Educational differences in associations of noticing anti-tobacco information with smoking-related attitudes and quit intentions: findings from the International Tobacco Control Europe Surveys.
This study examined educational differences in associations of noticing anti-tobacco information with smoking-related attitudes and quit intentions among adult smokers. Longitudinal data (N = 7571) from two waves of six countries of the International Tobacco Control (ITC) Europe Surveys were included. Generalized estimating equation analyses and multiple linear and logistic regression analyses were conducted. Higher educated smokers noticed anti-tobacco information slightly more often than lower educated smokers (F(2) = 25.78, P < 0.001). Noticing anti-tobacco information was associated with more negative smoking-related attitudes (β = 0.05, P < 0.001) and more quit intentions (OR = 1.08, P < 0.001). Among smokers without a quit intention at baseline, a positive association was found for noticing anti-tobacco information at baseline with follow-up quit intention (OR = 1.14, P = 0.003). No other longitudinal associations were found. No educational differences were found in the association of noticing anti-tobacco information with smoking-related attitudes but associations with quit intentions were found only among low (OR = 1.12, P = 0.001) and high educated respondents (OR = 1.11, P < 0.001) and not among moderate educated respondents (OR = 1.02, P = 0.43). Noticing anti-tobacco information may positively influence quit intentions and possibly smoking-related attitudes. Lower educated smokers were as likely to be influenced by anti-tobacco information as higher educated smokers but noticed anti-tobacco information less often; increasing reach of anti-tobacco information may increase impact in this group.
Department of Health Promotion, Maastricht University (CAPHRI), Maastricht, the Netherlands.
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Springvloet
Department of Health Promotion, Maastricht University (CAPHRI), Maastricht, the Netherlands, Dutch Alliance for a Smokefree Society, The Hague, the Netherlands.
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MC
Willemsen
Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany, Unit Cancer Prevention, German Cancer Research Center (DKFZ), Heidelberg, Germany.
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U
Mons
Department of Communication, University of Amsterdam (ASCoR), Amsterdam, the Netherlands, Trimbos Institute, Netherlands Institute for Mental Health and Addiction, Utrecht, the Netherlands.
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B
van den Putte
Department of Public Health, Academic Medical Centre, University of Amsterdam, Amsterdam, the Netherlands.
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Kunst
Scientific Affairs Department, National Institute for Health Promotion and Health Education (INPES), Saint-Denis, France.
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R
Guignard
Department of Health Promotion, Maastricht University (CAPHRI), Maastricht, the Netherlands.
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K
Hummel
Department of Public Health and Primary Care, Trinity College Dublin, Dublin, Republic of Ireland and.
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Allwright
Department of Health Promotion, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA.
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M
Siahpush
Department of Health Promotion, Maastricht University (CAPHRI), Maastricht, the Netherlands.
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H
de Vries
Department of Health Promotion, Maastricht University (CAPHRI), Maastricht, the Netherlands, Dutch Alliance for a Smokefree Society, The Hague, the Netherlands, gera.nagelhout@maastrichtuniversity.nl.
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Nagelhout
D000293:Adolescent; D000328:Adult; D004522:Educational Status; D005060:Europe; D005260:Female; D006266:Health Education; D006801:Humans; D033182:Intention; D007407:Interviews as Topic; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D016540:Smoking Cessation