Predictors of making serious quit attempts between International Tobacco Control Four Country Survey (ITC-4) Wave 1 and Wave 2
Entire sample | USA | Canada | UK | Australia | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
n | % attempted | OR | n | % attempted | OR | n | % attempted | OR | n | % attempted | OR | n | % attempted | OR | |
p<0.05 for odds ratios that are underlined. | |||||||||||||||
Outcome expectancy: Based on smokers’ responses to the question: “How much do you think you would benefit from health and other gains if you were to quit smoking permanently in the next 6 months?” Coded: 1: “not at all”, 2: “slightly”, 3: “moderately”, 4: “very much”, and 5: “extremely”. | |||||||||||||||
Self-efficacy: Based on smokers’ responses to the question: “If you decided to give up smoking completely in the next 6 months, how sure are you that you would succeed?” Coded: 1: “not at all sure”, 2: “slightly sure”, 3: “moderately sure”, 4: “very sure”, and 5: “extremely sure”. | |||||||||||||||
Worries about health and QOL: Based on smokers’ responses to the following two questions: (1) “How worried are you, if at all, that smoking will lower your quality of life in the future?”; (2) “How worried are you, if at all, that smoking will damage your health in the future?” Both questions were coded: 1: not at all worried, 2: a little worried, 3: moderately worried, 4: very worried. Here we used the average for the two variables. | |||||||||||||||
Favourable attitudes about smoking: Based on smokers’ responses to the following two questions: (1) “You enjoy smoking too much to give it up”; (2) “Smoking is an important part of your life”. Both questions were coded: 1: strongly disagree, 2: disagree, 3: neither agree or disagree, 4: agree, and 5: strongly agree. Here we used the average of the two variables. | |||||||||||||||
Overall opinion of smoking: Based on smokers responses to the question of: “What is your overall opinion of smoking?” | |||||||||||||||
Outcome expectancy is highly correlated with worries about health and QOL (Pearson’s correlation coefficient 0.51, p<0.01). | |||||||||||||||
OR, odds ratio; QOL, quality of life. | |||||||||||||||
Country | |||||||||||||||
USA | 1253 | 36% | Ref | ||||||||||||
Canada | 1575 | 44% | 1.30 | ||||||||||||
UK | 1686 | 31% | 1.01 | ||||||||||||
Australia | 1746 | 34% | 0.88 | ||||||||||||
Age at recruitment (years) | |||||||||||||||
18–24 | 710 | 49% | Ref | 146 | 56% | Ref | 198 | 51% | Ref | 111 | 47% | Ref | 255 | 43% | Ref |
25–39 | 1989 | 38% | 0.69 | 346 | 36% | 0.43 | 509 | 47% | 0.86 | 502 | 34% | 0.62 | 632 | 36% | 0.82 |
40–54 | 2268 | 32% | 0.64 | 468 | 32% | 0.45 | 574 | 40% | 0.76 | 606 | 28% | 0.62 | 620 | 30% | 0.68 |
55 and up | 1293 | 34% | 0.88 | 293 | 33% | 0.59 | 294 | 41% | 0.94 | 467 | 30% | 0.96 | 239 | 31% | 0.94 |
Sex | |||||||||||||||
Female | 3481 | 37% | Ref | 730 | 37% | Ref | 863 | 45% | Ref | 954 | 33% | Ref | 934 | 33% | Ref |
Male | 2779 | 36% | 1.00 | 523 | 36% | 1.02 | 712 | 43% | 0.98 | 732 | 29% | 0.79 | 812 | 36% | 1.18 |
Highest level of education | |||||||||||||||
Low | 3462 | 35% | Ref | 508 | 37% | Ref | 700 | 44% | Ref | 1097 | 31% | Ref | 1157 | 33% | Ref |
Moderate | 1969 | 37% | 0.89 | 567 | 35% | 0.87 | 653 | 44% | 0.81 | 386 | 31% | 0.92 | 363 | 36% | 1.02 |
High | 829 | 39% | 0.98 | 178 | 38% | 1.04 | 222 | 44% | 0.87 | 203 | 36% | 1.04 | 226 | 38% | 1.03 |
Income | |||||||||||||||
Low | 1870 | 37% | Ref | 445 | 40% | Ref | 445 | 44% | Ref | 504 | 32% | Ref | 476 | 33% | Ref |
Moderate | 2174 | 36% | 0.88 | 447 | 36% | 0.83 | 561 | 47% | 0.91 | 577 | 28% | 0.83 | 589 | 34% | 0.94 |
High | 1811 | 37% | 0.86 | 287 | 32% | 0.69 | 463 | 43% | 0.79 | 484 | 37% | 1.06 | 577 | 35% | 0.91 |
No response | 405 | 30% | 0.77 | 74 | 27% | 0.54 | 106 | 37% | 0.67 | 121 | 25% | 0.73 | 104 | 32% | 1.18 |
Identified majority group | |||||||||||||||
White/English only | 5551 | 36% | Ref | 995 | 34% | Ref | 1404 | 44% | Ref | 1615 | 31% | Ref | 1537 | 34% | Ref |
Non-white/non-English | 709 | 42% | 1.09 | 258 | 47% | 1.27 | 171 | 47% | 1.10 | 71 | 31% | 0.84 | 209 | 35% | 1.04 |
Intention to quit | |||||||||||||||
No intention | 1622 | 14% | Ref | 313 | 13% | Ref | 283 | 18% | Ref | 597 | 13% | Ref | 429 | 14% | Ref |
Plan to quit beyond 6 months | 2380 | 30% | 1.85 | 505 | 33% | 2.95 | 568 | 35% | 1.81 | 604 | 27% | 1.70 | 703 | 27% | 1.41 |
Plan to quit within 6 months | 1576 | 52% | 3.76 | 296 | 50% | 4.69 | 532 | 54% | 3.25 | 345 | 52% | 4.44 | 403 | 50% | 3.18 |
Plan to quit within 1 month | 682 | 75% | 8.82 | 139 | 70% | 9.04 | 192 | 82% | 11.52 | 140 | 77% | 11.46 | 211 | 69% | 5.87 |
Tried to quit within last year | |||||||||||||||
Yes | 2645 | 51% | Ref | 558 | 51% | Ref | 731 | 57% | Ref | 583 | 46% | Ref | 773 | 47% | Ref |
No | 3615 | 26% | 0.55 | 695 | 24% | 0.57 | 844 | 33% | 0.54 | 1103 | 24% | 0.56 | 973 | 24% | 0.50 |
Longest time off smoking | |||||||||||||||
Never | 1179 | 22% | Ref | 247 | 17% | Ref | 269 | 27% | Ref | 367 | 20% | Ref | 296 | 23% | Ref |
1 week or less | 1017 | 33% | 0.90 | 212 | 33% | 1.29 | 260 | 39% | 0.90 | 257 | 30% | 0.93 | 288 | 29% | 0.67 |
Between 1 week and 6 months | 1909 | 40% | 1.14 | 365 | 40% | 1.79 | 497 | 47% | 1.09 | 495 | 34% | 0.93 | 552 | 38% | 1.01 |
6 months or more | 2155 | 43% | 1.45 | 429 | 46% | 2.39 | 549 | 52% | 1.70 | 567 | 38% | 1.24 | 610 | 38% | 1.01 |
Heaviness of smoking index | |||||||||||||||
0 | 896 | 48% | Ref | 178 | 52% | Ref | 229 | 52% | Ref | 213 | 46% | Ref | 276 | 43% | Ref |
1 | 682 | 45% | 0.93 | 132 | 51% | 0.91 | 159 | 57% | 1.15 | 201 | 39% | 0.77 | 190 | 38% | 0.86 |
2 | 1040 | 38% | 0.72 | 193 | 42% | 0.76 | 287 | 44% | 0.74 | 296 | 31% | 0.60 | 264 | 38% | 0.81 |
3 | 1793 | 32% | 0.64 | 369 | 30% | 0.50 | 405 | 40% | 0.66 | 575 | 29% | 0.57 | 444 | 31% | 0.78 |
4 | 1072 | 32% | 0.69 | 195 | 26% | 0.45 | 309 | 41% | 0.81 | 260 | 25% | 0.59 | 308 | 32% | 0.86 |
5 | 570 | 29% | 0.68 | 126 | 26% | 0.54 | 145 | 37% | 0.77 | 109 | 23% | 0.68 | 190 | 27% | 0.72 |
6 | 207 | 29% | 0.71 | 60 | 33% | 0.86 | 41 | 34% | 0.60 | 32 | 22% | 0.65 | 74 | 24% | 0.72 |
Baseline smoking frequency | |||||||||||||||
Daily smoker | 5740 | 35% | Ref | 1143 | 34% | Ref | 1444 | 43% | Ref | 1576 | 30% | Ref | 1577 | 32% | Ref |
Weekly/monthly smoker | 520 | 54% | 1.43 | 110 | 56% | 1.38 | 131 | 56% | 1.34 | 110 | 54% | 1.55 | 169 | 50% | 1.44 |
Overall opinion of smoking | |||||||||||||||
Positive or neutral | 2758 | 28% | Ref | 552 | 28% | Ref | 587 | 35% | Ref | 842 | 24% | Ref | 777 | 25% | Ref |
Negative | 2235 | 40% | 1.07 | 428 | 40% | 1.22 | 626 | 46% | 0.91 | 565 | 34% | 1.06 | 616 | 38% | 1.19 |
Very negative | 1267 | 49% | 1.24 | 273 | 48% | 1.18 | 362 | 55% | 1.12 | 279 | 48% | 1.40 | 353 | 46% | 1.34 |
Continuous variables | |||||||||||||||
Outcome expectancy | 1.04 | 0.94 | 1.08 | 1.06 | 1.04 | ||||||||||
Self-efficacy | 0.99 | 1.02 | 0.94 | 0.92 | 1.08 | ||||||||||
Worries about health and QOL | 1.15 | 1.10 | 1.13 | 1.13 | 1.28 | ||||||||||
Favourable attitudes about smoking | 0.88 | 1.00 | 0.89 | 0.75 | 0.88 | ||||||||||
Total | 6260 | 36% | 1253 | 36% | 1575 | 44% | 1686 | 31% | 1746 | 34% | |||||
Nagelkerke’s R2 | 0.27 | 0.29 | 0.25 | 0.29 | 0.26 |