Higher Educated Respondents Research Articles

From fear to forecast: The role of simulators, accompanied driving, age, gender, and information-processing style in driver training and beyond

BackgroundEven though accompanied driving and simulator training are common, clarity on their usage trends and effectiveness is lacking. This research aimed to deepen the understanding of the relationships between personal characteristics, pre-licence accompanied driving, self-reported post-licence driving behaviour, and driving performance scores during simulator lessons. MethodsWe used data from a questionnaire completed by simulator and non-simulator students (total n = 3,761). Data were analysed by dividing the sample into two groups based on variables such as gender, age at licensure, education level, fear of driving a car when starting driver education, information-processing style, participation in accompanied driving, and the number of driving simulator lessons completed. ResultsMales took fewer on-road lessons and reported lower fear, but they had poorer simulator safety scores than females. Younger learners required fewer lessons and test attempts, were less fearful, and violated traffic rules more than older respondents. Higher-educated respondents had more fear and safer driving scores in the simulator. Thinkers, who were typically more educated, showed more caution in the simulator and on the road, and were older at licensure. Compared to regular students, students participating in accompanied driving were younger at licensure. Moreover, students with a higher driving skill score in the simulator were less fearful and needed slightly fewer attempts to pass the road driving test. Discussion and conclusionThe fear towards driving, which is strongly linked to personal characteristics, provides a logical explanation for the progression of students through driver education. Furthermore, this study illustrated the possibility of considering information-processing styles, education level, and driving simulator performance in driving education. However, in order to conclusively study the safety-effectiveness of accompanied driving and simulator training, further research in the form of a randomised controlled trial is necessary.

Astute exploration of collective mental health events among the residents of elderly care homes

Background & objectiveDeveloping countries are presently witnessing a great burden of rapid aging followed by losing the social values of older adults due to age-related cognitive impairment as well as rising depression levels. This study was designed to assess the cognitive impairment and depression status combinedly among older adults in elderly care homes. MethodsIt was a cross-sectional survey among randomly selected 200 older adults aged between 60 and 80 years residing in some old homes in Dhaka district, Bangladesh. Data were collected through face-to-face interviews while Cognitive function and level of depression were assessed by applying the Standardized Mini-Mental State Examination (MMSE) and Geriatric Depression Scale (GDS). ResultsAmong all the respondents, the majority (81.5%) were staying in old homes for 1–5 years. The majority (91.0%) had difficulties with vision, 40.7% had difficulties with hearing and 19.6% had difficulties moving around. The MMSE test revealed that 43% had moderate cognitive impairment, 36% had mild and 19.5% were found normal while more than half (56%) had severe depression. Significant cognitive impairment was found among the illiterate respondents who did not have any family care support. In addition, higher-educated respondents were found to have more severe depression (OR/p = 6.33/<0.01; 95% CI: 2.36–16.96). Furthermore, severely depressed respondents had more severe cognitive impairment (COR/p = 3.83/0.01; 95% CI: 1.66–8.83). Functional disabilities were also a greater concern for cognitive impairment and depression. ConclusionAn increasing number of old home residents are suffering from significant mental disorders while there is no mental health support in the elderly care homes in Bangladesh. Finally, there is a great need to develop packages and programs of mental health care for senior citizens and their caregivers residing in old homes, which can be scaled up across the country’s mixed healthcare delivery system.

Socioeconomic Determinants of Wage Differential at Workplace: A Case Study of Pakistan

This study examines three socioeconomic determinants of wage differentials at work among males and females, males only and females only. Secondary data from the Pakistan Living Standards Measurement Survey (PSLM) 2018-19 and binary logistic regression techniques were used to assess the wage differential in Pakistan's workplace. Female respondents are more likely to suffer from low wages at work than male respondents. As a result, the wage differential exists according to gender. High-educated respondents are less likely to fall into lower salaries than those with primary education. Based on the study results, a wage differential at work is more likely to occur for unmarried respondents than for married respondents. There is a wage differential between respondents in managerial-related occupations and those in other fields. Even though all determinants of wage differential have their impact, personal attributes like education play a significant role in determining wage differentials at the workplace. Men who are married earn lower wages at work than unmarried men, according to the results. Wage differentials are affected by marital status. The wage differential persists as male education increases, with higher-educated men earning lower wages. Men who do not work in managerial occupations are more likely to face wage differentials than managers. It is less likely that rural males will face wage differentials. In addition, male respondents in Punjab are less likely to fall into lower income levels at work than respondents in other regions. This suggests that wage differentials are affected by various factors, including region, marital status, and education. However, more research is needed to understand the exact causes of wage differentials between men and women. It is also essential to recognize that wage differentials are not always based on gender alone. Other factors like race or ethnicity may also affect wage disparities.

Educational association with zoonotic related knowledge and practices of livestock farmers in selective districts of Nepal

This study aims to assess the educational association with knowledge and preventive practices of livestock farmers toward the common zoonoses. A descriptive cross- sectional quantitative research design was followed in the study. The total sample size was 380 livestock farmers from randomly selected three districts of Nepal. Systematic sampling technique was applied for data collection. The data were calculated using descriptive statistics. Univariate, bivariate, and multivariate analyses were performed. The majority of the respondents (52.4%) had basic level education. Similarly, more than two-thirds (67.6%) adopted agro-farming and less than one in ten (7.9%) had livestock as a major occupation in their households. In this study bird flu (95.8%) and rabies (90.7%) are highly known zoonoses and swine flu is average (54.2%) in terms of respondents' knowledge. The finding shows that a large number of respondents with higher education had good knowledge about zoonoses and followed better zoonoses preventive practices. Among the higher educated respondents; practice to avoid sick animal consumption was 86.7 percent, practice to children avoiding livestock contact was 45.5 percent, pregnant women avoiding livestock exposure was 49 percent and pre-exposure vaccination practices was 55.8 percent which showed significant statistical association with their level of education. However, a significant number of respondents with higher education still were unaware about many common zoonoses and poor preventive practices. Therefore; education should be accessible in every community whereas; health education with specific zoonoses in the school curriculum and zoonoses related training for livestock farmers should be warranted.

The Socio-Economic Impact of COVID-19 on Households in Punjab, Pakistan

The COVID-19 pandemic affected the everyday life of human beings. This study investigates the impact of COVID-19 on six socio-economic dimensions (i.e., food availability, food quality, education, finance, non-payment of utility bills, and sale of assets/goods) in Punjab, Pakistan. Three districts were selected from Punjab province based on two criteria such as (a) geographical variability and (b) intensity of COVID-19. Thus, a total of 1200 respondents were interviewed via convenience sampling from selected Punjab districts (i.e., Faisalabad, Muzaffargarh, and Chakwal). Descriptive statistics showed that most respondents face the adverse socio-economic effects of COVID-19. However, the percentage of strongly agree/ agree was comparatively more for low-educated respondents, while it was comparatively less for high-educated respondents. The percentage of strongly agree/agree comparatively more for low-income respondents, while it was comparatively less for high-income respondents. The percentage of strongly agree/agree comparatively more for private job holders while it was comparatively less for public job holders. The percentage of strongly agree/agree comparatively more for urban households, while it was comparatively less for rural households. The percentage of strongly agree/agree comparatively more in Chakwal while it was comparatively less in Faisalabad. The chi-square () independence test showed a significant role of education, family income, job type, and area of residence on the socio-economic impacts of COVID-19. Therefore, it is recommended to increase educational opportunities and educational standards. Developing a Learning Management System is also suggested to continue education in emergencies. It is recommended to increase the family income through an increase in investment and employment opportunities. The protection of private-sector employees is necessary during the pandemic situation. The government should provide interest-free loans to businesses during an emergency. The government should ensure the vaccination of citizens to control the spread and intensity of the disease. Training of doctors and paramedical staff is necessary to perform duties during the pandemic.

The transgenerational impact of child abuse. Health professionals' social and values

Introduction: Child abuse is a worrying trend not only in our country but globally. The aim of the article is to present the adverse long-term consequences of child abuse, Adverse Childhood Experiences, which is a classified public health problem according to WHO. The attitude of primary care workers towards the prevention of abuse has a profound impact on the quality of prevention activities. Objective: To assess the knowledge and perceptions of paediatricians, midwives and paediatric nurses working in primary and specialised care about the topic child abuse. Contextualising value judgements and societal perceptions of child abuse in order to break the transgenerational effects. Method: A self-completed online survey was conducted with 49 structured, standardised questions, the data provided insights about the socio-economic status of respondents, their attitudes to the issue of child abuse, their perceptions of the seriousness of the issue and their obligation to report it under the law. Results: Based on our analysis on a sample of 195 respondents, we can conclude that health care workers perceive abuse as clearly harmful, yet it is perceived as a common phenomenon in our country. Nearly one fifth of respondents believe that society is accepting and mildly judges the phenomenon. A significant difference in the perception of abuse by educational level was found between the high and low educated respondents. We also found significant differences in signalling functioning by type of workplace location (p = 0.020) and job category (p = 0.044). Conclusion: The results highlighted that preventive action by health care workers is the key to breaking the transgenerational effects. The authors would like to draw attention to the fact that the improvement of the quality of care depends significantly on the knowledge of professionals. Continuous basic and further training and in-depth knowledge development among primary care workers are necessary.

Public Acceptability of Environmentally Linked Congestion and Parking Charging Policies in Greek Urban Centers

Nowadays, urban centers face the challenge to upgrade life quality by reducing traffic congestion, air pollution emissions and road casualties. Transport charging policies applied in cities at a quick pace are a key tool for sustainable mobility. However, public acceptability is an important precondition to be adopted for such policies. In this context, the scope of this paper is the investigation of the public acceptability of environmentally linked urban charging policies in Greek urban centers. Specifically, the paper’s objective is the investigation of Greek drivers’ acceptability of the implementation of a congestion charging policy and a parking charging policy with the charging being adjusted according to the Euro class and technology of the vehicle in favor of less polluting cars. A structural equation model (SEM) was developed using data from a questionnaire survey which provided a sample encompassing 733 respondent drivers from three main urban centers of Greece: Athens, Thessaloniki and Volos. Several statistical relationships were detected and quantified correlating the two examined urban environmental charging policies with five latent unobserved variables. Based on the results, public acceptability of environmental congestion charging policies and the public acceptability of environmental parking charging policies were found to be positively correlated with each other, meaning that a driver who supports one environmentally linked transport charging policy is more likely to support the other one as well. The environmental sensitivity and high commuting profiles of drivers are influential factors that positively affect the acceptability of the two examined transport charging policies’ implementation in Greek urban centers. Analysis has also shown that younger, higher-educated respondents and females are more likely to accept the environmental charging policies under consideration.

Analisis Faktor-faktor yang Berhubungan dengan Kejadian Hiperemesis Gravidarum Di Rumah Sakit Bhayangkara Palembang Tahun 2020

Nausea and vomiting in pregnancy is a physiological thing, the influence of hormones in pregnancy Human Chorionic Gonadotropin (HCG) causes nausea and vomiting. The purpose of this study is to know the relationship between education, age and parity simultaneously with Hyperemesis Gravidarum at Bhayangkara Hospital Palembang in 2020. This research is a quantitative research type of descriptive analytic research with a cross sectional approach. The population in this study were all pregnant women who were recorded in the medical records of Bhayangkara Hospital in 2020 amounted to 162 respondents. The sample size is determined by the slovin formula and obtained by 62 respondents. Samples were taken using simple random sampling technique. The results of the univariate analysis were 43 (69.4%) respondents who experienced hyperemesis gravidarum and 19 (30.6%) who did not experience hyperemesis gravidarum, 33 (53.2%) low educated respondents and 33.2% high educated respondents. 29 (46.8%), age respondents who are at risk are 36 (58.1%) and those who are not at risk are 26 (41.9%). mothers with low parity amounted to 40 (64.5%) and mothers with high parity amounted to 22 (35.5%). The results of the bivariate analysis showed that there was a significant relationship between education with a p value of 0.000, age with a p value of 0.049 and parity with a p value of 0.001 simultaneously with hyperemesis gravidarum at Bhayangkara Hospital Palembang in 2020. The suggestions for health workers from this study It is hoped that health workers at Bhayangkara Hospital Palembang, can be alert to provide information and education to pregnant women regarding their pregnancy.

The Impact of COVID-19 Pandemic on Quality of Life among General Population at Argolida regional unit

IntroductionThe impact of the Covid-19 on the quality of life (QOL) have been reported and highlighted by several research studies worldwide.ObjectivesThe primary objective of this study is to evaluate the impact of the COVID-19 pandemic on quality of life among Greek general population of Argolida, taking into consideration the socio-demographic characteristics.MethodsInformation on the socio-demographic characteristics and Covid related data of the respondents was collected by a questionnaire including age, gender, education level, marital status, health status, smoking history, sedentary lifestyle, job status. A 5-point Likert scale (MVQOLI) was used to examine the QOL. Comparisons on the variables were performed using Kruskal-Wallis H Test and x2 test, using SPSS Statistics (version 20).ResultsA total of 620 Greek adults (Females n =381) were requested to answer by filling the questionnaire or Google Form. The results showed statistically significant differences in higher level QOL depending on a number of variables that are presented in the table. Table Demographic characteristics of the study with higher level QOLSample Characteristicsp ValueGender : Female0,003Marital status: Married /cohabitation0,011Level of education : High0,000Health status: Non psychiatric disease0,022Smoking status: Never smoked &amp; ex-smoker0,043Sedentary life style0,002Non covid-19 affected0,001Confidence in the health system0,001Confidence in health workers0,001ConclusionsThe results showed that female sex, married, higher educated respondents, non smokers were significantly associated with higher QOL. The findings can certainly offer guidelines in developing programs and interventions for all domains of QOL.DisclosureNo significant relationships.

The Moderating Role of Resilience in the Personality-Mental Health Relationship During the COVID-19 Pandemic.

Background: Associations between personality traits and mental health outcomes (depression, anxiety, loneliness, and stress) have rarely been assessed in a population-representative sample of a high-income country during the COVID-19 pandemic. Additionally, as far as we know, the role of health and social behaviors as well as resilience in the personality-mental health relationship has yet to be explored.Methods: A representative sample of 1,828 residents of Luxembourg filled in validated scales to assess personality traits and resilience, depressive symptoms, generalized anxiety, loneliness, and stress, indicating mental health, in mid-April 2020.Results: Approximately 21% of the participants scored above the cut-off for moderate depression and moderate loneliness. Moderate anxiety and moderate stress were present in 6.2 and 0.3% of the participants, respectively. Higher-educated respondents and those living in higher-value housing reported better mental health. Agreeableness and conscientiousness were most consistently associated with better mental health; neuroticism was most consistently associated with worse mental health. Spending more time on social media was also associated with elevated levels of all four mental health outcomes. Social and health behaviors did not change the personality-mental health relationships. Resilience moderated some of the personality-mental health associations, most consistently in neuroticism.Conclusions: Findings suggest educational and socioeconomic inequalities in mental health in a nationally representative sample during the COVID-19 confinement measures. Personality traits, particularly agreeableness, conscientiousness, and low neuroticism were associated with mental health. The moderating role of resilience in the personality-mental health relationship suggests intervention potential to improve mental health during periods of confinement.

The Impact of Dermal Fillers on Perceived Personality Traits and Attractiveness.

Dermal fillers are increasingly popular for facial rejuvenation and enhancement, including effacement of nasolabial folds (NLFs) and marionette lines and lip augmentation. This study aimed to evaluate casual observer perception of physical and interpersonal traits of subjects who receive filler treatment. An anonymous survey of 8 before/after treatment photographical sets was administered in Likert scale format (1-7) using online crowdsourcing. Three sets of photographs were before/after NLF/ marionette line treatment, three of lip augmentation, and two internal controls. Respondents were surveyed on personal demographics, as well as perceptions of subject photographs across nine domains (facial symmetry, confidence, likeability, youthfulness, trustworthiness, attractiveness, intelligence, approachability, happiness). In total, 260 respondents completed the survey. The majority were male (63.1%), Caucasian (58.1%), 18-34years old (58.1%), and college graduates (66.2%). Respondents rated photographs with line filler treatment and lip filler treatment as significantly improved compared to the pre-treatment photographs across all nine trait domains [p < 0.001, for all]. No differences were found between the control photosets [p > 0.05, for all]. Middle-aged respondents (35-55years) were more likely to perceive treated filler photographs as more youthful than younger respondents (18-34years) [p < 0.006] Additionally, respondents with lower educational attainment (high-school graduate or less) were more likely to perceive treated patients as less intelligent compared to higher-educated respondents (college/postgraduates) [p < 0.05, for both]. The use of dermal fillers for treatment of NLF/marionette lines and lip augmentation have significant associations with the perception of improved attractiveness and several personality traits. Additionally, casual observer demographic subgroups may influence perceptions. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Does a Free-Trial Approach Increase Purchase and Use of a Household Water Treatment and Safe Storage Product in Rural Haiti?

A cluster, randomized control trial was conducted to assess the effects of social marketing approach on purchase rates and water treatment behavior of Klorfasil, a chlorine-based household water treatment product among seven villages in Thomassique, Haiti, from May to December 2016. Villages were randomized to the free-trial (257 households) or cost-sharing (240 households) group. Households in the free-trial group were allowed 30 days of free Klorfasil use before purchase decision. Households who purchased Klorfasil were then followed up for 30, 60, and 180 days. At the last follow-up, respondents were asked if they would like to repurchase Klorfasil. Questionnaire survey and water quality assessment by residual-free chlorine were conducted in each survey. Chi-square test, t-test, and logistic regression were applied. The first purchase rate of the cost-sharing group was significantly higher than that of the free-trial group (79.2% versus 67.3%). By contrast, the repurchase rate of the free-trial group was higher (82.9% versus 66.3%). However, the overall repurchase rate was 71.6% and the proportion of long-term users was significantly higher in the cost-sharing group (56% versus 47%). Water treatment rates in the cost-sharing group were significantly higher than those in the free-trial group in the first and final surveys (odds ratio [OR] = 0.15, OR = 0.32). Households with high and medium economic status both had significantly higher purchase rates than low economic status households (OR = 4.40, OR = 1.94). Households with higher educated respondents had significantly better water treatment practices (OR = 2.15). The free-trial approach did not increase the first purchase rate but increased the repurchase rate later. The cost-sharing approach significantly encouraged long-term usage.

Educational attainment and work disability in cancer survivors: Do diagnosis and comorbidity affect this association?

To study whether educational attainment had less impact on work disability in cancer survivors than in individuals without cancer. To study whether comorbidity had a higher impact on work disability in low-educated cancer survivors than in high-educated and whether this impact differed when compared with individuals without cancer. Linkage of population-based public health survey data and the Danish Cancer Registry formed two groups: cancer survivors (n=3,514) and cancer-free individuals (n=171,262). In logistic regression models, the risk of experiencing an 8-week sick leave spell and the granting of disability pension within a 3-year follow-up period was studied in three educational levels and whether these associations were modified by history of cancer and comorbidity. Odds ratios (OR) with 95% confidence intervals (CI) are reported. Non-stratified adjusted risk of experiencing an 8-week sick leave spell (OR: 1.41, 95% CI (1.33-1.49)) or being granted a disability pension (OR: 1.61, 95% CI (1.31-1.97)) was significantly higher in low-educated than in high-educated respondents. Cancer or comorbidity did not significantly interact with education on the risk of work disability. A moderate impact of low education on future work disability was found for all respondents, neither history of cancer nor comorbidity modified this association.

Factors Affecting User’s Intention to Adopt Smart Home in Malaysia

&lt;p class="Abstract"&gt;Nowadays, the advancement of technology makes the life easier and convenience. Smart home is one of the technology provide a better life environment for the residents. The purpose of this study is to make a systematic and empirical study on the factors and model that influencing the intention to adopt smart home in Malaysia. Clear interface, consistency, attractiveness, information accuracy, information completeness, perceived security and perceived privacy used as the variables to investigate the intention to adopt the smart home. The quantitative method was used in this research. The sample size of this research is 102 respondents. The questionnaire was used for data collection. From the statistical analysis, the result verify that clear interface, consistency, attractiveness, information accuracy, perceived security and perceived privacy have positive impact on the Malaysian householder’s intention to adopt smart home. Besides that, the result from clustering analysis shows that, the younger generation or higher education respondents have higher intention to adopt smart home system. By referring this, the practitioner can refer and focus on those variables to develop the smart home that suitable for Malaysian.&lt;/p&gt;

Level of Obesity and Socioeconomic Factors of a Group of Adult People of Bangladesh: A Factor Analysis Approach

The present study was based on data collected from 900 respondents of both urban and rural areas of Bangladesh. Among them 44.3 percent were overweight and obese. Majority (70.6%) were diabetic patients. With the increase in age significant increase in prevalence rate of obesity was observed. Higher prevalence rate was also observed among housewives. An upward shift of prevalence rate was observed among the higher educated respondents. Overweight and obesity were more among urban residents compared to rural residents and they were thirty two percent more exposed to overweight and obesity. Higher prevalence of obesity was noted among females. The proportion of overweight and obese was higher among them who did not do any physical labor. According to factor weights it was noted that the important factors for variation in the level of obesity were mainly gender variation followed by occupation, education and type of work.

Are Pictures Worth a Thousand Words? Infographics and Investment Decision Making

We use an incentivized survey experiment to test how visualizing key information of mutual funds helps investors to follow the minimum-cost investment strategy. Respondents can invest in three ETFs tracking the same index and we find that adding a net expected return graph reduces the amount of additional (preventable) fees incurred by up to 20 percent. Moreover, the effectiveness of visualizations depends on experience and familiarity with investing. More literate and higher educated respondents and those that find fees important incur lower fees irrespective of the inclusion of visualizations in disclosure. The importance of these background factors suggests that a one-size-fits-all approach is likely to be suboptimal.

Do effects of common case-mix adjusters on patient experiences vary across patient groups?

BackgroundMany survey studies in health care adjust for demographic characteristics such as age, gender, educational attainment and general health when performing statistical analyses. Whether the effects of these demographic characteristics are consistent between patient groups remains to be determined. This is important as the rationale for adjustment is often that demographic sub-groups differ in their so-called ‘response tendency’. This rationale may be less convincing if the effects of response tendencies vary across patient groups. The present paper examines whether the impact of these characteristics on patients’ global rating of care varies across patient groups.MethodsSecondary analyses using multi-level regression models were performed on a dataset including 32 different patient groups and 145,578 observations. For each demographic variable, the 95% expected range of case-mix coefficients across patient groups is presented. In addition, we report whether the variance of coefficients for demographic variables across patient groups is significant.ResultsOverall, men, elderly, lower educated people and people in good health tend to give higher global ratings. However, these effects varied significantly across patient groups and included the possibility of no effect or an opposite effect in some patient groups.ConclusionThe response tendency attributed to demographic characteristics – such as older respondents being milder, or higher educated respondents being more critical – is not general or universal. As such, the mechanism linking demographic characteristics to survey results on patient experiences with quality of care is more complicated than a general response tendency. It is possible that the response tendency interacts with patient group, but it is also possible that other mechanisms are at play.

Evasive Actions: The Gendered Cycle of Stress and Coping for Those Enduring Workplace Bullying in American Higher Education

Previous studies have confirmed that American higher education professionals endure workplace bullying at a rate higher than the general population. Close to two-thirds of American higher education employees were affected by workplace bullying and often endure the bullying at least two to three years. While the frequency of workplace bullying has been examined, along with the corresponding cost of employee disengagement, an analysis of how higher education employees cope with the stress of workplace bullying is absent from the literature. Within the theoretical stress and coping frameworks, this essay examined how higher educational personnel cope with stressful workplace bullying. A chi-square analysis was utilized on a sample (n=355) of American higher education respondents to determine the difference of the gender for respondents’ reactions. The chi-square analysis showed that women were more likely to quit/resign from a job in reaction to workplace bullying, and men are more likely to take more sick time in response to workplace bullying.

Thou shalt not cheat: how to reduce internet use in web surveys on political knowledge

By means of a split-ballot survey experiment, we study whether a normative instruction not to use the internet when answering political knowledge questions reduces cheating in web surveys. The knowledge questions refer to basic facts about the European Union and the data come from the Italian National Election Study web panel carried out in Italy before the 2014 European Election. Our analysis shows that a simple normative instruction significantly reduces cheating. We also show that reducing cheating is important to achieve a correct assessment of reliability of knowledge scales, while a decrease of cheating leaves unaltered the knowledge gap between lower and higher educated respondents. These results invite caution when including political knowledge questions in an online survey. Our advice is to include a normative instruction not to search the internet to reduce cheating and obtain more genuine answers. More generally, we conclude by stressing the need to consider the implications of online data collection when building questionnaires for public opinion research.

Educational differences in associations of noticing anti-tobacco information with smoking-related attitudes and quit intentions: findings from the International Tobacco Control Europe Surveys.

This study examined educational differences in associations of noticing anti-tobacco information with smoking-related attitudes and quit intentions among adult smokers. Longitudinal data (N = 7571) from two waves of six countries of the International Tobacco Control (ITC) Europe Surveys were included. Generalized estimating equation analyses and multiple linear and logistic regression analyses were conducted. Higher educated smokers noticed anti-tobacco information slightly more often than lower educated smokers (F(2) = 25.78, P < 0.001). Noticing anti-tobacco information was associated with more negative smoking-related attitudes (β = 0.05, P < 0.001) and more quit intentions (OR = 1.08, P < 0.001). Among smokers without a quit intention at baseline, a positive association was found for noticing anti-tobacco information at baseline with follow-up quit intention (OR = 1.14, P = 0.003). No other longitudinal associations were found. No educational differences were found in the association of noticing anti-tobacco information with smoking-related attitudes but associations with quit intentions were found only among low (OR = 1.12, P = 0.001) and high educated respondents (OR = 1.11, P < 0.001) and not among moderate educated respondents (OR = 1.02, P = 0.43). Noticing anti-tobacco information may positively influence quit intentions and possibly smoking-related attitudes. Lower educated smokers were as likely to be influenced by anti-tobacco information as higher educated smokers but noticed anti-tobacco information less often; increasing reach of anti-tobacco information may increase impact in this group.