Factors Influencing Smoking Cessation Behavior among Thai Male Smokers with Hypertension

Abstract

             Since the coexistenceof smoking and hypertension can increase cardiovascular and mortality risks,smoking cessation in smokers with hypertension is necessary to reduce thoserisks. Whileseveral factors have been shown to be associated with smoking cessation, no researchreports regarding factors influencing smoking cessation in smokers withhypertension have been found. This study aimed to determine factors of age,education, nicotine dependence, concern about the harm of smoking, perceivedbenefits of smoking cessation, perceived barriers to smoking cessation,perceived self-efficacy in smoking cessation, and social support for smokingcessation that predict smoking cessation among Thai male smokers with hypertension.Two hundred and sixty-six Thai men with hypertension who smoked cigarettesparticipated in this study. Face-to-face structured interviews were conductedto complete thePersonal Information Questionnaire, the Fagerstrom Test for NicotineDependence, the Perceived Risks and Benefits Questionnaire, the Self-EfficacyInventory, and the Partner Interaction Questionnaire.

             The results of multiple logistic regressionanalysis revealed two significant predictors of smoking cessation among Thaimale smokers with hypertension. These included perceived self-efficacy in smokingcessation and concern about the harm of smoking, with overall correctlypredicting 97.7%. These two significant factors accounted for 68% of thevariance in smoking cessation among the participants. Smoking cessation programs for Thai male smokerswith hypertension should include measures to enhance self-efficacy andemphasize the harmful effects of smoking and nurses can be involved in the design andimplementation of these.