Living with Smoker(s) and Smoking Cessation in Chinese Adult Smokers: Cross-Sectional and Prospective Evidence from Hong Kong Population Health Survey

Zhi-Ming Mai, Sai-Yin Ho, Man-Ping Wang, Lai-Ming Ho and Tai-Hing Lam
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Zhi-Ming Mai: School of Public Health, University of Hong Kong, Hong Kong, China
Sai-Yin Ho: School of Public Health, University of Hong Kong, Hong Kong, China
Man-Ping Wang: School of Nursing, University of Hong Kong, Hong Kong, China
Lai-Ming Ho: School of Public Health, University of Hong Kong, Hong Kong, China
Tai-Hing Lam: School of Public Health, University of Hong Kong, Hong Kong, China

IJERPH, 2018, vol. 15, issue 1, 1-9

Abstract: Background : Results on the environmental influence on unassisted quitting are scarce. We investigated the associations of living with smoker(s) with quitting in Chinese adult smokers. Methods : We examined both cross-sectional and prospective data in the Hong Kong Population Health Survey recruited participants in 2003/04, and followed up to 2006. Unconditional logistic regression yielded adjusted odds ratios (AORs) of (i) planning to quit, (ii) ex-smoking (cross-sectional), and quitting (prospective) for living with smoker(s). 1679 ever smokers aged 18+ years at baseline, and 323 of them who were successfully followed-up were included in the cross-sectional, and prospective analysis. Results : At baseline, living with smoker(s) was significantly associated with lower odds of planning to quit in current smokers (AOR 0.41, 95% CI 0.25–0.68), and lower odds of ex-smoking (AOR 0.45, 95% CI 0.34–0.58), particularly if the smoker(s) smoked inside home (AOR 0.35, 95% CI 0.26–0.47). Prospectively, living with smoker(s) non-significantly predicted lower odds of new quitting (AOR 0.48, 95% CI 0.13–1.78). Conclusions : Our study has provided the first evidence in a Chinese general population that living with smoker(s) is an important barrier against smoking cessation. To boost quit rate in nonusers of smoking cessation services, smoking at home should be banned, especially for populations living in crowed urban environments that are typical of economically developed cities in China.

Keywords: smoking cessation; unassisted quit; living with smoker(s); adult smokers; prospective study; a Chinese general population (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2018
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