caa a22 4500 606154027 CHVBK 20210128100556.0 cr unu---uuuuu 210128e20150201xx s 000 0 eng 10.1007/s11121-014-0471-5 doi (NATIONALLICENCE)springer-10.1007/s11121-014-0471-5 Stages of Change, Determinants, and Mortality for Smoking Cessation in Adult Taiwanese Screenees [Elektronische Daten] [Dih-Ling Luh, Hsiu-Hsi Chen, Long-Ren Liao, Sam Chen, Amy Yen, Ting-Ting Wang, Sherry Chiu, Ching-Yuan Fann] We aimed to investigate the associations between three smoking-related constructs (pros and cons of smoking, temptation to smoke, and self-efficacy of resisting smoking) and stage of change (precontemplation, contemplation, preparation, and action) based on the transtheoretical model among smokers attending a community-based screening program. We also assessed their effects on long-term all-cause mortality. A prospective cohort study, with an average of 7years of follow-up, was conducted by enrolling 454 male smoking screenees. The comparisons of the mean score of each variable pertaining to three smoking-related constructs across four stages of smoking cessation were assessed by analysis of variance. The impacts of both smoking-related constructs and smoking cessation stage measured at baseline on 7-year mortality were assessed by using proportional hazards regression model. The differences in the mean scores of pros and cons of smoking, temptation to smoke, and self-efficacy of resisting smoking across four stages of smoking cessation were statistically significant (P < 0.01). The precontemplation group and the contemplation group as opposed to the action group increased the risk for all-cause mortality, but the size of effect was not statistically significant (P = 0.39) when age, duration of smoking, and three smoking- related constructs were controlled. Those with a lower social aspect of self-efficacy were approximately threefold [adjusted hazard ratio = 3.22 (95% CI 1.26-8.21)] risk for all-cause death compared with those with a higher one. Three smoking-related constructs were highly associated with smoking cessation stage, and low self-efficacy was independently predictive of long-term mortality among male smokers attending a community-based screening program. Society for Prevention Research, 2014 Community-based integrated screening (CIS) nationallicence smoking cessation nationallicence stage of change nationallicence Luh Dih-Ling Department of Public Health, Chung Shan Medical University, No.110, Sec. 1,Chien-Kuo N. Road, 40201, Taichung, Taiwan aut Chen Hsiu-Hsi Graduate Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Room 533, No. 17, Hsuchow Road, 100, Taipei, Taiwan aut Liao Long-Ren Health Bureau of Nantou County Government, No.6, Fusing Rd, 540, Nantou City, Nantou County, Taiwan aut Chen Sam School of Oral Hygiene, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan aut Yen Amy School of Oral Hygiene, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan aut Wang Ting-Ting School of Oral Hygiene, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan aut Chiu Sherry Department and Graduate Institute of Health Care Management, Chang Gung University, Taoyuan, Taiwan aut Fann Ching-Yuan Department of Health Industry Management, School of Healthcare Management, Kainan University, Taoyuan, Taiwan aut Prevention Science Springer US; http://www.springer-ny.com 16/2(2015-02-01), 301-312 1389-4986 16:2<301 2015 16 11121 https://doi.org/10.1007/s11121-014-0471-5 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s11121-014-0471-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Luh Dih-Ling Department of Public Health, Chung Shan Medical University, No.110, Sec. 1,Chien-Kuo N. Road, 40201, Taichung, Taiwan aut NATIONALLICENCE 700 1- Chen Hsiu-Hsi Graduate Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Room 533, No. 17, Hsuchow Road, 100, Taipei, Taiwan aut NATIONALLICENCE 700 1- Liao Long-Ren Health Bureau of Nantou County Government, No.6, Fusing Rd, 540, Nantou City, Nantou County, Taiwan aut NATIONALLICENCE 700 1- Chen Sam School of Oral Hygiene, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan aut NATIONALLICENCE 700 1- Yen Amy School of Oral Hygiene, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan aut NATIONALLICENCE 700 1- Wang Ting-Ting School of Oral Hygiene, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan aut NATIONALLICENCE 700 1- Chiu Sherry Department and Graduate Institute of Health Care Management, Chang Gung University, Taoyuan, Taiwan aut NATIONALLICENCE 700 1- Fann Ching-Yuan Department of Health Industry Management, School of Healthcare Management, Kainan University, Taoyuan, Taiwan aut NATIONALLICENCE 773 0- Prevention Science Springer US; http://www.springer-ny.com 16/2(2015-02-01), 301-312 1389-4986 16:2<301 2015 16 11121