Tobacco Smoking Cessation and Quitline Use Among Adults Aged ≥15 Years in 31 Countries: Findings Fro
Monday, March 22, 2021
Posted by: Natalia Gromov
Ahluwalia IB, Tripp AL,
Dean AK, Mbulo L, Arrazola RA, Twentyman E, King BA.
Tobacco Smoking Cessation
and Quitline Use Among Adults Aged ≥15 Years in 31 Countries: Findings From the
Global Adult Tobacco Survey.
Am J Prev Med. 2021 Mar;60(3 Suppl 2):S128-S135. doi:
10.1016/j.amepre.2020.04.029. PMID: 33663700.
Introduction.
About 80% of the 1.1 billion people who smoke tobacco worldwide reside in low-
and middle-income countries. Evidence-based approaches to promote cessation
include brief advice from health professionals and referrals through quitlines.
This study assesses cessation behaviors and the use of cessation services in
the past 12 months among current tobacco smokers in 31 countries who attempted
to quit.
Methods. Data
came from the Global Adult Tobacco Survey, a household-based survey of
non-institutionalized adults aged ≥15 years. Surveys were conducted in 31
countries during 2008-2018; sample sizes ranged from 4,250 (Malaysia) to 74,037
(India), and response rates ranged from 64.4% (Ukraine) to 98.5% (Qatar). In
2019, data from the 31 countries were assessed in June 2019, and indicators
included self-reported current (daily or less than daily) tobacco smoking,
past-year quit attempts, and cessation methods used in the past 12 months.
Results.
Current tobacco smoking prevalence ranged from 3.7% (Ethiopia) to 38.2%
(Greece). Overall, an estimated 176.8 million adults from the 31 countries made
a quit attempt in the past 12 months, with country-level prevalence ranging
from 16.4% (Greece) to 54.7% (Botswana). Most individuals who made a quit
attempt did so without assistance (median=74.4%). Other methods were less
prevalent, including quitlines (median=0.2%) and counseling (median=7.2%).
Conclusions.
In the assessed countries, the majority of those who currently smoked tobacco
and made a quit attempt did so without assistance; very few reported using
quitlines, partly because of the lack of quitlines in some countries. In
resource-limited settings, quitlines can play a greater role in helping people
quit smoking as part of a comprehensive approach.
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