: 150-153. Qian JC, Rao KQ, Gao J: Reasons of quitting and relapsing smoking and analysis of quitter's health status. Chin J Health Stat. 2009, 26: 150-153.
10.
go back to reference Xu JY, Li XJ, Yao HH: Smoking and Passive Smoking among Residents in Shanghai. Chin J Prev Contr Chron Dis. 2009, 17: 3234-3236. Xu JY, Li XJ, Yao HH: Smoking and Passive Smoking among Residents in Shanghai. Chin J Prev Contr Chron Dis. 2009, 17: 3234-3236.
11.
go back to reference Jia Y, Du CH, Wei YL, Wang Q, Zhang WJ, Liao J: Quitting behavior among smokers in Chengdu from 1996-2002. Chin J Prev Contr Chron Dis. 2005, 13: 237-238. Jia Y, Du CH, Wei YL, Wang Q, Zhang WJ, Liao J: Quitting behavior among smokers in Chengdu from 1996-2002. Chin J Prev Contr Chron Dis. 2005, 13: 237-238.
12.
go back to reference Pan XQ, Lui SR, Xiang QY, Cheng JY, Wu M, Qin Y: Behaviour of smoking cessation and received service among male smokers in Jiangsu Province. Chin J Health Educ. 2009, 125: 424-426. Pan XQ, Lui SR, Xiang QY, Cheng JY, Wu M, Qin Y: Behaviour of smoking cessation and received service among male smokers in Jiangsu Province. Chin J Health Educ. 2009, 125: 424-426.
13.
go back to reference Fiore MC, Jae'n CR, Baker TB: Treating Tobacco Use and Dependence: 2008 Update. Clinical Practice Guideline. 2008, U.S. Department of Health and Human Services: Rockville MD Fiore MC, Jae'n CR, Baker TB: Treating Tobacco Use and Dependence: 2008 Update. Clinical Practice Guideline. 2008, U.S. Department of Health and Human Services: Rockville MD
14.
go back to reference Silagy C, Lancaster T, Stead L, Mant D, Fowler G: Nicotine replacement therapy for smoking cessation. Cochrane Database of Systematic Reviews. 2004, 3: CD000146-PubMed Silagy C, Lancaster T, Stead L, Mant D, Fowler G: Nicotine replacement therapy for smoking cessation. Cochrane Database of Systematic Reviews. 2004, 3: CD000146-PubMed
15.
go back to reference Hughes JR, Shiffman S, Callas P, Zhang J: A meta-analysis of the efficacy of over-the-counter nicotine replacement. Tob Con. 2003, 12: 21-27. 10.1136/tc.12.1.21.CrossRef Hughes JR, Shiffman S, Callas P, Zhang J: A meta-analysis of the efficacy of over-the-counter nicotine replacement. Tob Con. 2003, 12: 21-27. 10.1136/tc.12.1.21.CrossRef
16.
go back to reference Lam T-H, Abdullah AS, Chan SS, Hedley AJ: Adherence to nicotine replacement therapy versus quitting smoking among Chinese smokers: a preliminary investigation. Psychopharmacology. 2005, 177: 400-408. 10.1007/s00213-004-1971-y.CrossRefPubMed Lam T-H, Abdullah AS, Chan SS, Hedley AJ: Adherence to nicotine replacement therapy versus quitting smoking among Chinese smokers: a preliminary investigation. Psychopharmacology. 2005, 177: 400-408. 10.1007/s00213-004-1971-y.CrossRefPubMed
17.
go back to reference Yu HX, Zang YN, Lin JT: The effect of the abstinence from smoking with nicotine replacement therapy combining with psychological and ehavior intervention. Chin J of Reh Med. 2006, 21: 1104-1106. Yu HX, Zang YN, Lin JT: The effect of the abstinence from smoking with nicotine replacement therapy combining with psychological and ehavior intervention. Chin J of Reh Med. 2006, 21: 1104-1106.
18.
go back to reference Sun H-Q, Guo S, Chen D-F, Jiang Z-N, Liu Y, Di X-D: Family Support and Employment as Predictors of Smoking Cessation Success: A Randomized, Double-Blind, Placebo-Controlled Trial of Nicotine Sublingual Tablets in Chinese Smokers. Am J Drug Alcohol Abuse. 2009, 35: 183-188. 10.1080/00952990902839794.CrossRefPubMed Sun H-Q, Guo S, Chen D-F, Jiang Z-N, Liu Y, Di X-D: Family Support and Employment as Predictors of Smoking Cessation Success: A Randomized, Double-Blind, Placebo-Controlled Trial of Nicotine Sublingual Tablets in Chinese Smokers. Am J Drug Alcohol Abuse. 2009, 35: 183-188. 10.1080/00952990902839794.CrossRefPubMed
19.
go back to reference Abdullah A-S, Lam T-H, Chan S, Leung G-M, Chi I, Ho W: Effectiveness of a mobile smoking cessation service in reaching elderly smokers and predictors of quitting. BMC Geriatr. 2008, 8: 25-10.1186/1471-2318-8-25.CrossRefPubMedPubMedCentral Abdullah A-S, Lam T-H, Chan S, Leung G-M, Chi I, Ho W: Effectiveness of a mobile smoking cessation service in reaching elderly smokers and predictors of quitting. BMC Geriatr. 2008, 8: 25-10.1186/1471-2318-8-25.CrossRefPubMedPubMedCentral
20.
go back to reference Abdullah A-S, Lam T-H, Chan S, Hedley A-J: Smoking cessation among Chinese young smokers: does gender and age difference matters and what are the predictors?. Addict Behav. 2006, 31: 913-21. 10.1016/j.addbeh.2005.08.009.CrossRefPubMed Abdullah A-S, Lam T-H, Chan S, Hedley A-J: Smoking cessation among Chinese young smokers: does gender and age difference matters and what are the predictors?. Addict Behav. 2006, 31: 913-21. 10.1016/j.addbeh.2005.08.009.CrossRefPubMed
21.
go back to reference Zhang YD, Xian MJ, Li GQ: Smoking cessation among smokers in Conghua. Henan. J Prev Med. 2003, 14: 41-43. Zhang YD, Xian MJ, Li GQ: Smoking cessation among smokers in Conghua. Henan. J Prev Med. 2003, 14: 41-43.
22.
go back to reference Luo CL: Smoking and quitting among smokers in different occupations in Huangshi?. J of Pub Health and PrevMed. 2009, 20: 126- Luo CL: Smoking and quitting among smokers in different occupations in Huangshi?. J of Pub Health and PrevMed. 2009, 20: 126-
23.
go back to reference Wu CB, Thompson ME, Fong GE, Jiang Y, Yang Y, Feng GZ, Li Q: Methods of the International Tobacco Control (ITC) China survey. Tob Con. 2010 Wu CB, Thompson ME, Fong GE, Jiang Y, Yang Y, Feng GZ, Li Q: Methods of the International Tobacco Control (ITC) China survey. Tob Con. 2010
25.
go back to reference Leatherdale S, Shields M: Smoking cessation: intentions, attempts and techniques Statistics Canada, Catalogue no. 82-003-XPE • Health Reports. 2009, 20: Leatherdale S, Shields M: Smoking cessation: intentions, attempts and techniques Statistics Canada, Catalogue no. 82-003-XPE • Health Reports. 2009, 20:
26.
go back to reference ITC Project: ITC China Survey Summary. 2009, University of Waterloo, Waterloo, Ontario, Canada, and Chinese Center for Disease Control and Prevention, Beijing, China ITC Project: ITC China Survey Summary. 2009, University of Waterloo, Waterloo, Ontario, Canada, and Chinese Center for Disease Control and Prevention, Beijing, China
27.
go back to reference Yang JL, Hammond D, Driezen P, Fong G, Jiang Y: Health knowledge and perception of risk among Chinese Smokers and Non-Smokers: Findings from the ITC China Survey. Tob Con. 2010 Yang JL, Hammond D, Driezen P, Fong G, Jiang Y: Health knowledge and perception of risk among Chinese Smokers and Non-Smokers: Findings from the ITC China Survey. Tob Con. 2010
28.
go back to reference Herd N, Borland R, Hyland A: Predictors of smoking relapse by during of abstinence: finding from the International Tobacco Control (ITC) Four Country Survey. Addict. 2009, 104: 2088-2099. 10.1111/j.1360-0443.2009.02732.x.CrossRef Herd N, Borland R, Hyland A: Predictors of smoking relapse by during of abstinence: finding from the International Tobacco Control (ITC) Four Country Survey. Addict. 2009, 104: 2088-2099. 10.1111/j.1360-0443.2009.02732.x.CrossRef
29.
go back to reference Jiang Y, Michael K Ong, Elisa K Tong: Chinese physicians and their smoking knowledge, attitudes, and practices. Am J Pre Med. 2007, 33: 15-22. 10.1016/j.amepre.2007.02.037.CrossRef Jiang Y, Michael K Ong, Elisa K Tong: Chinese physicians and their smoking knowledge, attitudes, and practices. Am J Pre Med. 2007, 33: 15-22. 10.1016/j.amepre.2007.02.037.CrossRef
30.
go back to reference Zhong ZH: Thoughts from three international medical companies coming into Chinese smoking cessation medication marketing within next two years. J Chi Pres Drug. 2009, 89: 15- Zhong ZH: Thoughts from three international medical companies coming into Chinese smoking cessation medication marketing within next two years. J Chi Pres Drug. 2009, 89: 15-
31.
go back to reference Balmford J, Borland R, Burney S: The role of prior quitting experience in the prediction of smoking cessation. Psychol Health. 2009, 14: 1-14. Balmford J, Borland R, Burney S: The role of prior quitting experience in the prediction of smoking cessation. Psychol Health. 2009, 14: 1-14.
32.
go back to reference MacKenzie R, Chapman S: The Global Research Neglect of Unassisted Smoking Cessation: Causes and Consequences. PloS Med. 2010, 7: e1000216-10.1371/journal.pmed.1000216.CrossRefPubMedPubMedCentral MacKenzie R, Chapman S: The Global Research Neglect of Unassisted Smoking Cessation: Causes and Consequences. PloS Med. 2010, 7: e1000216-10.1371/journal.pmed.1000216.CrossRefPubMedPubMedCentral
Metadata
Title
The use of cessation assistance among smokers from China: Findings from the ITC China Survey
Authors
Jilan Yang
David Hammond
Pete Driezen
Richard J O'Connor
Qiang Li
Hua-Hie Yong
Geoffrey T Fong
Yuan Jiang
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2011
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-11-75

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