Prevalences of stages of change for smoking cessation in adolescents and associated factors: systematic review and meta-analysis

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dc.creatorLeonardo Essado Rios
dc.creatorÁlex Moreira Herval
dc.creatorRaquel Conceição Ferreira
dc.creatorMaria do Carmo Matias Freire
dc.date.accessioned2025-07-22T18:24:38Z
dc.date.accessioned2025-09-08T23:50:51Z
dc.date.available2025-07-22T18:24:38Z
dc.date.issued2019-02
dc.description.sponsorshipCNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico
dc.description.sponsorshipFAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas Gerais
dc.description.sponsorshipOutra Agência
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1016/j.jadohealth.2018.09.005
dc.identifier.issn1879-1972
dc.identifier.urihttps://hdl.handle.net/1843/83747
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofJournal of Adolescent Health
dc.rightsAcesso Restrito
dc.subjectAdolescent
dc.subjectBehavior therapy
dc.subjectTranstheoretical model
dc.subjectCigarette smoking
dc.subjectPrevalence
dc.subjectTobacco use disorder
dc.subjectEfficacy
dc.subjectEvidence gaps
dc.subjectEvidence-based dentistry
dc.subjectSmoking cessation
dc.subject.other:Adolescent
dc.subject.otherBehavior change
dc.subject.otherCigarette smoking
dc.subject.otherSmoking cessation
dc.subject.otherStages of change
dc.subject.otherTranstheoretical model
dc.titlePrevalences of stages of change for smoking cessation in adolescents and associated factors: systematic review and meta-analysis
dc.typeArtigo de periódico
local.citation.epage157
local.citation.issue2
local.citation.spage149
local.citation.volume64
local.description.resumoPurpose: To synthesize evidence on the prevalences of stages of change (Transtheoretical Model) for smoking cessation in adolescents and associated factors. Methods: A systematic search of Web of Science (Thomson Reuters), SCOPUS (Elsevier), MEDLINE/PubMed, CINAHL (EBSCO) and PsycINFO (APA) was conducted to identify eligible studies. Two calibrated reviewers selected studies independently, extracted data, and appraised studies. A qualitative synthesis of the findings and meta-analysis of the prevalences of the stages of change for smoking cessation were carried out. A quality effects model was used to estimate the pooled prevalences. Results: Eleven studies (N = 6469 adolescents) from five middle- to high-income countries were included in the review. Precontemplators accounted for 41% of smokers in earlier stages of change (95%CI: 34%-49%). In such a group, a lowered decisional balance, the lowest self-efficacy, and highest nicotine dependence were found (p < .05). Conclusions: A higher overall prevalence of adolescents in precontemplation stage for smoking cessation was observed. Such group displayed more unfavorable smoking-related behaviors and characteristics than adolescents in other stages. The evidence is limited due to the lack of studies in adolescents living in low-income countries.
local.identifier.orcidhttps://orcid.org/0000-0002-3096-9141
local.identifier.orcidhttps://orcid.org/0000-0001-6649-2616
local.identifier.orcidhttps://orcid.org/0000-0001-8897-9345
local.identifier.orcidhttps://orcid.org/0000-0001-6078-6728
local.publisher.countryBrasil
local.publisher.departmentFAO - DEPARTAMENTO DE CLÍNICA
local.publisher.departmentFAO - DEPARTAMENTO DE ODONTOLOGIA SOCIAL E PREVENTIVA
local.publisher.initialsUFMG
local.url.externahttps://www.sciencedirect.com/science/article/pii/S1054139X18304208?via%3Dihub

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