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This study compares current tobacco smokers and smokeless tobacco (SLT) users in terms of their past quitting attempts and intentions to quit in the future, and identifies approaches used in their recent quitting attempts. Data ( n = 14,498) of current tobacco users from two rounds of the Global Adult Tobacco Survey Bangladesh were analysed. Poisson regressions with robust variance were used to examine associations between the study factor and the two outcome variables. About half of smokers and a quarter of SLT users tried to quit during the 12 months before the survey. About two-thirds of smokers and half of SLT users intended to quit in the future. Smokers were more likely (adjusted prevalence ratio (aPR): 1.38, 95%CI: 1.24-1.53) than SLT users to have attempted to quit during the 12 months before the survey and to intend to quit in the future (aPR: 1.09, 95%CI: 1.02-1.16). The corresponding aPRs were even higher for dual users (smoked tobacco and used SLT). Future intention to quit for both smokers (aPR: 1.45, 95%CI: 1.38-1.53) and SLT users (aPR: 1.87, 95%CI: 1.76-1.98) was significantly associated with their past quitting attempts. Most of those who had attempted to quit did not receive any treatment. Proactive and tailored interventions to promote quitting and expansion of tobacco cessation methods are recommended.

Background: MPOWER is a policy package of six components intended to assist in the country-level implementation of effective tobacco control interventions. One of the six components of MPOWER strategy is to offer help to quit tobacco use. Majority of the smokers want to quit, but quitting is difficult due to the addictiveness of nicotine. They make multiple quitting attempts with little success. There is a need to know what proportion of smokers make a quit attempt, and among those who make an attempt, how many become successful quitters and their sociodemographic correlates., Methods: Secondary analysis of data from the Global Adult Tobacco Survey (GATS-2) 2016-17, India was done. This nationally representative survey was conducted among persons aged 15 years or older. Weighted estimates were calculated after adjusting for clustering and stratification., Results: A total of 35.5% adults who smoked tobacco during the past 12 months have made a quit attempt in the last 12 months. Around 14.2% of ever daily smokers currently do not smoke (which indicate successful quit rate). The study demonstrated strong associations of sociodemographic characteristics such as age group, educational attainment, caste, religion, geographic region, wealth quintiles, and visit to health care provider with the attempt to quit tobacco and successful quitting. The majority of quit attempts were made without any assistance (71.1%)., Conclusion: The study provides robust national evidence on attempts to quit tobacco, the success rates of those attempts, and their sociodemographic correlates. The study highlights the need to provide more cessation support to young, less educated people in the northern part of India., Competing Interests: None

Background: Vietnam is among countries with highest prevalence of tobacco smoking, attempt to quit is an important indicator to monitor the effectiveness of tobacco control efforts. This paper aims to describe smoking quit attempt and examine its association with some individual characteristics among male smokers., Methods: Data from the Global Adult Tobacco Survey in Vietnam in 2015 was analyzed for a sample of 1,903 male smokers taking from the national representative sample of 8,996 adults aged 15 years and above., Results: Proportion of quit attempt during 12 months prior to the interview among male smoker was 37.1%. Attempt to quit smoking was significantly associated with age (OR=2.84 and 95% CI: 1.43-5.66 for those aged 55 years and older vs. those aged 24 years and younger), with knowledge of harmful effects on health (OR=1.97 and 95% CI: 1.45-2.66 for those who could list 6 to 7 diseases vs. those who could list 3 or less diseases),  number of channels with anti smoking message (OR=1.72 and 95% CI: 1.21-2.45 for those who had exposure from 3 channels or more vs. those who did not expose any channels), number of years smoking (OR=0.59 and OR=0.40 for  those with less than 15 years smoking vs. those  with 25 to 34 years smoking and more than 35 years smoking, respectively)., Conclusion: Intervention to improve knowledge of tobacco harmful effects, and access to multiple and modern antismoking communication channels would be effective to raise quit attempt among smokers. Research to promote effectiveness of quit advice by health staff should be paid more attention.

Smokefree environment created by smokefree policies is associated with smoking reduction; however, there is paucity of literature on the relationship between smokefree home rules and smoking intensity in low-and-middle income countries (LMICs), and how smokefree policy affects smoking behavior of smokers at different stages of smoking cessation. This study examined the relationship between smokefree home rules and average number of cigarettes smoked per day (CPD) among daily smokers at different stages of the transtheoretical model (TTM) of change. Data from 18,718 current daily cigarette smokers from the Global Adult Tobacco Survey (GATS) conducted from 2011 to 2017 in 20 LMICs were analyzed. Weighted multivariable linear regression analyses were conducted using the log of CPD as the outcome variable with smokefree home rules as the exposure variable, controlling for selected covariates. Approximately 15% of the participants were in precontemplation, 5% were in preparation, 15% lived in partial smokefree homes, and 30% lived in complete smokefree homes. The average number of CPD was 12.3, 12.0, and 10.6 among participants living in homes where smoking was allowed, partial smokefree homes, and complete smokefree homes, respectively. Compared to living in homes where smoking was allowed, living in complete smokefree homes were associated with 22.5% (95%CI = 18.4%-26.5%), 17.9% (95%CI = 8.4%-27.3%), and 29.3% (95% CI = 17.1%-41.5%) fewer CPD among participants in precontemplation, contemplation, and preparation stages, respectively. These findings suggest that complete smokefree home policy will benefit smokers in LMICs irrespective of their intention to quit smoking in addition to protecting non-smokers from secondhand smoke exposure., Competing Interests: Declaration of competing interest The authors declare that they have no conflict of interest., (Copyright © 2020 Elsevier Inc. All rights reserved.)

Kazakhstan is one of the countries with higher-than-average smoking prevalence and tobacco-related mortality. Intention to quit is a key step toward smoking cessation, yet has not been studied in Kazakhstan. This study explored prevalence and correlates of intention to quit among smokers in Kazakhstan. We drew data from the nationally representative survey, the Global Adult Tobacco Survey (GATS), conducted during 2014 in Kazakhstan. Our sample consisted of 649 smokers aged ≥15 years. We examined prevalence of intention to quit by demographics, knowledge of tobacco-related diseases, nicotine dependence, attempt to quit in the past 12 months, household smoking restrictions, and awareness of antismoking messages. Univariate and multivariate logistic regressions were used to test the significance of these correlates. Prevalence of intention to quit was around 75.9% among smokers. Older age ( p < 0.001), knowledge of tobacco-related diseases ( p < 0.01), moderate nicotine dependence ( p < 0.001), attempt to quit within the past 12 months ( p < 0.001), and having household smoking restrictions ( p < 0.001) were all significant correlates. We suggest investing in efforts to promote cessation activities for smokers of all ages, to disseminate comprehensive information on tobacco-related diseases, and to uphold and strengthen policies on smoking bans., Competing Interests: None., (© Atlantis Press International B.V.)

Viet Nam is among the countries having highest rate of male smokers in the world. The country has joined the Global Tobacco Surveillance System since 2010. Under this system, two rounds of Global Adult Tobacco Survey (GATS) were conducted in 2010 and 2015. Those two surveys provide excellent comparable data on tobacco usage and its related aspects in Vietnam. This study using the data from GATS 2015 to examine the salience and impact of cigarette pack health warnings on quitting intention in Vietnam. The Vietnam GATS 2015 was a nationally representative survey in which 9,513 households were selected using two-stage random systematic sampling method. Results of multivariate analysis showed that the strongest predictor for quit intention because of health warnings was "ever made a quit attempt in the past 12 months" followed by "believes that tobacco smoking causes serious illness". Compared to GATS 2010, GATS 2015 observed the increase in salience of cigarette health warnings. However, the current pictorial health warnings are losing their impact on motivating intention to quit. The results highlight that it is time to start the rotation cycle to refresh the current health warning set. Actions to select a new and more impressive set of pictorial health warnings should be developed as soon as possible.

Background: The World Health Organization (WHO) MPOWER is a technical package of six tobacco control measures that assist countries in meeting their obligations of the WHO Framework Convention Tobacco Control and are proven to reduce tobacco use. The Global Adult Tobacco Survey (GATS) systematically monitors adult tobacco use and tracks key tobacco control indicators., Methods: GATS is a nationally representative household survey of adults aged 15 and older, using a standard and consistent protocol across countries; it includes information on the six WHO MPOWER measures. GATS Phase I was conducted from 2008-2010 in 14 high-burden low- and middle-income countries. We selected one key indicator from each of the six MPOWER measures and compared results across 14 countries., Results: Current tobacco use prevalence rates ranged from 16.1% in Mexico to 43.3% in Bangladesh. We found that the highest rate of exposure to secondhand smoke in the workplace was in China (63.3%). We found the highest 'smoking quit attempt' rates in the past 12 months among cigarette smokers in Viet Nam (55.3%) and the lowest rate was in the Russian Federation (32.1%). In five of the 14 countries, more than one-half of current smokers in those 5 countries said they thought of quitting because of health warning labels on cigarette packages. The Philippines (74.3%) and the Russian Federation (68.0%) had the highest percentages of respondents noticing any cigarette advertising, promotion and sponsorship. Manufactured cigarette affordability ranged from 0.6% in Russia to 8.0% in India., Conclusions: Monitoring tobacco use and tobacco control policy achievements is crucial to managing and implementing measures to reverse the epidemic. GATS provides internationally-comparable data that systematically monitors and tracks the progress of the other five MPOWER measures., (© The Author(s) 2013.)

Background: China has the largest population of smokers in the world, yet the quit rate is low. We used data from the 2010 Global Adult Tobacco Survey China to identify factors influencing quit attempts among male Chinese daily smokers., Methods: The study sample included 3303 male daily smokers. To determine the factors that were significantly associated with making a quit attempt, we conducted logistic regression analyses. In addition, mediation analyses were carried out to investigate how the intermediate association among demographics (age, education, urbanicity) and smoking-related variables affected making a quit attempt., Results: An estimated 11.0% of male daily smokers tried to quit smoking in the 12 months prior to the survey. Logistic regression analysis indicated that younger age (15-24 years), being advised to quit by a health care provider (HCP) in the past 12 months, lower cigarette cost per pack, monthly or less frequent exposure to smoking at home, and awareness of the harms of tobacco use were significantly associated with making a quit attempt. Additional mediation analyses showed that having knowledge of the harm of tobacco, exposure to smoking at home, and having been advised to quit by an HCP were mediators of making a quit attempt for other independent variables., Conclusion: Evidence-based tobacco control measures such as conducting educational campaigns on the harms of tobacco use, establishing smoke-free policies at home, and integrating tobacco cessation advice into primary health care services can increase quit attempts and reduce smoking among male Chinese daily smokers., (Copyright © 2015 Elsevier Inc. All rights reserved.)

This study estimates the prevalence of daily dual users (DDUs) (i.e., used both smoked and smokeless tobacco (SLT) daily) of tobacco in Bangladesh and identifies associated factors ; examines approaches they used to quit tobacco use and identifies past attempts and future intention to quit. Data of current tobacco users (n=9,370) collected in two rounds of the Global Adult Tobacco Survey were analyzed. Logistic regressions were used to identify factors associated with DDUs, and Poisson regressions to identify DDUs' previous attempts and future intentions to quit. Among the current users, the prevalence of DDUs decreased from 10.7% in 2009 to 6.4% in 2017. Almost half of the DDUs tried to quit smoking and a quarter to quit SLT during 12-month before the survey. DDUs were more likely than non-DDUs to make a quit attempt (adjusted prevalence ratio (aPR):1.28, 95%Confidence interval (95%CI):1.09–1.50) and intend to quit in the future (aPR:1.13, 95%CI:1.03–2.25). Most of those who attempted to quit received no cessation treatment, and some started using SLT. The prevalence of DDUs decreased recently. DDUs were more likely than non-DDUs to report past attempts and future intentions to quit. Cessation treatments should be made available and affordable to expedite tobacco control measures. [ABSTRACT FROM AUTHOR]

The aims of the study were to identify latent classes of adult tobacco or nicotine-based product users in India, compare their sociodemographic distribution and quitting behaviour and explore the association of quitting behaviour and time to first tobacco use with class membership. This was a nationally representative cross-sectional survey. Data from the Global Adult Tobacco Survey 2016–2017 in India, which covered adults aged >15 years, were analysed. Latent class analysis was used to examine patterns of tobacco or nicotine-based product use (cigarette, bidi, cigar, e-cigarette, chewable tobacco and snuff) among current tobacco users. Classes were compared across sociodemographic and tobacco use–related characteristics. Various model fit statistics (Akaike, Bayesian and Sample Size–Adjusted Bayesian Information Criteria, Likelihood Ratio Tests and Entropy) and meaningfulness of the classes were used to select the number of latent classes. Of 21,857 current tobacco users , five latent classes were extracted: 'poly-tobacco use' (103, 0.5%), 'oral chewable products predominantly' (11,306, 51.7%), 'bidi predominantly' (4965, 22.7%), 'cigarette predominantly' (5318, 24.3%) and 'snuff and chewable products' (165, 0.8%). Significant differences between classes emerged on sociodemographics (age, sex, residence, education, wealth quintile, region). 'Bidi predominantly' class was associated with higher likelihood of quit attempts. Compared with 'cigarette predominantly' class, other classes were significantly associated with time to first tobacco use. We found that people in India could be grouped into five classes based on their tobacco or nicotine-based product use pattern. It may be efficient to tailor messages to different latent classes and address the distinct profiles of these groups of tobacco product users. [ABSTRACT FROM AUTHOR]

Objective To identify the relationship of quit intention of smoking among daily smokers in Vietnam. Methods Data are subtracted from dataset of Global Adult Tobacco Survey (GATS) of 2010 and 2015 of the Global Tobacco Surveillance System (GTSS). Households were sampled using a stratified multistage design. All men who are currently smoking daily are selected for final analysis. Quit intention of smoking defines as dependent variable. Knowledge, attitude, practice toward smoking; Heaviness of Smoking Index; Demography define as independent variables. Multivariate logistics model was used. Results The proportion of smokers are interested in quitting smoking following: planning to quit within next month (6.2%); thinking about quitting within the next 12 months (15.5%); and will quit someday, but not the next 12 months (38.5%). High education, good attitude of harming of smoking on health were positively associated with intentions to quit smoking with adjusted odd ratio: 1.70 (1.04-2.75); 1.89 (1.19-2.98), respectively. Reversely, Heaviness of Smoking Index (HIS) with moderate smoking, less supported for taxes rise on tobacco products were negatively associated with intentions to quit smoking with adjusted odd ratio: 0.66 (0.51-0.83); 0.72 (0.56-0.92), respectively. Conclusions The finding implies that identifying the determinants of quit intentions provides practical evidence for shaping effective policies and programs for advancing quitting among smokers in Vietnam.