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Perceived cessation treatment effectiveness among socially disadvantaged light and heavy smokers

100%

Milcarz M., Kaleta D., Bąk-Romaniszyn L., Polańska K.

International Journal of Occupational Medicine and Environmental Health

2019

vol. 32

issue 4

527-536

Objectives The aim of the current study was to assess the perceived treatment effectiveness and beliefs with respect to the best advisor who could conduct smoking cessation treatment or counseling among socially disadvantaged light and heavy smokers. This could be crucial for implementation of a successful smoking cessation intervention among this vulnerable population. Material and Methods The current assessments were based on the data collected during the second wave of a cross-sectional study performed in the Piotrkowski District among 1668 adults aged 18–59, entitled to social aid from welfare institutions. Face-to-face interviews were conducted to collect the relevant data. Results The current daily smoking status was declared by 31% of the participants. About 23% of the study sample (74% of daily smokers) admitted to being heavy smokers with a meaningful difference between men and women (p < 0.05). About 29% of the daily smokers indicated that medications/pharmacotherapy could be a good method for giving up the habit. Fifteen percent of the participants shared the opinion that a smoking cessation specialist is the best advisor for counseling, and only about 7% would choose a general practitioner or pharmacist, and even fewer a nurse, as a person who could provide help to smokers. There were no statistically significant differences in any of the evaluated perceptions between the light and heavy smokers (p > 0.05). Conclusions A high share of heavy smokers among socially disadvantaged people, and their perception that medications/pharmacotherapy would be a good solution to quit smoking, underline the need for stronger support for this method, including relevant financing resources and training. However, this method should be applied along with behavioral counseling. Int J Occup Med Environ Health. 2019;32(4):527–36

Perceived barriers and motivators to smoking cessation among socially-disadvantaged populations in Poland

76%

Milcarz K., Polańska K., Balwicki Ł., Makowiec-Dąbrowska T., Hanke W., Bąk-Romaniszyn L., Kaleta D.

International Journal of Occupational Medicine and Environmental Health

2019

vol. 32

issue 3

363-377

Objectives This study aimed at assessment of the perceived barriers and motivators to smoking cessation among socially-disadvantaged populations in Poland. It is hypothesized that different factors can be considered depending on the level of smoking addiction. Therefore, a comparison between light and heavy smokers was performed. Material and Methods Data collected during the second wave of a cross-sectional study carried out in the Piotrkowski District in October 2016 – February 2017 among 1668 socio-economically disadvantaged persons constituted the source of information for the present study. Barriers and motivators to smoking cessation among daily smokers were identified via face-to face interviews. Results About one-third of the studied population admitted to being current daily smokers, almost 75% of whom were heavy smokers. The most common barriers to quitting smoking were related to difficulties in quitting (62%), the lack of willingness to quit (56%), as well as addiction and withdrawal symptoms (craving cigarettes [65%], habit [56%], stress and mood swings [55%]). A significantly higher proportion of such barriers was noted among heavy smokers compared to light smokers (p < 0.05). The following motivations to quit were pointed out by the respondents: available pharmacotherapy (47%), access to a free-of-charge cessation clinic (40%), and encouragement and support provided by their doctor (30%), with no differences between various levels of smoking addiction (p > 0.05). Conclusions Developing effective interventions targeted at unique deprived populations requires understanding the barriers and motivators to quitting smoking. Social support and financial issues, including free-of-charge pharmacotherapy and cessation clinics, as well as doctor’s encouragement and support, are crucial for successful smoking cessation in this vulnerable population. Int J Occup Med Environ Health. 2019;32(3):363–77

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2 International Journal of Occupational Medicine and Environmental Health

2 Bąk-Romaniszyn L.

2 Kaleta D.

2 Polańska K.

1 Balwicki Ł.

1 Hanke W.

1 Makowiec-Dąbrowska T.

1 Milcarz K.

1 Milcarz M.

2 2019

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Perceived cessation treatment effectiveness among socially disadvantaged light and heavy smokers

Perceived barriers and motivators to smoking cessation among socially-disadvantaged populations in Poland