School of Medicine and Health Management, Guizhou Medical University, No. 6 Ankang Avenue, Guiyang City, 561113, China.
Guizhou Institute of Health Development, Guizhou Medical University, Guiyang, China.
BMC Public Health. 2024 Jul 8;24(1):1812. doi: 10.1186/s12889-024-19295-y.
Smoking rationalisation beliefs are a huge barrier to quitting smoking. What types of rationalisations should be emphasised in smoking cessation interventions? Although past literature has confirmed the negative relationship between those beliefs and motivation to stop smoking, little is known regarding the importance and performance of those beliefs on motivation with varying cigarette dependence. The study aimed to ascertain rationalisations that are highly important for motivation yet perform poorly in different cigarette dependence groups.
The cross-sectional study was conducted from November 19 to December 9, 2023 in Guiyang City, China. Adult male current smokers were enrolled. Partial least squares structural equation modelling was used to test the hypothesis. The multi-group analysis was used to determine the moderating effect of cigarette dependence, and the importance-performance map analysis was utilised to assess the importance and performance of rationalisations.
A total of 616 adult male current smokers were analysed, and they were divided into the low cigarette dependence group (n = 297) and the high cigarette dependence group (n = 319). Except for risk generalisation beliefs, smoking functional beliefs (H1: -β = 0.131, P < 0.01), social acceptability beliefs (H3: β = -0.258, P < 0.001), safe smoking beliefs (H4: β = -0.078, P < 0.05), self-exempting beliefs (H5: β = -0.244, P < 0.001), and quitting is harmful beliefs (H6: β = -0.148, P < 0.01) all had a significant positive influence on motivation. Cigarette dependence moderated the correlation between rationalisations and motivation. In the high-dependence group, the social acceptability beliefs and smoking functional beliefs were located in the "Concentrate Here" area. In the low-dependence group, the social acceptability beliefs were also situated in there.
Social acceptability beliefs and smoking functional beliefs showed great potential and value for improvement among high-dependence smokers, while only social acceptability beliefs had great potential and value for improvement among low-dependence smokers. Addressing these beliefs will be helpful for smoking cessation. The multi-group analysis and the importance-performance map analysis technique have practical implications and can be expanded to other domains of health education and intervention practice.
吸烟合理化信念是戒烟的巨大障碍。在戒烟干预中应该强调哪些类型的合理化信念？尽管过去的文献已经证实了这些信念与戒烟动机之间的负相关关系，但对于这些信念在不同吸烟依赖程度下对动机的重要性和表现知之甚少。本研究旨在确定对动机非常重要但在不同香烟依赖群体中表现不佳的合理化信念。
横断面研究于 2023 年 11 月 19 日至 12 月 9 日在中国贵阳市进行。纳入成年男性当前吸烟者。使用偏最小二乘结构方程模型检验假设。多组分析用于确定吸烟依赖的调节作用，重要性-绩效图分析用于评估合理化信念的重要性和绩效。
共分析了 616 名成年男性当前吸烟者，他们被分为低香烟依赖组（n=297）和高香烟依赖组（n=319）。除风险泛化信念外，吸烟功能信念（H1：-β=0.131，P<0.01）、社会可接受性信念（H3：β=-0.258，P<0.001）、安全吸烟信念（H4：β=-0.078，P<0.05）、自我豁免信念（H5：β=-0.244，P<0.001）和戒烟有害信念（H6：β=-0.148，P<0.01）均对动机有显著正向影响。吸烟依赖调节了合理化信念与动机之间的相关性。在高依赖组中，社会可接受性信念和吸烟功能信念位于“集中于此”区域。在低依赖组中，社会可接受性信念也位于那里。
在高依赖吸烟者中，社会可接受性信念和吸烟功能信念具有很大的改进潜力和价值，而在低依赖吸烟者中，只有社会可接受性信念具有很大的改进潜力和价值。解决这些信念将有助于戒烟。多组分析和重要性-绩效图分析技术具有实际意义，可以扩展到健康教育和干预实践的其他领域。
