{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T13:16:12Z","timestamp":1790082972666,"version":"4.0.1"},"reference-count":36,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Vietnam Tobacco Control Fund","award":["114\/2024\/QPCTHTL-DHYTCC"],"award-info":[{"award-number":["114\/2024\/QPCTHTL-DHYTCC"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Tob Use Insights"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:p>\n                    Tobacco use remains a critical public health challenge in Vietnam, contributing to significant health and economic burdens. Despite comprehensive tobacco control policies, cessation rates remain low. This study investigates how tobacco control awareness, media exposure, and health knowledge influence quit intentions among Vietnamese smokers. A cross-sectional analysis of 17\u00a0387 adult current smokers from the 2024 Provincial Global Adult Tobacco Survey (PGATS) was conducted. Structural equation modeling (SEM) tested direct and mediated pathways between tobacco control awareness, anti-\/pro-tobacco media exposure, health knowledge, and quit intentions, adjusting for age and gender. Multiple imputation addressed missing data (3.7%), and model fit was assessed using AIC, BIC, and SRMR. Health knowledge and anti-tobacco media exposure were the strongest predictors of quit intentions (\u03b2 = 0.107,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.002; \u03b2 = 0.250,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001, respectively). Pro-tobacco media exposure significantly strengthened quit intentions among smokers already planning to quit (interaction \u03b2 = 0.445,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.026). Multi-group analyses revealed health knowledge and media effects were significant only among male smokers. Educational stratification showed lower-educated smokers benefited more from health information, while higher-educated smokers responded better to anti-tobacco media campaigns. Individual-level health knowledge and anti-tobacco media campaigns drive quit intentions among Vietnamese smokers. The pro-tobacco media paradox, operating through psychological reactance among motivated quitters, highlights opportunities for targeted counter-advertising. Gender and educational disparities underscore the need for tailored interventions: clear health messaging and sophisticated media campaigns.\n                  <\/jats:p>","DOI":"10.1177\/1179173x251390751","type":"journal-article","created":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T04:53:26Z","timestamp":1761627206000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Policy Awareness Outweighs Health Knowledge: A Structural Equation Modeling Analysis of Tobacco Quit Intention Determinants in Vietnam\u2019s Provincial Global Adult Tobacco Survey 2024"],"prefix":"10.1177","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5482-7914","authenticated-orcid":false,"given":"Hoang","family":"Le Tu","sequence":"first","affiliation":[{"name":"Hanoi University of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9191-577X","authenticated-orcid":false,"given":"Tran Thi","family":"Tuyet Hanh","sequence":"additional","affiliation":[{"name":"Hanoi University of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phan Van","family":"Can","sequence":"additional","affiliation":[{"name":"Hanoi University of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phan Thi","family":"Hai","sequence":"additional","affiliation":[{"name":"Vietnam Tobacco Control Fund"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Duong Tu","family":"Anh","sequence":"additional","affiliation":[{"name":"Vietnam Tobacco Control Fund"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thanh","family":"Nguyen Thi Minh","sequence":"additional","affiliation":[{"name":"Hanoi University of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nguyet","family":"Ha Thi Minh","sequence":"additional","affiliation":[{"name":"Hanoi University of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ha","family":"Le Thi Thu","sequence":"additional","affiliation":[{"name":"Hanoi University of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Quan","family":"Hoang Long","sequence":"additional","affiliation":[{"name":"Hanoi University of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tuan Anh","family":"Hoang Khac","sequence":"additional","affiliation":[{"name":"Hanoi University of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trang","family":"Phan Thi Thu","sequence":"additional","affiliation":[{"name":"Hanoi University of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuan Quy","family":"Luu","sequence":"additional","affiliation":[{"name":"Hanoi University of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Quoc Thanh","family":"Pham","sequence":"additional","affiliation":[{"name":"Hanoi University of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hoang Van","family":"Minh","sequence":"additional","affiliation":[{"name":"Hanoi University of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,27]]},"reference":[{"key":"e_1_3_6_2_2","volume-title":"WHO Global Report on Trends in Prevalence of Tobacco Use 2000-2025","author":"World Health Organization","year":"2021","unstructured":"World Health Organization. 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Align tobacco tax with Viet Nam\u2019s goals for health and prosperity urges WHO. https:\/\/www.who.int\/vietnam\/news\/commentaries\/detail\/align-tobacco-tax-with-viet-nam-s-goals-for-health-and-prosperity--urges-who. Accessed May 3 2025."},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/tc.2005.013516"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssmph.2017.09.003"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.18332\/tid\/99542"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/1178630220972957"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.15167\/2421-4248\/jpmh2019.60.1.942"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.18999\/nagjms.80.3.379"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2009.03.008"},{"key":"e_1_3_6_14_2","unstructured":"WHO Framework Convention on Tobacco Control (FCTC). 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