Brief Report – A qualitative study about smoking cessation with clients of community service organisations that work with disadvantaged families

Franco, Lisa; Welsby, Debra; Eccleston, Philippa; Furber, Susan

doi:10.1071/he11153

Cited by 8 publications

(13 citation statements)

References 11 publications

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“…Other service providers include management and staff in prisons, homeless shelters and organisations, and members of the community. Thirteen qualitative studies 52 55 56 58 74 77 83 86 91 92 95 108 112 and one quantitative study 109 reported a perceived lack of support from health professionals regarding smoking cessation. Cases of family members and health professionals actively discouraging quit attempts and encouraging maintenance of smoking due to concerns about the individual's mental health 92 93 95 96 112 or because smoking was perceived to be the individual's only source of enjoyment 54 77 79 83 were reported.…”

Section: Resultsmentioning

confidence: 99%

Perceived barriers to smoking cessation in selected vulnerable groups: a systematic review of the qualitative and quantitative literature

et al. 2014

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ObjectivesTo identify barriers that are common and unique to six selected vulnerable groups: low socioeconomic status; Indigenous; mental illness and substance abuse; homeless; prisoners; and at-risk youth.DesignA systematic review was carried out to identify the perceived barriers to smoking cessation within six vulnerable groups.Data sourcesMEDLINE, EMBASE, CINAHL and PsycInfo were searched using keywords and MeSH terms from each database's inception published prior to March 2014.Study selectionStudies that provided either qualitative or quantitative (ie, longitudinal, cross-sectional or cohort surveys) descriptions of self-reported perceived barriers to quitting smoking in one of the six aforementioned vulnerable groups were included.Data extractionTwo authors independently assessed studies for inclusion and extracted data.Results65 eligible papers were identified: 24 with low socioeconomic groups, 16 with Indigenous groups, 18 involving people with a mental illness, 3 with homeless groups, 2 involving prisoners and 1 involving at-risk youth. One study identified was carried out with participants who were homeless and addicted to alcohol and/or other drugs. Barriers common to all vulnerable groups included: smoking for stress management, lack of support from health and other service providers, and the high prevalence and acceptability of smoking in vulnerable communities. Unique barriers were identified for people with a mental illness (eg, maintenance of mental health), Indigenous groups (eg, cultural and historical norms), prisoners (eg, living conditions), people who are homeless (eg, competing priorities) and at-risk youth (eg, high accessibility of tobacco).ConclusionsVulnerable groups experience common barriers to smoking cessation, in addition to barriers that are unique to specific vulnerable groups. Individual-level, community-level and social network-level interventions are priority areas for future smoking cessation interventions within vulnerable groups.Trial registration number:A protocol for this review has been registered with PROSPERO International Prospective Register of Systematic Reviews (Identifier: CRD42013005761).

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Section: Resultsmentioning

confidence: 99%

Perceived barriers to smoking cessation in selected vulnerable groups: a systematic review of the qualitative and quantitative literature

et al. 2014

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“…Several studies examined factors influencing smokers’ quit intentions (Fagan & Augustson, 2007; Feng et al, 2010; Franco, Welsby, Eccleston, & Furber, 2011; Mathur & Singh, 2015; Sorensen et al, 2002). For example, for all or almost all examined racial/ethnic groups, longer quit attempts, daily smoking, and receiving advice to quit from a doctor were associated with higher odds of intending to quit (Soulakova, Li, & Crockett, 2017).…”

Section: Factors Associated With Intentions To Quitmentioning

confidence: 99%

Motivational Benefits of Social Support and Behavioural Interventions for Smoking Cessation

et al. 2018

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This study examined the role of social support and behavioural interventions used during the last unsuccessful quit attempt for smokers’ intentions to quit smoking within the next six months, and identified smokers’ attributes associated with the use of social support and behavioural interventions. The analytic sample included 7,195 adult daily smokers who responded to the 2010–2011 Tobacco Use Supplement to the Current Population Survey, conducted in the United States, and indicated having a serious quit attempt in the past 12 months. Smokers who relied on social support from friends and family had higher odds of intending to quit than those who did not (OR = 1.39, 95% CI = 1.22:1.58), and smokers who used interventions had higher odds of intending to quit than those who did not (OR = 1.36, 95% CI = 1.07:1.74). These associations were similar for both sexes, all age groups, and nicotine dependence levels. Both, relying on social support and the use of behavioural interventions were more common among smokers who were female, higher educated, residing in the Western US region, and those who used pharmacological aids for smoking cessation. Social support and behavioural interventions are associated with higher intentions to quit among attempters who relapsed and thus, may aid future smoking cessation.

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“…Previous research has described the barriers to smoking cessation experienced by individuals living in disadvantaged areas [8,11,[15][16][17] and clients of community service organizations [18][19][20]. Among the broader sphere of groups at risk of social and economic disadvantage, specific subpopulations report unique barriers to quitting [4].…”

Section: Introductionmentioning

confidence: 99%

Stuck in the catch 22: attitudes towards smoking cessation among populations vulnerable to social disadvantage

et al. 2016

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Aim To explore how smoking and smoking cessation is perceived within the context of disadvantage, across a broad cross‐section of defined populations vulnerable to social disadvantage. Design Qualitative focus groups with participants recruited through community service organizations (CSO). Setting Metropolitan and regional settings in Queensland, Australia. Focus groups were held at the respective CSO facilities. Participants Fifty‐six participants across nine focus groups, including people living with mental illness, people experiencing or at risk of homelessness (adult and youth populations), people living with HIV, people living in a low‐income area and Indigenous Australians. Measurements Thematic, in‐depth analysis of focus group discussions. Participant demographic information and smoking history was recorded. Findings Smoking behaviour, smoking identity and feelings about smoking were reflective of individual circumstances and social and environmental context. Participants felt ‘trapped’ in smoking because they felt unable to control the stressful life circumstances that triggered and sustained their smoking. Smoking cessation was viewed as an individual's responsibility, which was at odds with participants' statements about the broader factors outside of their own control that were responsible for their smoking. Conclusion Highly disadvantaged smokers' views on smoking involve contradictions between feeling that smoking cessation involves personal responsibility, while at the same time feeling trapped by stressful life circumstances. Tobacco control programmes aiming to reduce smoking among disadvantaged groups are unlikely to be successful unless the complex interplay of social factors is carefully considered.

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Brief Report – A qualitative study about smoking cessation with clients of community service organisations that work with disadvantaged families

Abstract: There is a need for smoking cessation support to be integrated into CSOs for disadvantaged families as clients are unlikely to seek support elsewhere.

Cited by 8 publications

References 11 publications

Perceived barriers to smoking cessation in selected vulnerable groups: a systematic review of the qualitative and quantitative literature

Perceived barriers to smoking cessation in selected vulnerable groups: a systematic review of the qualitative and quantitative literature

Motivational Benefits of Social Support and Behavioural Interventions for Smoking Cessation

Stuck in the catch 22: attitudes towards smoking cessation among populations vulnerable to social disadvantage

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