Smoking behaviors in Iranian male students: An application of transtheoretical model

نویسندگان

1 Department of Health services, school of Health, Isfahan University of Medical Sciences, Isfahan

2 Department of Anesthesiology, School of Medicine, Golestan university of Medical Sciences,Gorgan

3

4 Department of Health services, school of Health, Isfahan University of Medical Sciences, Isfahan

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چکیده

Objective: To investigate selected constructs of the transtheoretical model (TTM)of behavior change regarding smoking behavior among Iranian male students.Materials and Methods: A convenience sample of 578 smokers and ex‑smokers from sixuniversities during December 2009 to June 2010 completed three Persian versions of the shortform smoking questionnaire based on TTM, developed by Prochaska, Velicer, and Diclemente.Data were analyzed using SPSS 15. Frequency analysis was conducted to demographicvariables. Stages’ differences were assessed with analysis of variance (ANOVA) followed bypost‑hoc multiple comparisons with Tukey’s honestly significant difference (HSD) test. Alphalevels were set at P<0.05. Results: More than half of the subjects were in contemplation stage.The pros of smoking among subjects in the precontemplation stage were significantly higherthan those of subjects in the preparation and maintenance stages. Meanwhile; the pros ofsmoking ratings were significantly higher for the contemplation and preparation stages thanfor the maintenance stage. Significant mean differences in cons of smoking behavior emergedacross the stages of change. However, pros and cons of smoking in the action stage were notsignificantly different than other stages of change. In line with self‑efficacy/temptation construct,the result showed that positive social efficacy, negative affect efficacy, and habit strength weresignificantly different between the stages of change. Conclusion: The results provide support tothe advantages of increased self‑efficacy and the role of decisional balance for the interventionprogram development for smoking cessation.