title: [Mediating effect of smoking abstinence self-efficacy on association between awareness of smoking hazard and successful smoking cessation].
abstract: OBJECTIVE
  To estimate the mediating effect of smoking abstinence self-efficacy (SASE) on the association between awareness of smoking hazard and successful smoking cessation.
  
  
  METHODS
  A community-based case-control study was conducted in 642 smokers who successfully stopped smoking, and 700 smokers who failed in smoking cessation were used as controls. The awareness of smoking hazard was evaluated by total score of 12 items. The SASE was assessed by using Smoking Abstinence Self-Efficacy (ASES-S). The total effect was classified as direct effect and indirect effect through logistic regression analysis based on the KHB method.
  
  
  RESULTS
  After adjusting the potential confounders, including age, age of smoking initiation, occupation, educational level and marital status, the mediating effect of SASE accounted for 6.03% among the total effect of awareness of smoking hazard in those who successfully stopped smoking while the direct effect accounted for 93.97% among the total effect. In the three specific situation of SASE, the mediating effect of SASE accounted for 6.80% (positive/social situations), 3.08% (negative/affective situations) and 2.32% (habit/addictive situations) among the total effect, respectively.
  
  
  CONCLUSIONS
  SASE has part mediating effect to influence on the association between the awareness of smoking hazard and successful smoking cessation. Improving smokers' awareness of smoking hazard may not only promote successful smoking cessation directly, but also contribute to quit smoking through improving the score of SASE.
authors.affiliation: Department of Epidemiology, School of Public Health, Shandong University, Jinan 250012, China.
authors.forename: Fan
authors.initials: F
authors.lastname: Jiang
authors.affiliation: Department of Epidemiology, School of Public Health, Shandong University, Jinan 250012, China.
authors.forename: Suyun
authors.initials: S
authors.lastname: Li
authors.affiliation: Department of Epidemiology, School of Public Health, Shandong University, Jinan 250012, China.
authors.forename: Lulu
authors.initials: L
authors.lastname: Pan
authors.affiliation: Department of Epidemiology, School of Public Health, Shandong University, Jinan 250012, China.
authors.forename: Qiang
authors.initials: Q
authors.lastname: Wang
authors.affiliation: Department of Epidemiology, School of Public Health, Shandong University, Jinan 250012, China.
authors.forename: Xiaorong
authors.initials: X
authors.lastname: Yang
authors.affiliation: Department of Epidemiology, School of Public Health, Shandong University, Jinan 250012, China.
authors.forename: Nan
authors.initials: N
authors.lastname: Zhang
authors.affiliation: Department of Epidemiology, School of Public Health, Shandong University, Jinan 250012, China.
authors.forename: Huijie
authors.initials: H
authors.lastname: Li
authors.affiliation: Department of Epidemiology, School of Public Health, Shandong University, Jinan 250012, China.
authors.forename: Mingkui
authors.initials: M
authors.lastname: Han
authors.affiliation: Department of Epidemiology, School of Public Health, Shandong University, Jinan 250012, China; Email: jiachongqi@sdu.edu.cn.
authors.forename: Chongqi
authors.initials: C
authors.lastname: Jia
mesh_terms: D016022:Case-Control Studies; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D020377:Self Efficacy; D012907:Smoking / Q000523:psychology*; D016540:Smoking Cessation / Q000523:psychology*; D014029:Tobacco Use Disorder