Background
Methods
Design
Details of activities
Phase I: WATT and the need assessment survey
Phase II: Gender-specific smoking cessation training curriculum
Phase III: Gender-specific smoking cessation counseling service
Measure
Statistical analyses
Results
Need assessment survey
Correct responses | ||
---|---|---|
n | %a
| |
General knowledge: Effect of smoking on health
| ||
1. The health hazards of smoking are greater than that of outdoor air pollution. (correct) | 555 | 89.1 |
2. The health hazards of smoking are less than that of drinking alcohol. (wrong) | 408 | 65.5 |
3. Smoking ‘light’ cigarettes is a safe alternative to quitting. (wrong) | 393 | 63.1 |
4. Among every 20 smokers, 1 of them will eventually die due to smoking. (wrong) | 94 | 15.1 |
5. The health hazards of SHS are less than that of indoor air pollution. (wrong) | 407 | 65.3 |
6. Preventing children and adolescents smoking is the most important in reducing smoking related deaths. (wrong) | 63 | 10.1 |
7. There is no need to quit smoking as there are alternative ways to reduce or prevent smoking related illnesses. (wrong) | 515 | 82.7 |
Mean | SD | |
Mean number of correct responses out of 7 items (range: 0–7) | 3.91 | 1.44 |
Cigarette smoking contributes to an increased risk of the following diseases
| ||
Common disease | ||
1. Heart disease | 547 | 89.2 |
2. Blood circulation problems | 455 | 75.0 |
3. Airway or breathing problems | 591 | 96.4 |
4. Visual problems | 218 | 37.2 |
Mean | SD | |
Mean number of correct responses out of 4 items (0–4) | 2.91 | 0.97 |
Woman specific disease | ||
5. Cervical cancer | 258 | 31.2 |
6. Dysmenorrhoea / Irregular menstruation cycles | 158 | 26.8 |
7. Osteoporosis | 364 | 60.5 |
8. Early menopause | 233 | 39.2 |
9. Preterm delivery / Spontaneous abortion | 496 | 82.1 |
10. Ectopic pregnancy / Stillbirth | 316 | 53.0 |
Mean | SD | |
Mean number of correct responses out of 6 items (range: 0–6) | 2.93 | 1.87 |
Mean | SD | Reliabilities | |
---|---|---|---|
Attitude to tobacco control
| 0.85a
| ||
Tobacco advertising should be completely banned | 3.30 | 0.64 | |
All forms of tobacco promotion (both direct and indirect) should be banned | 3.25 | 0.67 | |
The law against smoking in public indoor areas (including restaurants, bars, karaoke) should be passed as soon as possible | 3.46 | 0.68 | |
The use of ‘light’ and ‘mild’ in tobacco should be banned. | 3.22 | 0.68 | |
Average score | 3.31 | 0.55 | |
Attitude to own role in tobacco control
| 0.55b
| ||
I would initiate advising my friends to quit smoking | 3.24 | 0.64 | |
It is my responsibility to remind people not to smoke in non-smoking areas | 3.14 | 0.62 | |
Average score | 3.19 | 0.56 | |
Attitude to professionals’ role in tobacco control
| −0.05b
| ||
Staff of woman organizations should use every opportunity to help female clients stop smoking | 3.20 | 0.61 | |
Advice from social workers or volunteers to help clients stop smoking is completely ineffective c
| 2.77 | 0.68 | |
Negative attitude to female smokers
| 0.61b
| ||
Female smokers are more rough | 2.70 | 0.77 | |
Female smokers are more bad tempered | 2.72 | 0.73 | |
Average score | 2.71 | 0.67 | |
Positive attitude to female smokers
| 0.72a
| ||
Female smokers are more mature | 2.00 | 0.68 | |
Female smokers are more optimistic | 1.89 | 0.61 | |
It is acceptable for women to smoke | 1.97 | 0.77 | |
Average score | 1.95 | 0.55 |
n | %a
| Alpha | |
---|---|---|---|
Practice in smoking cessation counseling
| |||
Had tried to advise smokers quit in the past 12 months | 227 | 39.3 | --- |
Among those who did not practise smoking cessation (n = 335) | |||
Reasons for not practising smoking cessation counseling
| |||
No contact with smokers | 157 | 46.9 | |
Don’t have the related knowledge and skills | 74 | 22.1 | |
It is not my responsibility | 33 | 9.9 | |
I think smokers don’t want to be advised | 79 | 23.6 | |
I think it is ineffective | 89 | 26.6 | |
I don’t want to harm the relationship | 55 | 16.4 | |
Others | 14 | 4.2 | |
Among those who had practised smoking cessation counseling (n = 277) | Mean | SD | |
Practice of 5As (0 = Never to 3 = Frequently)
| 0.89 | ||
Assess about level of tobacco use | 1.07 | 1.14 | |
Advise to stop smoking | 1.39 | 0.95 | |
Assess willingness to make a quit attempt | 0.89 | 0.96 | |
Assist in quit attempt (brief advice or counseling) | 1.02 | 0.96 | |
Arrange follow up contact | 0.45 | 0.81 | |
Motivate clients’ intention to quit smoking | 1.11 | 0.93 | |
Refer to health professionals for advice about quit smoking | 0.40 | 0.79 | |
Organize seminars/health talks on tobacco and health | 0.40 | 0.76 | |
Average score | 0.81 | 0.68 | |
Perceived self-efficacy in smoking cessation counseling (1 = ‘completely not’ to 4 = ‘absolutely true’)
| 0.87 | ||
I believe I will be successful in helping smokers to quit | 2.01 | 0.59 | |
I am confident to help smokers to quit | 2.14 | 0.59 | |
I think I am competent in helping smokers stop smoking | 2.16 | 0.60 | |
Average score | 2.10 | 0.53 |
Gender-specific smoking cessation training curriculum
Smoking cessation training curriculum
Changes in knowledge, attitudes, and the practice of tobacco control
Baseline | 6-month | ||
---|---|---|---|
Mean (SD) | Mean (SD) |
P value | |
Knowledge | |||
General knowledge on health and tobacco use (range: 0–7) | 4.5 ± 1.0 | 5.2 ± 0.7 | 0.02 |
Specific knowledge on smoking-related diseases (range: 0–10) | 7.6 ± 2 | 7.7 ± 1.6 | 0.8 |
Attitudes a
| |||
Banning all tobacco advertisement | 3.4 ± 0.5 | 3.3 ± 0.6 | 0.14 |
Recognition of own & professional role in smoking cessation counseling | 3.3 ± 0.4 | 3.2 ± 0.3 | 0.17 |
Bad image of woman smokers | 2.97 ± 0.3 | 3.2 ± 0.3 | 0.001 |
Practice in smoking cessation counseling | n (%) | n (%) | |
Had practiced | 15 (62.5) | 12 (55.0) | - |
Among those who had practiced b
| |||
Ask | 0.83 (1.0) | 0.92 (0.9) | |
Advise | 1.38 (1.1) | 1.38 (0.8) | |
Assess | 0.92 (1.0) | 0.92 (0.9) | |
Assist | 1.00 (1.1) | 1.15 (0.9) | |
Arrange | 0.42 (0.9) | 0.17 (0.4) |