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Effect of tobacco control policies on intention to quit smoking cigarettes: A study from Beirut, Lebanon

INTRODUCTION: In Lebanon, the tobacco control policy, Law 174, became effective in 2011. Using the International Tobacco Control Policy Evaluation Project (ITC) conceptual model, this study aims to assess the association between exposure to control measures related to the policy and the intention to...

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Autores principales: Chaaya, Monique, Nakkash, Rima, Saab, Dahlia, Kadi, Lina, Afifi, Rima
Formato: Online Artículo Texto
Lenguaje:English
Publicado: European Publishing on behalf of the International Society for the Prevention of Tobacco Induced Diseases (ISPTID) 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6770611/
https://www.ncbi.nlm.nih.gov/pubmed/31582952
http://dx.doi.org/10.18332/tid/111128
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author Chaaya, Monique
Nakkash, Rima
Saab, Dahlia
Kadi, Lina
Afifi, Rima
author_facet Chaaya, Monique
Nakkash, Rima
Saab, Dahlia
Kadi, Lina
Afifi, Rima
author_sort Chaaya, Monique
collection PubMed
description INTRODUCTION: In Lebanon, the tobacco control policy, Law 174, became effective in 2011. Using the International Tobacco Control Policy Evaluation Project (ITC) conceptual model, this study aims to assess the association between exposure to control measures related to the policy and the intention to quit, which is a mediator in the pathway leading to behavioral change (quitting). METHODS: This is a secondary data analysis of 154 cigarette smokers from a cross-sectional survey that assessed compliance with Law 174 among Beirut residents aged 15–65 years. Data were collected face-to-face, three months after the implementation of indoor public places and tobacco advertisement/promotion bans. Intention to quit smoking was the main outcome. Exposure to policy control measures such as seeing smokers in restaurants, and noticing warning labels on cigarette packs were the explanatory variables. Sociodemographics, past smoking behavior, and psychosocial variables were also considered for their moderating and mediating effects, respectively. Crude and adjusted odds ratios (ORs) were generated. Sobel test was used to check for possible mediation. RESULTS: Intention to quit was reported by 24% of cigarette smokers. The association between noticing warning labels and having intentions to quit was statistically significant (adjusted OR=6.27). Concerns about influencing children’s smoking behavior had a statistically significant mediation effect on the relationship. After adding the interaction term between noticing the warnings and previous quit attempts, the OR was inflated to 12.92, suggesting a possible interaction. CONCLUSIONS: This study offers preliminary insight into how Lebanese smokers are influenced by policy related control measures like health warning labels on cigarette packs. Tobacco control policy advocates should push for stronger enforcement of public smoking bans in general. Behavioral intervention should work on the mediator variables to influence smoking behavior and encourage quitting. Further prospective studies modelling quitting as outcome are needed.
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spelling pubmed-67706112019-10-03 Effect of tobacco control policies on intention to quit smoking cigarettes: A study from Beirut, Lebanon Chaaya, Monique Nakkash, Rima Saab, Dahlia Kadi, Lina Afifi, Rima Tob Induc Dis Research Paper INTRODUCTION: In Lebanon, the tobacco control policy, Law 174, became effective in 2011. Using the International Tobacco Control Policy Evaluation Project (ITC) conceptual model, this study aims to assess the association between exposure to control measures related to the policy and the intention to quit, which is a mediator in the pathway leading to behavioral change (quitting). METHODS: This is a secondary data analysis of 154 cigarette smokers from a cross-sectional survey that assessed compliance with Law 174 among Beirut residents aged 15–65 years. Data were collected face-to-face, three months after the implementation of indoor public places and tobacco advertisement/promotion bans. Intention to quit smoking was the main outcome. Exposure to policy control measures such as seeing smokers in restaurants, and noticing warning labels on cigarette packs were the explanatory variables. Sociodemographics, past smoking behavior, and psychosocial variables were also considered for their moderating and mediating effects, respectively. Crude and adjusted odds ratios (ORs) were generated. Sobel test was used to check for possible mediation. RESULTS: Intention to quit was reported by 24% of cigarette smokers. The association between noticing warning labels and having intentions to quit was statistically significant (adjusted OR=6.27). Concerns about influencing children’s smoking behavior had a statistically significant mediation effect on the relationship. After adding the interaction term between noticing the warnings and previous quit attempts, the OR was inflated to 12.92, suggesting a possible interaction. CONCLUSIONS: This study offers preliminary insight into how Lebanese smokers are influenced by policy related control measures like health warning labels on cigarette packs. Tobacco control policy advocates should push for stronger enforcement of public smoking bans in general. Behavioral intervention should work on the mediator variables to influence smoking behavior and encourage quitting. Further prospective studies modelling quitting as outcome are needed. European Publishing on behalf of the International Society for the Prevention of Tobacco Induced Diseases (ISPTID) 2019-09-02 /pmc/articles/PMC6770611/ /pubmed/31582952 http://dx.doi.org/10.18332/tid/111128 Text en © 2019 Chaaya M https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License.
spellingShingle Research Paper
Chaaya, Monique
Nakkash, Rima
Saab, Dahlia
Kadi, Lina
Afifi, Rima
Effect of tobacco control policies on intention to quit smoking cigarettes: A study from Beirut, Lebanon
title Effect of tobacco control policies on intention to quit smoking cigarettes: A study from Beirut, Lebanon
title_full Effect of tobacco control policies on intention to quit smoking cigarettes: A study from Beirut, Lebanon
title_fullStr Effect of tobacco control policies on intention to quit smoking cigarettes: A study from Beirut, Lebanon
title_full_unstemmed Effect of tobacco control policies on intention to quit smoking cigarettes: A study from Beirut, Lebanon
title_short Effect of tobacco control policies on intention to quit smoking cigarettes: A study from Beirut, Lebanon
title_sort effect of tobacco control policies on intention to quit smoking cigarettes: a study from beirut, lebanon
topic Research Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6770611/
https://www.ncbi.nlm.nih.gov/pubmed/31582952
http://dx.doi.org/10.18332/tid/111128
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