부산대학교 도서관

Introduction This study explores the association of individual cognition and social environment of smoking with autonomy over tobacco, providing evidence and insights to help smokers effectively prevent and reduce tobacco dependence. Methods Data were collected from 1389 participants, aged ≥15 years, by face-toface interviews from June 2018 to November 2019 in central China. We assessed autonomy over tobacco using the Autonomy Over Smoking Scale (AUTOS), including Withdrawal Symptoms (WS), Psychological Dependence (PD) and Cueinduced Cravings (CC), and examined factors of individual cognition and social environment, as well as covariates, including demographic characteristics, health status, and smoking behavior. Results AUTOS total score was 16.92 ± 9.05, WS score was the lowest (4.40 ± 3.36) in the three subscales, and CC score was the highest (6.88 ± 3.2). After adjustment, WS score of having a greater awareness of smoking hazards to one's own health was lower than those who had no awareness (β=0.14; 95% CI: -0.31– 0.00), and the total score of AUTOS, the score of PD and CC for those who thought smoking was ‘more helpful (high)’ to interpersonal communication were higher than ‘not helpful (not at all)’ (β=0.14; 95% CI: 0.01–0.28 with β=0.16; 95% CI: 0.02–0.29; and β=0.14; 95% CI: 0.00–0.28; respectively). Having a greater difficulty in smoking cessation was associated with higher AUTOS total and subscale scores (p