DETERMINANTS OF SMOKING AND DESIRE TO QUIT IN ALMATY, KAZAKHSTAN


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Abstract

We studied the prevalence and determinants of smoking and desire to stop smoking in a cross-sectional study among 1174 randomly selected adults aged 45+ years in Almaty, Kazakhstan. Associations between smoking and its correlates were studied by multivariable Poisson regression. Prevalence ratios (PR) with 95 % confidence intervals (CI) were calculated. Among current smokers we also studied factors associated with their desire to quit. Altogether, 40.7 % of men were current smokers and 63.1 % of them desired to stop smoking. The corresponding numbers for women were 10.0 % and 72.1 %. Male gender (PR = 4.14; 95 % CI: 3.18-5.40), Russian ethnicity (PR = 1.56; 95 % CI: 1.23-1.97), secondary or less education (PR = 1.37; 95 % CI: 1.09-1.73) and having satisfactory or worse psychological family climate (PR = 1.84; 95 % CI: 1.26-2.67) were positively associated with smoking. Men who reported poor (PR = 1.24; 95 % CI: 1.11-1.38) or satisfactory (PR = 1.17; 95 % CI: 1.08-1.27) health, had very good psychological family climate (PR = 1.20; 95 % CI: 1.03-1.41), and smoked 10-19 cigarettes a day (PR = 1.29; 95 % CI: 1.17-1.41) were more likely to report a desire to quit smoking. Number of daily smoked cigarettes, self-rated health, and psychological family climate were associated with the desire to quit.

About the authors

B S Turdaliyeva

Kazakh National Medical University

V Y Baisugurova

Kazakh National Medical University

G T Kashafutdinova

Kazakh National Medical University

G E Aimbetova

Kazakh National Medical University

Zh M Meirmanova

Kazakh National Medical University

N A Talkimbayeva

Kazakh National Medical University

A A Aitmanbetova

Kazakh National Medical University

Zh A Kozhekenova

Kazakh National Medical University

A M Shakhiyeva

Kazakh National Medical University

A S Uvazhanova

Kazakh National Medical University

L S Yermukhanova

West Kazakhstan State Medical University

H I Kudabaeva

West Kazakhstan State Medical University

A M Grjibovski

Norwegian Institute of Public Health; Northern State Medical University; North-Eastern Federal University; International Kazakh-Turkish University

Email: Andrej.Grjibovski@gmail.com
доктор медицины, старший советник; заведующий ЦНИЛ; профессор; профессор, почетный доктор; почетный профессор Государственного медицинского университета г. Семей

References

  1. Abikulova A.K., Tulebaev K.A., Akanov A.A., Turdalieva B.S., Kalmahanov S.B., Kumar A.B., et al. Inequalities in self-rated health among 45+ year-olds in Almaty, Kazakhstan: a crosssectional study. BMC Public Health. 2013, 654 р.
  2. Barros A.J., Hirakata V.N. Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Research Methodology. 2003, 3, 21.
  3. Cavelaars AE.,. Kunst A.E., Geurts J.J.M., Crialesi R., Grotvedt L., Helmert U., et al. Educational differences in smoking: international comparisons. British Medical Journal. 2000, 320, pp. 1 102-1 107.
  4. Cockerham W.C., Hinote B.P., Abbott P. Psychological distress, gender, and health lifestyles in Belarus, Kazakhstan, Russia, and Ukraine. Social Science & Medicine. 2006, 63, pp. 2381-1294.
  5. Cockerham W.C., Hinote B.P., Abbott P., Haerpfer C. Health lifestyles in central Asia: the case of Kazakhstan and Kyrgyzstan. Social Science & Medicine. 2004, 59, pp. 1409-1421.
  6. Footman K., Roberts B., Stickley A., Kizilova K., Rotman D., McKee M. Smoking cessation and desire to stop smoking in nine countries of the former Soviet Union. Nicotine and Tobacco Research. 2013, 15, pp. 1628-1633.
  7. Gilmore A.B., McKee M., Rose R. Smoking in Belarus: evidence from a household survey. European Journal of Epidemiology. 2001, 17, pp. 245-253.
  8. Gilmore A.B., McKee M., Telishevska M., Rose R. Smoking in Ukraine: epidemiology and determinants. Preventive Medicine. 2001, 33, pp. 453-461.
  9. Gilmore A., Pomerleau J., McKee M., Rose R., Haerpfer C.W., Rotman D., et al. Prevalence of smoking in 8 countries of the former Soviet Union: results from the living conditions, lifestyles and health study. American Journal of Public Health. 2004, 94, pp. 2177-2187.
  10. Ignatyev Y., Assimov M., Dochshanov D., Ströhle A., Heinz A, Mundt A.P. Social characteristics of psychological distress in a disadvantaged urban area of Kazakhstan. Community Mental Health Journal. 2014, 50, pp. 120-125.
  11. Katsaga A., Kulzhanov M., Karanikolos M., Rechel B. Kazakhstan: health system review. Health systems in transition. 2012, 14, pp. 1-154.
  12. Katz M.H. Setting up a multivariable analysis: subjects. In: Katz M.H. Multivariable Analysis. A Practical Guide for Clinicians. Cambridge: Cambridge University Press, 1999, pp. 60-83.
  13. Moore M.A., Eser S., Igisinov N., Igisinov S., Mohagheghi M.A., Mousavi-Jarrahi et al. Cancer epidemiology and control in North-Western and Central Asia - past present and future. Asia Pacific Journal of Cancer Prevention. 2010, 11 (Suppl. 2), pp. 17-32.
  14. Page R.M., Zarco E.P.T., Ihasz F., Sewanteerangkul J., Uvacsek M., Mei-Lee C., et al. Cigarette smoking and indicators of psychological distress in Southeast Asian and Central-Eastern European Adolescents. Journal of Drug Education. 2009, 38, pp. 307-328.
  15. Palosuo H., Uutela A., Zhuravleva I., Lakomova L. Social patterning of ill health in Helsinki and Moscow. Social Science & Medicine. 1998, 46, pp. 1121-1136.
  16. Perlman F., Bobak M., Gilmore A., McKee M. Trends in the prevalence of smoking in Russia during the transition to a market economy. Tobacco Control. 2007, 16, pp. 299-305.
  17. Peto R., Lopez A.D., Boreham J., Thun M., Heath C. Jr. Mortality From Smoking in Developed Countries 1950 -2000: Indirect Estimates From National Vital Statistics. Oxford: Oxford University Press, 1994.
  18. Pomerleau J., Gilmore A., McKee M., Rose R., Haerpfer C.W. Determinants of smoking in eight countries of the former Soviet Union: results from the living conditions, lifestyles and health study. Addiction. 2004, 99, pp. 1577-1585.
  19. Roberts B., Gilmore A., Stickley A., Kizilova K., Prohoda V., Rotman D., et al. Prevalence and psychosocial determinants of nicotine dependence in nine countries of the former Soviet Union. Nicotine and Tobacco Research. 2013, 15, pp. 271-276.
  20. Roberts B., Gilmore A., Stickley A., Rotman D., Prohoda V., Haerpfer C., et al. Changes in smoking prevalence in 8 countries of the former Soviet Union between 2001 and 2010. American Journal of Public Health. 2012, 102, pp. 1320-1328.
  21. Roberts B., Stickley A., Gilmore A.B., Danishevski K., Kizilova K., Bryden A., et al. Knowledge of the health impacts of smoking and public attitudes towards tobacco control in the former Soviet Union. Tobacco Control. 2013, 22: e12.
  22. Stickley A., Koyanagi A., Roberts B., Leinsalu M., Goryakin Y., McKee M. Smoking status, nicotine dependence and happiness in nine countries of the former Soviet Union. Tobacco Contro. 2015, 24, pp. 190-197.
  23. Supiyev A., Nurgozhin T., Zhumadilov Z., Sharman A., Marmot M., Bobak M. Levels and distribution of self-rated health in the Kazakh population: results from the Kazakhstan household health survey 2012. BMC Public Health. 2014, 14, р. 768.

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