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Characteristics in stages of change and decisional balance among smokers: The burden of obstructive lung diseases (BOLD)-Australia study


Ivey, MA and Maguire, GP and Toelle, BG and Marks, GB and Abramson, MJ and Wood-Baker, R, Characteristics in stages of change and decisional balance among smokers: The burden of obstructive lung diseases (BOLD)-Australia study, International Journal of Environmental Research and Public Health, 16, (18) pp. 1-12. ISSN 1661-7827 (2019) [Refereed Article]


Copyright Statement

Copyright 2019 The Authors. Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0)

DOI: doi:10.3390/ijerph16183372


Smoking cessation remains a health promotion target. Applying the Transtheoretical Model to Australian Burden of Obstructive Lung Diseases (BOLD) data, we examined differences in stages of change (SoC) and readiness to quit decisional behaviours. Factors were identified likely to influence readiness of smokers, ≥40 years old, to quit. Analysis was restricted to current smokers classified to one of three stages: pre-contemplation (PC), contemplation (C) or preparation (P) to quit. Their ability to balance positive and negative consequences was measured using decisional balance. Among 314 smokers, 43.0% females and 60.8% overweight/obese, the distribution of SoC was: 38.1% PC, 38.3% C and 23.5% P. Overweight/obesity was associated with readiness to quit in stages C and P and there were more negative than positive attitudes towards smoking in those stages. Males were significantly heavier smokers in PC and C stages. Females used smoking cessation medication more frequently in PC stage, were more embarrassed about smoking and had greater negative reinforcements from smoking. Age started smoking and factors related to smoking history were associated with readiness to quit and increased the odds of being in stage C or P. An overweight/obese smoker was likely to be contemplating or preparing to quit. In these stages, smokers have more negative attitudes toward smoking. Starting smoking later, taking advice on cessation from health providers and using quit medications indicate increased readiness to quit. Evaluating these factors in smokers and developing cessation gain-framed messages may prove useful to healthcare providers.

Item Details

Item Type:Refereed Article
Keywords:stages of change, decisional balance, smoking cessation, gender difference, Burden of Obstructive Lung Disease (BOLD)
Research Division:Biomedical and Clinical Sciences
Research Group:Cardiovascular medicine and haematology
Research Field:Respiratory diseases
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Wood-Baker, R (Professor Richard Wood-Baker)
ID Code:136732
Year Published:2019
Web of Science® Times Cited:2
Deposited By:Medicine
Deposited On:2020-01-16
Last Modified:2020-03-30
Downloads:11 View Download Statistics

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