Abstract

Kazakhstan is one of the countries with higher-than-average smoking prevalence and tobacco-related mortality. Intention to quit is a key step toward smoking cessation, yet has not been studied in Kazakhstan. This study explored prevalence and correlates of intention to quit among smokers in Kazakhstan. We drew data from the nationally representative survey, the Global Adult Tobacco Survey (GATS), conducted during 2014 in Kazakhstan. Our sample consisted of 649 smokers aged ≥15 years. We examined prevalence of intention to quit by demographics, knowledge of tobacco-related diseases, nicotine dependence, attempt to quit in the past 12 months, household smoking restrictions, and awareness of antismoking messages. Univariate and multivariate logistic regressions were used to test the significance of these correlates. Prevalence of intention to quit was around 75.9% among smokers. Older age (p < 0.001), knowledge of tobacco-related diseases (p < 0.01), moderate nicotine dependence (p < 0.001), attempt to quit within the past 12 months (p < 0.001), and having household smoking restrictions (p < 0.001) were all significant correlates. We suggest investing in efforts to promote cessation activities for smokers of all ages, to disseminate comprehensive information on tobacco-related diseases, and to uphold and strengthen policies on smoking bans.

Highlights

  • The World Health Organization (WHO) estimated that the total prevalence of smoking among those aged ≥15 years decreased from 26.9% in 2000 to 22.1% in 2010 [1]

  • Prevalence of intention to quit among smokers differed significantly across age groups (p < 0.001), level of education (p < 0.01), Table 1 | Weighted PR, 95% CI, and sample frequency of intention to quit, 2014 Global Adult Tobacco Survey – Kazakhstan

  • We found the odds of intention to quit significantly lower among smokers aged ≥55 years, and those with moderate nicotine dependence

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Summary

Introduction

The World Health Organization (WHO) estimated that the total prevalence of smoking among those aged ≥15 years decreased from 26.9% in 2000 to 22.1% in 2010 [1]. Kazakhstan adopted the law “On ratification of the World Health Organization Framework Convention for the Tobacco Control” in 2006 [10], and continued to adopt a code on the health of the people and the health care system in 2009, which included a detailed statement on tobacco control (Article 159) [11]. In spite of these efforts, the projected tobacco-related premature deaths in Kazakhstan increased to >50% of all smokers in 2014 [12]

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