What Differentiates Underserved Smokers Who Successfully Quit From Those Who Do Not

Abstract

Poor persons continue to smoke at high rates and suffer grave health effects. We have been working with our community partners since 2008 to help poor people in the surrounding neighborhoods stop smoking through a multi-phase CBPR intervention known as CEASE. Our study used qualitative methods to identify factors that characterized those who successfully quit smoking (doers) and those who did not (non-doers). Both doers and non-doers identified social pressure as the main reason for starting to smoke, and health as the main motivator for quitting. Although they were similar in many ways, the doers seemed to have more social support for cessation-i.e., more people in their lives who wanted them to quit and whom they wanted to protect from secondhand smoke. The non-doers offered more feedback on how to improve the cessation classes, including making them longer, reducing the class size, adding extra counseling, and using quitting partners. Both doers and non-doers reported increased self-confidence, appreciation for the cessation support they received from CEASE, and a desire that the group classes continue. Cessation is a social event and smokers with more social support appear to be more successful at quitting. Showing interest in and offering social support to poor underserved smokers in their own communities is a powerful way to help them.

The determinants of handwashing behaviour among internally displaced women in two camps in the Kurdistan Region of Iraq

“…This potential bias, further justifies the need to combine the Barrier Analysis with other methods for exploring behaviour such as proxy measures, monitors, sticker diaries, observation or script-based covert recall [50,52,53]. It is also possible that Barrier Analyses are more appropriate for behaviours where there is a clear way of measuring whether people are doers and nondoers (such as smoking cessation [54]). For a routine behaviour like handwashing with soap, the dichotomy between doers and non-doers may be false-with any given individual remembering to practice on some critical occasions and not on others.…”

Developing Competency-Based Nursing Treatment for Persons With Tobacco Use Disorder

“…Vulnerable populations and some of their unique TUD challenges include (but are not limited to): persons living with mental illnesses (Okoli et al, 2017), persons of racial and ethnic minorities (CDC, 2019b;Giovanni et al, 2015;Mills et al, 2018), and members of the lower socioeconomic populations and those with less education (CDC, 2019cJahnel et al, 2019;O'Keefe et al, 2019;van Wijk et al, 2019). Persons who identify as LGBTQ (lesbian, gay, bisexual, transgender, and queer) make up about 3% of the U.S. population yet approximately 20.5% reported smoking cigarettes (CDC, 2019g).…”

HIV self-testing adoption and post-test linkage to care among men who have sex with men in China: a nationwide cross-sectional survey

“…Research on adoption focuses on the associated factors related to adoption by comparing those who adopt and those who fail to adopt [ 17 ]. Similar focus, in community health theories, was placed on comparing “doers” and “non-doers” of certain health behavior, such as quitting smoking, or sleeping under an insecticide-treated bed net for cardiovascular disease and malaria prevention respectively [ 19 , 20 ]. Such analytical design is also useful to shed light on human behavior about HIVST.…”