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Social Norms and Self-Efficacy to Quit Waterpipe Use: Findings from a Tobacco Study among Male Smokers in Rural Viet Nam

Published online by Cambridge University Press:  20 November 2017

Pritika C. Kumar Open the ORCID record for Pritika C. Kumar [Opens in a new window] ,
Charles M. Cleland ,
Carl Latkin ,
Nancy Vandevanter ,
Nina Siman ,
Trang Nguyen ,
Linh Nguyen ,
Nam Nguyen  and
Donna Shelley
Pritika C. Kumar
Affiliation:
New York University, School of Medicine, Department of Population Health, New York, NY
Charles M. Cleland
Affiliation:
New York University, Rory Meyers College of Nursing, New York, NY
Carl Latkin
Affiliation:
Johns Hopkins Bloomberg School of Public Health, Department of Health, Behavior and Society, Baltimore, MD
Nancy Vandevanter
Affiliation:
New York University, Rory Meyers College of Nursing, New York, NY
Nina Siman
Affiliation:
New York University, School of Medicine, Department of Population Health, New York, NY
Trang Nguyen
Affiliation:
Institute of Socio-Medical Sciences, Hanoi, Viet Nam
Linh Nguyen
Affiliation:
Institute of Socio-Medical Sciences, Hanoi, Viet Nam
Nam Nguyen
Affiliation:
Institute of Socio-Medical Sciences, Hanoi, Viet Nam
Donna Shelley*
Affiliation:
New York University, School of Medicine, Department of Population Health, New York, NY
*
Address for correspondence: Donna Shelley, MD MPH, New York University, School of Medicine, Department of Population Health, 227 E30th Street, New York, NY10016. Email: donna.shelley@nyumc.org.
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Abstract

Introduction: Waterpipe use is a significant health concern in low- and middle-income countries like Viet Nam, yet there is a lack of research on factors that may influence use and self-efficacy to quit among adults.

Aims: This study examined the relationship between social norms related to waterpipe use and self-efficacy to quit among male waterpipe smokers in Viet Nam.

Methods: A cross-sectional survey was conducted with 214 adult male waterpipe smokers enrolled in a large cluster–randomised controlled trial conducted in a rural province in Viet Nam. Associations between social norms related to waterpipe smoking and the participants’ confidence to quit waterpipes were assessed using hierarchical regression models to account for differences among study sites and other covariates.

Results: Self-efficacy to quit smoking was positively associated with immediate family members’ not minding participants smoking and with extended family's encouragement to quit smoking.

Conclusions: The findings suggest the need for a more comprehensive understanding of the functions and characteristics of the social context of waterpipe smoking, including the social networks of waterpipe smokers, to inform effective cessation interventions for waterpipe smokers.

Type
Original Articles
Information
Journal of Smoking Cessation , Volume 13 , Issue 3 , September 2018 , pp. 154 - 161
Copyright
Copyright © The Author(s) 2017 

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