Eline Meijer1, Marjolein E A Verbiest2, Niels H Chavannes3, Ad A Kaptein4, Willem J J Assendelft5, Margreet Scharloo6, Mathilde R Crone7. 1. Public Health and Primary Care, Leiden University Medical Center, Hippocratespad 21, 2333 ZD Leiden, The Netherlands. Electronic address: e.meijer@lumc.nl. 2. National Institute for Health Innovation, School of Population Health, The University of Auckland, 261 Morrin Rd, St Johns, Auckland 1072, New Zealand; Centre for Longitudinal Research-He Ara ki Mua, School of Population Health, The University of Auckland, 261 Morrin Rd, St Johns, Auckland 1072, New Zealand. Electronic address: m.verbiest@auckland.ac.nz. 3. Public Health and Primary Care, Leiden University Medical Center, Hippocratespad 21, 2333 ZD Leiden, The Netherlands. Electronic address: n.h.chavannes@lumc.nl. 4. Department of Psychiatry, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, The Netherlands. Electronic address: a.a.kaptein@lumc.nl. 5. Department of Primary and Community Care, Radboud University Nijmegen Medical Centre, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, The Netherlands. Electronic address: pim.assendelft@radboudumc.nl. 6. Center for Innovation in Medical Education, Leiden University Medical Center, Hippocratespad 21, 2333 ZD Leiden, The Netherlands. Electronic address: m.scharloo@lumc.nl. 7. Public Health and Primary Care, Leiden University Medical Center, Hippocratespad 21, 2333 ZD Leiden, The Netherlands. Electronic address: m.r.crone@lumc.nl.
Abstract
OBJECTIVE: We examined smoker and non-smoker self-identities among smokers visiting their general practitioner (GP) for other reasons than smoking cessation counselling. We determined whether identity impacted on patients' appreciation of GP-initiated conversations about smoking and quit advice, and subsequent quit attempts, and examined the role of gender. METHODS: Secondary analyses of a cluster-randomised controlled trial in which baseline and 12-month follow-up data were collected among 527 daily (n=450) and non-daily smokers (n=77). RESULTS:Participants identified more with smoking than non-smoking. Participants with stronger non-smoker self-identities were more often female, appreciated the conversation about smoking more, were more likely to receive quit-advice and to have attempted to quit at 12-month follow-up. Participants with stronger smoker self-identities were also more often female, and appreciated the conversation more. Men with stronger non-smoker self-identities were more often asked about smoking and advised to quit, and appreciated the conversation more than women. CONCLUSION: Non-smoker identity was more important for receiving quit-advice, appreciation, and quit attempts than smoker identity. Future research needs to unravel why female smokers appreciated the conversation less than male smokers. PRACTICE IMPLICATIONS: We suggest to incorporate an identity-component in smoking cessation interventions. GPs should increase their focus on female patients who smoke.
RCT Entities:
OBJECTIVE: We examined smoker and non-smoker self-identities among smokers visiting their general practitioner (GP) for other reasons than smoking cessation counselling. We determined whether identity impacted on patients' appreciation of GP-initiated conversations about smoking and quit advice, and subsequent quit attempts, and examined the role of gender. METHODS: Secondary analyses of a cluster-randomised controlled trial in which baseline and 12-month follow-up data were collected among 527 daily (n=450) and non-daily smokers (n=77). RESULTS:Participants identified more with smoking than non-smoking. Participants with stronger non-smoker self-identities were more often female, appreciated the conversation about smoking more, were more likely to receive quit-advice and to have attempted to quit at 12-month follow-up. Participants with stronger smoker self-identities were also more often female, and appreciated the conversation more. Men with stronger non-smoker self-identities were more often asked about smoking and advised to quit, and appreciated the conversation more than women. CONCLUSION: Non-smoker identity was more important for receiving quit-advice, appreciation, and quit attempts than smoker identity. Future research needs to unravel why female smokers appreciated the conversation less than male smokers. PRACTICE IMPLICATIONS: We suggest to incorporate an identity-component in smoking cessation interventions. GPs should increase their focus on female patients who smoke.
Authors: Siti Idayu Hasan; Farizah Mohd Hairi; Amer Siddiq Amer Nordin; Mahmoud Danaee Journal: Int J Environ Res Public Health Date: 2019-11-05 Impact factor: 3.390