ArticleBMC public health2023
The influence of health literacy and knowledge about smoking hazards on the intention to quit smoking and its intensity: an empirical study based on the data of China's health literacy investigation.
Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Prevalence and Associated Factors of Smoking Pattern Among Adult Women and Men in Nepal: Evidence From Demographic and Health Survey 2022.Public health challenges · 2026Article
- The associated factors of smoking cessation intention among husbands in gestational households: A census-based cross-sectional survey.Tobacco induced diseases · 2026Article
- Intention to quit smoking and associated factors among outpatients at a tertiary hospital in semi-urban Nepal: a cross-sectional study.BMJ public health · 2026Article
- Smoking cessation behavior, nicotine addiction, and mental health among current smokers in Klang Valley, Malaysia- a cross-sectional questionnaire survey.BMC public health · 2025Article
- Determinants of knowledge of risks associated with cigarette smoking among adolescents in Scotland.European journal of public health · 2025Article
- Nicotine dependence, motivations, and intention to quit smoking among smoking cessation outpatients: A cross-sectional study.Tobacco induced diseases · 2025Article
- Tobacco smoking in a high-IQ society in Indonesia.Tobacco induced diseases · 2025Article
- The impact of health literacy on smoking patterns among male residents: insights from Ningbo City.Frontiers in public health · 2025Article
- The role of health literacy within the social determinants of health framework: a cross-sectional study on smoking behavior in Fujian, China.Frontiers in public health · 2025Article
- Smoking Avoidance, Physical Activity and Diet as Preventative Behaviours for Lung, Prostate and Colorectal Cancer - A Comparison of the Extended Parallel Process Model Groups.International journal of public health · 2025Article
- The mediating role of self-efficacy in the relationship between health literacy, health status and psychological well-being among German trainees and students in nursing.Frontiers in public health · 2024Article
- Daily cigarette smoking among inpatients for substance use disorders in France, 2010-2020: Commonalities and specificities across substances.Tobacco induced diseases · 2024Article
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Authors and funding
6 authors.
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Abstract
objectiveThis study explored the relationship between smokers' health literacy, knowledge of smoking hazards, and their intention to quit.
methodsBased on data from the 2019 Health Literacy and Tobacco Use Surveillance among residents of a city in Zhejiang Province, 1120 male smokers were screened. Differential tests were used to analyze whether smokers with varying levels of health literacy and knowledge about smoking hazards differed in their intention to quit smoking and the intensity of their intention. A multi-factor logistic regression model was constructed to explore the extent of these differences.
resultsOnly 24.8% of smokers had higher health literacy. Among smokers, those with an intention to quit had a higher health literacy level compared to those without such intention (32.7% vs. 17.0%, p < 0.001). Health literacy levels did not differ significantly between groups with different intensity of intention to quit (34.2% vs. 31.9% vs. 30.1%, p = 0.435). About 48.7% of the smokers a higher level of knowledge about smoking hazards. It was more prevalent in the intent to quit group compared to the no intent to quit group (54.0% vs. 43.4%, p < 0.001), and the low intent to quit group had lower knowledge compared to the moderate and high intent to quit groups (49.1% vs. 56.6% vs. 63.4%, p = 0.011). After adjusting for other influences, smokers with lower health literacy were less likely to have intention to quit (OR = 0.659, p = 0.016). And the association between knowledge about smoking hazards and whether smokers have the intention to quit is no longer significant, but it significantly affects the intensity of the intention to quit among smokers who already have the intention (OR = 0.623, p = 0.005).
conclusionGeneral health literacy may play a role in facilitating smokers' progression from the stage of no intent to quit to one of intent to quit, but a more specific understanding of the harms of smoking may be needed to increase the strength of intent to quit.
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