| Summary: | Many smokers who have tried to quit are unable to do so at the first try and many give up after multiple attempts. Behavioural theories such as the trans-theoretical model have been shown to assist in the development of targeted interventions to assist quit attempts and eventual quitting. There is little evidence about quit behaviour among adults in the Nigerian context. This study aimed to explore the correlates of quit attempts among the current tobacco smokers in Nigeria using the Transtheoretical model.
A cross-sectional secondary data analysis of the 2012 Global Adult Tobacco Survey in Nigeria was carried out using SPSS version 23 at a level of significance p<0.05. A total of 429 (22.8%) respondents were current smokers mostly males (96.0%). Most smokers were in pre-contemplation stage (64.7%), with 14.9% in preparation stage. Only a few of the respondents (20%) had access to cessation therapy, none to a quitline. Exposure to anti-tobacco media messages was associated with increased in quit attempts. Other correlates of quit attempts were male gender [OR: 9.615 (CI: 1.449-1.478)], younger age [OR: 1.126 (95% CI: 1.108-1.144)] unemployed status [OR: 2.223 (95% CI: 2.122-2.329)], and lower level of education [OR: 2.991 (95% CI: 2.930-3.053)].
While global attention in tobacco control focuses on prevention of initiation and cessation support, most smokers in Nigeria are not considering quitting. There is a need for targeted interventions to reach smokers at various stages, across the geopolitical zones as well as provision of necessary support to assist quitting among users.
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