The association of individual cognition and social environment of smoking with autonomy over tobacco: A survey from rural China
Introduction This study explores the association of individual cognition and social environment of smoking with autonomy over tobacco, providing evidence and insights to help smokers effectively prevent and reduce tobacco dependence. Methods Data were collected from 1389 participants, aged ≥15 year...
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| Format: | Article |
| Language: | English |
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European Publishing
2024-01-01
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| Series: | Tobacco Induced Diseases |
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| Online Access: | https://www.tobaccoinduceddiseases.org/The-association-of-individual-cognition-and-social-nenvironment-of-smoking-with-autonomy,175974,0,2.html |
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| author | Jiaoyan Li Yimei Zhu Zhihong Zhang Deyu Cai Huinan Han Jing Liang Fang Wang Beizhu Ye Yuan Liang |
| author_facet | Jiaoyan Li Yimei Zhu Zhihong Zhang Deyu Cai Huinan Han Jing Liang Fang Wang Beizhu Ye Yuan Liang |
| author_sort | Jiaoyan Li |
| collection | DOAJ |
| description | Introduction
This study explores the association of individual cognition and social
environment of smoking with autonomy over tobacco, providing evidence and
insights to help smokers effectively prevent and reduce tobacco dependence.
Methods
Data were collected from 1389 participants, aged ≥15 years, by face-toface
interviews from June 2018 to November 2019 in central China. We assessed
autonomy over tobacco using the Autonomy Over Smoking Scale (AUTOS),
including Withdrawal Symptoms (WS), Psychological Dependence (PD) and Cueinduced
Cravings (CC), and examined factors of individual cognition and social
environment, as well as covariates, including demographic characteristics, health
status, and smoking behavior.
Results
AUTOS total score was 16.92 ± 9.05, WS score was the lowest (4.40 ±
3.36) in the three subscales, and CC score was the highest (6.88 ± 3.2). After
adjustment, WS score of having a greater awareness of smoking hazards to one's
own health was lower than those who had no awareness (β=0.14; 95% CI: -0.31–
0.00), and the total score of AUTOS, the score of PD and CC for those who
thought smoking was ‘more helpful (high)’ to interpersonal communication were
higher than ‘not helpful (not at all)’ (β=0.14; 95% CI: 0.01–0.28 with β=0.16;
95% CI: 0.02–0.29; and β=0.14; 95% CI: 0.00–0.28; respectively). Having a
greater difficulty in smoking cessation was associated with higher AUTOS total
and subscale scores (p<0.001). Notably, none of the social-environmental factors
included had a significant association with AUTOS scores.
Conclusions
Interventions targeting individual cognitive factors of tobacco
dependence seem to be more effective in smoking cessation. Future research
may explore the influence of family and workplace among social environmental
factors, which may reveal the effect of a binding force. |
| format | Article |
| id | doaj-art-0965fb60aa0644859dd57eaffa71adb5 |
| institution | Kabale University |
| issn | 1617-9625 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj-art-0965fb60aa0644859dd57eaffa71adb52025-01-24T15:26:48ZengEuropean PublishingTobacco Induced Diseases1617-96252024-01-0122January11310.18332/tid/175974175974The association of individual cognition and social environment of smoking with autonomy over tobacco: A survey from rural ChinaJiaoyan Li0Yimei Zhu1Zhihong Zhang2Deyu Cai3Huinan Han4Jing Liang5Fang Wang6Beizhu Ye7Yuan Liang8https://orcid.org/0000-0003-2330-1837Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaSchool of Media, Communication and Sociology, University of Leicester, Leicester, United KingdomDepartment of Oncology, Gongan County People's Hospital, Hubei Province, ChinaDepartment of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Academic Research, Hubei Academy of Social Sciences, Wuhan, ChinaDepartment of Epidemiology and Biostatistics, College of Public Health, Xuzhou Medical University, Xuzhou, ChinaDepartment of Social Medicine and Health Management, College of Public Health, Zhengzhou University, Zhengzhou, ChinaDepartment of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaIntroduction This study explores the association of individual cognition and social environment of smoking with autonomy over tobacco, providing evidence and insights to help smokers effectively prevent and reduce tobacco dependence. Methods Data were collected from 1389 participants, aged ≥15 years, by face-toface interviews from June 2018 to November 2019 in central China. We assessed autonomy over tobacco using the Autonomy Over Smoking Scale (AUTOS), including Withdrawal Symptoms (WS), Psychological Dependence (PD) and Cueinduced Cravings (CC), and examined factors of individual cognition and social environment, as well as covariates, including demographic characteristics, health status, and smoking behavior. Results AUTOS total score was 16.92 ± 9.05, WS score was the lowest (4.40 ± 3.36) in the three subscales, and CC score was the highest (6.88 ± 3.2). After adjustment, WS score of having a greater awareness of smoking hazards to one's own health was lower than those who had no awareness (β=0.14; 95% CI: -0.31– 0.00), and the total score of AUTOS, the score of PD and CC for those who thought smoking was ‘more helpful (high)’ to interpersonal communication were higher than ‘not helpful (not at all)’ (β=0.14; 95% CI: 0.01–0.28 with β=0.16; 95% CI: 0.02–0.29; and β=0.14; 95% CI: 0.00–0.28; respectively). Having a greater difficulty in smoking cessation was associated with higher AUTOS total and subscale scores (p<0.001). Notably, none of the social-environmental factors included had a significant association with AUTOS scores. Conclusions Interventions targeting individual cognitive factors of tobacco dependence seem to be more effective in smoking cessation. Future research may explore the influence of family and workplace among social environmental factors, which may reveal the effect of a binding force.https://www.tobaccoinduceddiseases.org/The-association-of-individual-cognition-and-social-nenvironment-of-smoking-with-autonomy,175974,0,2.htmlindividual cognitionsocialenvironmentthe autonomyover tobaccosmoke |
| spellingShingle | Jiaoyan Li Yimei Zhu Zhihong Zhang Deyu Cai Huinan Han Jing Liang Fang Wang Beizhu Ye Yuan Liang The association of individual cognition and social environment of smoking with autonomy over tobacco: A survey from rural China Tobacco Induced Diseases individual cognition social environment the autonomy over tobacco smoke |
| title | The association of individual cognition and social
environment of smoking with autonomy over tobacco:
A survey from rural China |
| title_full | The association of individual cognition and social
environment of smoking with autonomy over tobacco:
A survey from rural China |
| title_fullStr | The association of individual cognition and social
environment of smoking with autonomy over tobacco:
A survey from rural China |
| title_full_unstemmed | The association of individual cognition and social
environment of smoking with autonomy over tobacco:
A survey from rural China |
| title_short | The association of individual cognition and social
environment of smoking with autonomy over tobacco:
A survey from rural China |
| title_sort | association of individual cognition and social environment of smoking with autonomy over tobacco a survey from rural china |
| topic | individual cognition social environment the autonomy over tobacco smoke |
| url | https://www.tobaccoinduceddiseases.org/The-association-of-individual-cognition-and-social-nenvironment-of-smoking-with-autonomy,175974,0,2.html |
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