Abstract

Positive smoker identity (PSI) is a construct that evaluates the degree of smokers’ positive thoughts, images and feeling about smoking behavior and culture. PSI encompasses the indicators related to tobacco denormalization strategy, which is one of the four WHO tobacco endgame strategies. PSmoQi is a newly validated instrument which could reliably assess PSI. This study’s objectives were to determine the prevalence of positive smoker identity and its associated factors using PSmoQi. A sample of 253 smokers from government agencies in Kota Bharu City, Malaysia were recruited using invitation letters sent to their head of agencies. Data collection was done in a briefing session voluntary attended by the smokers. Factors associated with PSI were analyzed using Multiple Logistic Regression. The prevalence of smokers with positive smoker identity was 72.3%. Factors associated with positive smoker identity were older age (Adjusted Odds ratio; AOR: 1.042; 95% confident interval; CI: 1.004, 1.081); p = 0.028), higher smoking self-concept scale Malay version (SSCS-M) score (AOR: 1.216; 95% CI: 1.112, 1.329; p < 0.001), higher heaviness index (AOR: 1.002; 95% CI: 1.001, 1.004; p = 0.011) and lower educational attainment (AOR: 0.458; 95% CI: 0.233, 0.900; p = 0.024). This study shows a high prevalence of PSI among smokers from government agencies in Kota Bharu City. Factors such as age, SSCS-M score, heaviness index and educational attainment influenced the level of positive smoker identity in a smoker. The finding would contribute an evidentiary guideline in screening smokers for smoking cessation clinic enrollment to achieve the best interventional outcome, as well as it would provide an objective indicator for tobacco denormalization status in a population.

Highlights

  • Prevalence and Factors Associated with Positive Smoker Identity (PSI)

  • Using a cut-off level of −43 for the total PSmoQi score, the prevalence of smokers with positive smoker identity is 72.3% out of 253 respondents

  • The prevalence of smokers with positive smoker identity among 253 workers in federal and local agencies in Kota Bharu was 72.3%

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Summary

Introduction

In the interest of cigarette smoking cessation, positive smoker identity construct was identified. In the interest of cigarette smoking cessation, positive smoker identity construct was identified to have some influence in the cessation success [1]. Positive smoker identity—sometimes called the to have some influence in the cessation success [1]. Positive smoker identity—sometimes called the smoker identity—is one’s positive feelings attached to the identity as a smoker. It includes positive smoker identity—is one’s positive feelings attached to the identity as a smoker It includes positive thoughts and positive images of a person’s cigarette smoking act and his or her positive feeling about thoughts and positive images of a person’s cigarette smoking act and his or her positive feeling about smoking. Positive smoker identity incorporates thoughts of belonging to the smoker category or smoking. Positive smoker identity incorporates thoughts of belonging to the smoker category or label

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