title: Prevalence of Tobacco Smoking and Determinants of Success in Quitting Smoking among Patients with Chronic Diseases: A Cross-Sectional Study in Rural Western China.
abstract: Tobacco use is one of the behavioral risk factors for chronic diseases. The aim of the study was to investigate smoking prevalence in chronically ill residents and their smoking behavior in western rural China, to identify factors associated with success in quitting smoking, and to provide appropriate intervention strategies for tobacco control. Cross-sectional survey data from patients with chronic diseases from rural western China were analyzed. Among the 906 chronically ill patients, the current smoking prevalence was 26.2%. About 64.3% of smokers with chronic diseases attempted to quit smoking, 21.0% of which successfully quitted. The odds ratio (OR) of smokers with only one chronic disease to quit smoking successfully was higher than that of those who have other diseases (OR = 2.037, 95% confidence interval (CI) = 1.060-3.912; p < 0.05). The smokers who were always restricted to smoking in public places were more likely to quit smoking successfully than those who were free to smoke (OR = 2.188, 95% CI = 1.116-4.291; p < 0.05). This study suggests that health literacy, comorbidity of diseases, and psychological counseling should be considered when developing targeted tobacco prevention strategies. Strengthening tobacco control measures in public places such as rural medical institutions will be effective.
authors.affiliation: School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan 430074, China. fuhang@hust.edu.cn.
authors.forename: Hang
authors.initials: H
authors.lastname: Fu
authors.affiliation: School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan 430074, China. fengdahust@gmail.com.
authors.forename: Da
authors.initials: D
authors.lastname: Feng
authors.affiliation: School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan 430074, China. sftang@hust.edu.cn.
authors.forename: Shangfeng
authors.initials: S
authors.lastname: Tang
authors.affiliation: School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan 430074, China. ferry890520@gmail.com.
authors.forename: Zhifei
authors.initials: Z
authors.lastname: He
authors.affiliation: School of Management, Hubei University of Chinese Medicine, Wuhan 430065, China. stephenhsiang@gmail.com.
authors.forename: Yuanxi
authors.initials: Y
authors.lastname: Xiang
authors.affiliation: School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan 430074, China. wtailai2-c@my.cityu.edu.hk.
authors.forename: Tailai
authors.initials: T
authors.lastname: Wu
authors.affiliation: School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan 430074, China. ruoxiwang@hust.edu.cn.
authors.forename: Ruoxi
authors.initials: R
authors.lastname: Wang
authors.affiliation: School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan 430074, China. stian75309@hust.edu.cn.
authors.forename: Tian
authors.initials: T
authors.lastname: Shao
authors.affiliation: School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan 430074, China. lcy93@hust.edu.cn.
authors.forename: Chunyan
authors.initials: C
authors.lastname: Liu
authors.affiliation: School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan 430074, China. spp19930728@hust.edu.cn.
authors.forename: Piaopiao
authors.initials: P
authors.lastname: Shao
authors.affiliation: School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan 430074, China. zcfeng@hust.edu.cn.
authors.forename: Zhanchun
authors.initials: Z
authors.lastname: Feng
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002681:China / Q000453:epidemiology; D002908:Chronic Disease / Q000453:epidemiology*; D015897:Comorbidity; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D015995:Prevalence; D012307:Risk Factors; D012423:Rural Health / Q000706:statistics & numerical data*; D012907:Smoking / Q000453:epidemiology*; D016540:Smoking Cessation / Q000523:psychology* / Q000706:statistics & numerical data
keywords: chronic diseases; patients; quit smoking; rural areas; tobacco control; western China