INTRODUCTION The aim of this study was to determine trends in receiving quit advice from healthcare professionals among current smokers in South Africa, pre- and post-adoption of Article 14 guidelines of the WHO FCTC in 2010, and to determine the association between quit advice, e-cigarette use and quit attempt. METHODS This study was a secondary data analysis involving 2206 ever-smokers aged ≥16 years who participated in the South African Social Attitude Surveys conducted in 2007, 2010 and 2017. Data included participants' sociodemographics, tobacco, and/or e-cigarette use (for years 2010 and 2017 only), exposure to others' smoking at home and/or work or public places, quit advice, and quit attempts. Analyses included chi-squared test and logistic regression. RESULTS The mean cigarettes smoked per day, the proportions of smokers offered quit advice, planning to quit and who made a quit attempt did not change significantly between 2007 and 2017 (p=0.67, p=0.70, p=0.09 and p=0.40, respectively). However, there was a marginally significant increase in e-cigarette uptake between 2010 and 2017 (p=0.05). In a bivariate analysis, quit advice was significantly associated with making a quit attempt across all survey years. In the final multivariable-adjusted regression model, having received a quit advice (OR=1.967; 95% CI: 1.255-3.083) compared to not, and being Colored/mixed race (OR=0.467; 95% CI: 0.298-0.732) compared to self-identifying as Black African, remained independently associated with making a quit attempt. CONCLUSIONS Except for marginally increased e-cigarette use, there was no significant change in smoking or quitting behavior in South Africa post-adoption of Article 14 guidelines. The study findings highlight the importance of quit advice in promoting quitting behavior and suggest the need to scale it up in South Africa.

中文翻译：

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2007 年至 2017 年南非的戒烟建议和戒烟尝试：一项横断面研究。

引言 本研究的目的是确定 2010 年世界卫生组织《烟草控制框架公约》第 14 条指南通过前后，南非当前吸烟者接受医疗保健专业人员提供的戒烟建议的趋势，并确定戒烟建议、戒烟建议和戒烟建议之间的关联。电子烟的使用和戒烟尝试。方法本研究是一项二次数据分析，涉及 2206 名年龄≥16 岁的曾经吸烟者，他们参加了 2007 年、2010 年和 2017 年进行的南非社会态度调查。数据包括参与者的社会人口统计、烟草和/或电子烟使用情况（仅适用于 2010 年和 2017 年）、在家和/或工作或公共场所接触他人吸烟、戒烟建议和戒烟尝试。分析包括卡方检验和逻辑回归。结果 2007 年至 2017 年间，每天吸食的平均香烟数量、提供戒烟建议、计划戒烟和尝试戒烟的吸烟者比例没有显着变化（p=0.67、p=0.70、p=0.09 和 p=0.40，分别）。然而，2010 年至 2017 年间，电子烟的使用量略有增加 (p=0.05)。在双变量分析中，戒烟建议与所有调查年份的戒烟尝试均显着相关。在最终的多变量调整回归模型中，与未收到戒烟建议（OR=1.967；95% CI：1.255-3.083）以及有色人种/混血人种（OR=0.467；95% CI：0.298-0.732）相比与自我认同为非洲黑人相比，仍与戒烟尝试独立相关。结论 在采用第 14 条指南后，除了电子烟使用量略有增加外，南非的吸烟或戒烟行为没有显着变化。研究结果强调了戒烟建议在促进戒烟行为方面的重要性，并表明需要在南非扩大戒烟建议的规模。