Abstract

Introduction: In 2012 in China, 52.9% of men were reported to smoke while only 2.4% of women smoked. This study explored the smoking-related Knowledge, Attitudes and Practices (KAP) among young adult male smokers. Methods: A cross-sectional study was conducted in four municipal areas of Chongqing using a questionnaire administered to 536 natives young male smokers aged 18–45 years old. Results: The total score of smoking cognition, the total score of smoking attitude and the total score of positive behavior to quit smoking was significantly different among the three groups by education. Besides, 30.97% of male smokers never seriously thought about quitting smoking. Logistic regression analysis found smoking-related knowledge, attitudes, behaviors and sociodemographic factors affect having smoking cessation idea. But no statistically significant correlation was observed between smoking cognition and positive behavior to quit smoking in a sample of higher education. No statistically significant correlation was observed between smoking cognition and positive behavior to quit smoking (Pearson correlation coefficient = 0.03012, p = 0.6811), and also no statistically significant correlation was observed between smoking cognition and positive behavior to quit smoking (Pearson correlation coefficient = 0.08869, p = 0.2364) in the sample of higher education young adult males Conclusions: Young adult males with higher education have a better knowledge of smoking hazards and a more positive attitude toward smoking, however, this knowledge and attitude do not necessarily translate into health behavioral outcomes such as not smoking. Overall the present findings indicate that no statistically significant correlation between the education level and quitting smoking idea exists among young adult male smokers in China. This survey gives a snapshot of the impact of education on smoking-related KAP among young adults male smokers.

Highlights

  • In 2012 in China, 52.9% of men were reported to smoke while only 2.4% of women smoked

  • A statistically significant correlation was observed between smoking cognition and smoking attitude (Basic education: Pearson’s correlation coefficient = 0.60998, Secondary education: Pearson’s correlation coefficient = 0.54064, Higher education: Pearson’s correlation coefficient = 0.47528, and the total population: Pearson’s correlation coefficient = 0.55871, respectively)

  • A statistically significant correlation was observed between smoking cognition, smoking attitude and positive behavior to quit smoking (Basic education: Pearson’s correlation coefficient = 0.46442, Secondary education: Pearson’s correlation coefficient = 0.26173, and the total population: Pearson’s correlation coefficient = 0.23272, respectively)

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Summary

Introduction

In 2012 in China, 52.9% of men were reported to smoke while only 2.4% of women smoked. This study explored the smoking-related Knowledge, Attitudes and Practices (KAP) among young adult male smokers. No statistically significant correlation was observed between smoking cognition and positive behavior to quit smoking in a sample of higher education. In many low-and middle-income countries, women smoke much less than men. In China, in 2012, 52.9% of men were reported to be tobacco smokers while only 2.4% of women smoked [6]. The 2009 Egypt Global Adult Survey showed that 37.7% men and 0.5% women in Egypt currently smoked tobacco [7]. Female smoking prevalence has been low in China, male smoking prevalence has been high for several decades. Males tend to engage more frequently in the most adverse health-related behaviors than females [9,10,11]

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