Opinion of adolescent school smokers about smoking cessation counseling and treatment in health services: a cross-sectional study, Goiás, Brazil, 2018

Rios, Leonardo Essado; Freire, Maria do Carmo Matias

doi:10.5123/S1679-49742020000400001

Brasil

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Original articles • Epidemiol. Serv. Saúde 29 (4) • 2020 • https://doi.org/10.5123/S1679-49742020000400001 linkcopy

Este documento possui uma errata:

10.1590/S1679-49742021000300031

Opinion of adolescent school smokers about smoking cessation counseling and treatment in health services: a cross-sectional study, Goiás, Brazil, 2018^*

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective To know the opinion of adolescent school smokers about smoking cessation counseling and treatment, and to investigate whether negative opinion was associated with lack of motivation to stop smoking.

Methods This was a cross-sectional study carried out in Goiás state, Brazil, with an intentional sample of adolescent students, in 2018. Poisson regression was used.

Results One hundred and thirty adolescents took part. Most of them expressed a positive opinion on the three smoking cessation interventions surveyed: medical counseling (76.2%), dental counseling (70.0%), and smoking cessation treatment (66.2%). Negative opinions were more frequent among adolescents who were not motivated to stop smoking (p<0.05). Regression analyses revealed that lack of motivation to quit smoking was associated with a negative opinion about each intervention.

Conclusion The adolescents had a positive opinion about counseling and treatment for smoking cessation in health services. Negative opinion was associated with lack of motivation to quit smoking.

Variables	n	%
Sex
Female	62	47.7
Male	68	52.3
Race/skin color
White	32	24.6
Black	31	23.8
Yellow	8	6.2
Brown	54	41.5
Indigenous	4	3.1
Not informed	1	0.8
Age (years)
≤16	71	54.6
≥17	59	45.4
Age (years) when experimented smoking
≥15	65	50.0
≤14	65	50.0
Cigarette smoking frequency
Do not smoke daily	81	62.3
Smoke daily	49	37.7
Level of nicotine dependence
Low	85	65.4
Moderate or high	5	3.8
Not informed	40	30.8
Motivation to stop smoking
Motivated	46	35.4
Unmotivated	64	49.2
Not informed	20	15.4
Knowledge about effects of tobacco smoking on overall health
High	87	66.9
Low	43	33.1
Knowledge about effects of tobacco smoking on oral health
High	64	49.2
Low	66	50.8
Knowledge about treatment available to help stop smoking
High	36	27.7
Low	94	72.3

Interventions	Opinion (n; %)
Interventions	Would help to stop smoking	Perhaps	Would not help
Counseling during medical appointment	45; 34.6	54; 41.5	31; 23.8
Counseling during dental appointment	39; 30.0	52; 40.0	39; 30.0
Treatment to stop smoking	44; 33.8	42; 32.3	44; 33.8
	Positive (would help/perhaps)		Negative
Counseling during medical appointment	99; 76.2		31; 23.8
Counseling during dental appointment	91; 70.0		39; 30.0
Treatment to stop smoking	86; 66.2		44; 33.8

Associated factors	Interventions
	Counseling during medical appointment		Counseling during dental appointment		Treatment to stop smoking
	Unadjusted PR^a (95%CI^b)	p-value^c	Unadjusted PR^a (95%CI^b)	p-value^c	Unadjusted PR^a (95%CI^b)	p-value^c
Motivation to stop smoking
Unmotivated	3.88 (1.23;12.27)	0.021	2.29 (1.02;5.11)	0.044	2.25 (1.09;4.67)	0.029
Motivated	1.0		1.0		1.0
Age (years)
16	1.70 (0.87;0.33)	0.206	1.72 (0.86;3.42)	0.122
17	1.0		1.0
Age (years) when experimented smoking
15	0.60 (0.24;1.33)	0.195	0.59 (0.29;1.20)	0.146
14	1.0		1.0
Knowledge reported
High	2.52 (1.19;5.37)^d	0.016	1.89 (1.01;3.54)^e	0.048	2.20 (1.29;3.77)^f	0.004
Low	1.0		1.0		1.0
Cigarette smoking frequency
Did not smoke daily	0.42 (0.17; 1.05)	0.065	0.38 (0.17; 0.85)	0.018
Smoked daily	1.0		1.0

Associated factors	Interventions
	Counseling during medical appointment		Counseling during dental appointment		Treatment to stop smoking
	Adjusted PR^a (95%CI^b)	p-value^c	RP^a ajustada (IC_95%^b)	p-valor^c	RP^a ajustada (IC_95%^b)	p-valor^c
Motivation to stop smoking
Unmotivated	6.49 (1.50;28.26)	0.013	2.35 (1.10;5.04)	0.028	1.69 (0.81;3.53)	0.163
Motivated	1.0		1.0		1.0
Knowledge reported
High	3.20 (1.73;5.90)^d	<0.001	2.11 (1.21;3.67)^e	0.009	2.18 (1.32;3.58)^f	0,006
Low	1.0		1.0		1.0
Cigarette smoking frequency
Did not smoke daily	0.45 (0.21;0.98)	0.046	0.41 (0.19;0.87)	0.021
Smoked daily	1.0		1.0

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