Factors Related to Tobacco Cessation Attempts Among Turkish Adolescents: A Structural Equation Model Analysis

Objective: The Turkish Global Youth Tobacco Survey (GYTS) 2017 revealed that 17.9% of students aged 13-15 used tobacco products and 7.7% smoked cigarettes. Given the high prevalence of smoking, it is important to evaluate the factors associated with quit attempts among adolescents. This study aimed...

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Main Authors: Cemre Hilal Kesen Yurtcanli, Murat Tuğberk Bakar, Şükran Peker, Nadiye Pinar Ay
Format: Article
Language:English
Published: Galenos 2024-11-01
Series:Thoracic Research and Practice
Online Access:https://thoracrespract.org/en/factors-related-to-tobacco-cessation-attempts-among-turkish-adolescents-a-structural-equation-model-analysis-132288
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author Cemre Hilal Kesen Yurtcanli
Murat Tuğberk Bakar
Şükran Peker
Nadiye Pinar Ay
author_facet Cemre Hilal Kesen Yurtcanli
Murat Tuğberk Bakar
Şükran Peker
Nadiye Pinar Ay
author_sort Cemre Hilal Kesen Yurtcanli
collection DOAJ
description Objective: The Turkish Global Youth Tobacco Survey (GYTS) 2017 revealed that 17.9% of students aged 13-15 used tobacco products and 7.7% smoked cigarettes. Given the high prevalence of smoking, it is important to evaluate the factors associated with quit attempts among adolescents. This study aimed to identify the factors associated with Turkish adolescents’ attempts to quit smoking using Structural Equation Model (SEM) analyses. Material and Methods: This study utilized the data from GYTS 2017, which is a cross-sectional, nationally representative, schoolbased study carried out below 18-year-olds. The study population (n = 18 985) consisted of students who had smoked cigarettes within the past year. After excluding inconsistent responses, 9735 students remained for the analysis. The outcome was an attempt to quit smoking within the past year. Structural Equation Model (SEM) was used for data analysis. The model had good fit (CFI = 0.917, TLI = 0.900, RMSEA = 0.032). Results: Of the 9735 students, 66.4% were male. In the past 12 months, 56.3% (95%CI: 55.3%-57.3%) of smokers attempted to quit. Exposure to anti-tobacco policies (β = 0.114. P < .001) had positive direct effects, whereas sociodemographic factors (β = −0.086. P < .001), nicotine dependency (β = −0.037. P = .008) and exposure to second-hand smoke (β = −0.051. P < .001) had negative direct effects on quit attempts. Conclusion: More than half of the smokers attempted to quit, and nicotine dependence predicted quit attempts. Exposure to secondhand smoke decreased cessation attempts. Anti-tobacco policies such as sale restrictions and warnings of the dangers of tobacco products should be given high priority and enforced fully since they are the strongest predictors of quit attempts.
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spelling doaj-art-344eb6c22b8d47ba8b6c560c9d299d972025-08-20T03:55:06ZengGalenosThoracic Research and Practice2979-91392024-11-0125619720210.5152/ThoracResPract.2024.23129Factors Related to Tobacco Cessation Attempts Among Turkish Adolescents: A Structural Equation Model AnalysisCemre Hilal Kesen Yurtcanli0Murat Tuğberk Bakar1Şükran Peker 2Nadiye Pinar Ay3Department of Public Health, Marmara University, School of Medicine, Istanbul, TürkiyeDepartment of Public Health, Marmara University, School of Medicine, Istanbul, TürkiyeDepartment of Public Health, Marmara University, School of Medicine, Istanbul, TürkiyeDepartment of Public Health, Marmara University, School of Medicine, Istanbul, TürkiyeObjective: The Turkish Global Youth Tobacco Survey (GYTS) 2017 revealed that 17.9% of students aged 13-15 used tobacco products and 7.7% smoked cigarettes. Given the high prevalence of smoking, it is important to evaluate the factors associated with quit attempts among adolescents. This study aimed to identify the factors associated with Turkish adolescents’ attempts to quit smoking using Structural Equation Model (SEM) analyses. Material and Methods: This study utilized the data from GYTS 2017, which is a cross-sectional, nationally representative, schoolbased study carried out below 18-year-olds. The study population (n = 18 985) consisted of students who had smoked cigarettes within the past year. After excluding inconsistent responses, 9735 students remained for the analysis. The outcome was an attempt to quit smoking within the past year. Structural Equation Model (SEM) was used for data analysis. The model had good fit (CFI = 0.917, TLI = 0.900, RMSEA = 0.032). Results: Of the 9735 students, 66.4% were male. In the past 12 months, 56.3% (95%CI: 55.3%-57.3%) of smokers attempted to quit. Exposure to anti-tobacco policies (β = 0.114. P < .001) had positive direct effects, whereas sociodemographic factors (β = −0.086. P < .001), nicotine dependency (β = −0.037. P = .008) and exposure to second-hand smoke (β = −0.051. P < .001) had negative direct effects on quit attempts. Conclusion: More than half of the smokers attempted to quit, and nicotine dependence predicted quit attempts. Exposure to secondhand smoke decreased cessation attempts. Anti-tobacco policies such as sale restrictions and warnings of the dangers of tobacco products should be given high priority and enforced fully since they are the strongest predictors of quit attempts.https://thoracrespract.org/en/factors-related-to-tobacco-cessation-attempts-among-turkish-adolescents-a-structural-equation-model-analysis-132288
spellingShingle Cemre Hilal Kesen Yurtcanli
Murat Tuğberk Bakar
Şükran Peker
Nadiye Pinar Ay
Factors Related to Tobacco Cessation Attempts Among Turkish Adolescents: A Structural Equation Model Analysis
Thoracic Research and Practice
title Factors Related to Tobacco Cessation Attempts Among Turkish Adolescents: A Structural Equation Model Analysis
title_full Factors Related to Tobacco Cessation Attempts Among Turkish Adolescents: A Structural Equation Model Analysis
title_fullStr Factors Related to Tobacco Cessation Attempts Among Turkish Adolescents: A Structural Equation Model Analysis
title_full_unstemmed Factors Related to Tobacco Cessation Attempts Among Turkish Adolescents: A Structural Equation Model Analysis
title_short Factors Related to Tobacco Cessation Attempts Among Turkish Adolescents: A Structural Equation Model Analysis
title_sort factors related to tobacco cessation attempts among turkish adolescents a structural equation model analysis
url https://thoracrespract.org/en/factors-related-to-tobacco-cessation-attempts-among-turkish-adolescents-a-structural-equation-model-analysis-132288
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