Exploring Greek midwives' knowledge, attitudes, and practices in perinatal smoking: A cross-sectional study.

Position Statement on Tobacco Exposures in Children and Families

Promoting smoking cessation in pharmacy practice: Tips for busy pharmacists

Interventions to reduce tobacco use in people experiencing homelessness.

Ngaaminya (find, be able to see): summary of key findings from the Which Way? project

ABSTRACTIntroduction: Our aim was to investigate changes in smoking prevalence, smoking cessation support and factors associated with successful smoking cessation in patients with asthma and COPD.Methods: Questionnaires about available smoking cessation resources were completed by 54 primary health-care centers and 14 hospitals in central Sweden in 2005 and 2012. Patient data were collected using record reviews and patients questionnaires for two cohorts of randomly selected asthma and COPD patients in 2005 (n = 2306; with a follow up in 2012), and in 2014/2015 (n = 2620). Smoking prevalence, available individual and group smoking cessation support, and factors associated with successful smoking cessation were explored.Results: Smoking prevalence decreased from 11% to 6% (p < 0.0001) in patients with asthma but was almost unchanged in patients with COPD (28 to 26%, p = 0.37). Smoking cessation support increased from 53% to 74% (p = 0.01). A high cardiovascular risk factor level, including diabetes mellitus and hypertension was associated with improved smoking cessation in patients with asthma (OR (95% CI) 3.87 (1.04–14.4), p = 0.04). A higher magnitude success was observed in men with asthma (OR (95% CI) 27.9 (1.73–449), p = 0.02). More highly educated women with asthma had successful greater smoking cessation (4.76 (1.22–18.7), p = 0.04). No significant associations were found in COPD.Conclusions: The smoking prevalence in patients with asthma but not in COPD has almost halved in Sweden during a 7-year period. The availability of smoking cessation support has increased. Suggested factors related to successful smoking cessation are higher level of education in women with asthma and cardiovascular risk factors in men and women with asthma.

Community mental healthcare providers’ attitudes and practices related to smoking cessation interventions for people living with severe mental illness

BackgroundDespite persistent tobacco control efforts, the prevalence of smoking, especially among low-income populations, remains high. The prevalence of tobacco use among the primarily low-income populations served by Federally Qualified Health Centers (FQHCs), is approximately 5 percentage points higher than the national average. Evidence based interventions such as clinician delivered tobacco cessation counseling are brief and effective, however, providers are often faced with various barriers that impede their ability to offer tobacco related counseling consistently. The purpose of this study was to understand multilevel and multi-perspective barriers and facilitators to implementing tobacco screening and cessation counseling at a large, multi-site FQHC.MethodsThis study used a descriptive qualitative design. Semi-structured interviews were conducted among a diverse group of FQHC staff including providers, clinical staff (e.g., nurse, medical assistant), clinic site managers, and administrators. Interviews were guided by the Practical, Robust Implementation and Sustainability Model (PRISM), lasting an average of 35 min. Data analysis included descriptive statistics to summarize participant characteristics and applied thematic analysis to identify themes related to barriers and facilitators in implementing tobacco screening and cessation counseling.ResultsSixteen FQHC staff participated in the study. Participants were between the ages of 31–69 years old (M = 47.6, SD = 11.2) and had 4–45 years of medical experience (Median = 17.25). Participants represented various roles within the FQHC with 8 Providers, 5 Administrators, and 1 Registered Nurse, Care Coordinator, and Medical Assistant each. Key themes were identified across PRISM contextual domains, including provider knowledge gaps and time constraints, patients’ motivation to quit and hesitation to disclose tobacco use, as well as external referral challenges. Prioritizing tobacco cessation alongside other important health conditions, coupled with rapport building and involving dedicated support staff in tobacco cessation efforts, were perceived to be key strategies to increase consistent delivery of tobacco cessation services.ConclusionThis study sheds light on the multifaceted barriers and facilitators to implementing tobacco cessation services within a large multi-site FQHC. By addressing these key determinants, FQHCs can further enhance ongoing efforts to reduce tobacco use among low-income communities and improve patients’ overall health.Title registrationNot applicable.Supplementary InformationThe online version contains supplementary material available at 10.1186/s12913-025-13617-5.

IntroductionAboriginal and Torres Strait Islander people want to quit smoking. There is global evidence of combination nicotine replacement therapy (c-NRT) alongside behavioral support as a best practice approach to smoking cessation care. However, there is limited adherence and acceptability research regarding NRT and behavioral supports for Aboriginal and Torres Strait Islander people. Similarly, there is limited research on what is considered culturally appropriate and safe support for Aboriginal and Torres Strait Islander people to quit smoking.Aims and MethodsThis Aboriginal-led qualitative study explored the acceptability of the Koori Quit Pack. Aboriginal and Torres Strait Islander participants shared their experiences of quitting with the mailout c-NRT program and behavioral cessation support through Yarning. Collaborative Yarning and reflexive thematic analysis was used to develop themes.ResultsAboriginal and Torres Strait Islander people are motivated to quit smoking and have accessed cessation supports from health professionals. However, the support(s) received are not always appropriate or culturally safe. The Koori Quit Pack was deemed acceptable and useful for smoking cessation. Having access to smoking cessation care and knowledge of c-NRT helped people quit smoking and support others to quit too.ConclusionsA combination of NRT products alongside culturally responsive behavioral support(s), delivered through a mailout package was a beneficial strategy to help Aboriginal and Torres Strait Islander people quit smoking. National implementation of such a package could assist to accelerate reductions in tobacco use, helping meet national smoking reduction targets and improve health outcomes.ImplicationsCessation supports offered to Aboriginal and Torres Strait Islander people are not always culturally safe or effectively delivered. The Koori Quit Pack provided Aboriginal and Torres Strait Islander people with culturally safe smoking cessation support delivered for and by Aboriginal and Torres Strait Islander people, demonstrating mailout smoking cessation supports as acceptable and highly valued. Mailout support eliminates accessibility barriers to cessation care while providing tools and knowledge to quit can lead to smoke-free behaviors among individuals and communities. Country-wide availability of this program can accelerate reductions in tobacco use, helping meet national targets and improve health outcomes consistent with the National Tobacco Strategy and the WHO Framework Convention on Tobacco Control.

Since August 2009, members of the Primary Care Dentistry Research Forum (www.dentistryresearch.org) have taken part in an online vote to identify questions in day-to-day practice that they felt most needed to be answered with conclusive research. The question that receives the most votes each month forms the subject of a critical appraisal of the relevant literature. Each month a new round of voting takes place to decide which further questions will be reviewed. Dental practitioners and dental care professionals are encouraged to take part in the voting and submit their own questions to be included in the vote by joining the website. The paper below details a summary of the findings of the eighth critical appraisal. In order to address the question raised by the primary care dentistry research forum, first any international study was included that evaluated the effectiveness smoking cessation in dental practice. The aim was to understand whether smoking cessation in dental practice is an effective treatment strategy to increase tobacco cessation and abstinence. Moreover, this rapid assessment intended to identify whether there are certain types of smoking cessation intervention (or components of an intervention) in dental settings that are more effective than the others. In order to determine the applicability of the results to the NHS, we also looked for studies evaluating the cost-effectiveness of these interventions in NHS dentistry, studies reporting the current practice in NHS dentistry and finally qualitative and quantitative studies describing and evaluating the experience and views of dentists in the UK regarding implementing smoking cessation interventions in dental settings. The latter studies would help us to identify the possible barriers and facilitators in implementing these interventions in a dental setting. In conclusion, the critical appraisal of the international literature suggests that behavioural intervention for smoking cessation involving oral health professionals is an effective method of reducing tobacco use in smokers and users of smokeless tobacco and preventing uptake in non-smokers. There is not enough evidence available to assess whether these interventions are cost-effective and the effectiveness of one intervention (or component of the intervention) over another is not clear. The evaluation of the UK-related literature shows that private dental practices deliver more smoking cessation activities than their NHS counterparts. NHS practitioners report lack of reimbursement from the NHS, lack of time and training and fears over patient response as barriers to delivering smoking cessation interventions. We did not find studies evaluating the cost-effectiveness of the intervention in the UK.

BackgroundWhile much progress has been made in reducing tobacco use in many countries, both active and passive smoking remain challenges. The benefits of smoking cessation are universally recognized, and the hospital setting is an ideal setting where smokers can access smoking cessation services as hospital admission can be a cue to action. Consistent delivery of good quality smoking cessation care across health services is an important focus for reducing the harm of tobacco use, especially among continued smokers.AimsOur objective was to document the smoking cessation medication and support services provided by specialist adult cancer hospitals across Ireland, a country with a stated tobacco endgame goal.MethodsA cross-sectional survey based on recent national clinical guidelines was used to determine smoking cessation care delivery across eight specialist adult cancer tertiary referral university hospitals and one specialist radiotherapy center. Survey responses were collected using Qualtrics, a secure online survey software tool. The data was grouped, anonymized, and analyzed in Microsoft Excel.ResultsAll responding hospitals demonstrated either some level of smoking cessation information or a service available to patients. However, there is substantial variation in the type and level of smoking cessation information offered, making access to smoking cessation services inconsistent and inequitable.ConclusionThe recently launched National Clinical Guideline for smoking cessation provides the template for all hospitals to ensure health services are in a position to contribute to Ireland’s tobacco endgame goal.

The possibility of successful smoking cessation is increased by early initiation. Therefore, promoting smoking cessation at early age (especially among 14-35-year-olds) has a key role in reducing tobacco use prevalence. Facebook is one of the most popular websites among adolescents and young adults which can be used for age-specific smoking cessation support. Our research seeks to reveal the effects of a Facebook page on smoking habits, smoking cessation knowledge and attitudes among 14-35-year-olds. An online survey was conducted among the 3278 followers of the author's Facebook page. The questionnaire was completed by 332 people among 14-35-year-olds. We analysed demographic data, smoking habits, the usage frequency and duration of the Facebook page as well as changes in smoking habits, smoking cessation knowledge and attitudes. The average age was 22.57 ± 5.08 years. The examined population consisted of 65% currently smokers, 12% former smokers and 23% non-smokers. Significantly more people reported a positive change in their smoking habits and smoking cessation attitudes among smokers who used the Facebook page more frequently and with longer duration (p<0.05). The habit and attitude changes were significantly higher among smokers who plan to quit smoking (p<0.01). Nevertheless, we also observed attitude changes between 12-25% among smokers who did not plan to quit. Among non-smokers, the positive attitude changes were significantly higher in the low-educated population who live in villages (p<0.01). This Facebook page had a positive effect on smoking habits, smoking cessation knowledge and attitudes among 14-35-year-olds. The contents of the Facebook page could be used to prevent smoking and support smoking cessation among 14-35-year-olds. Orv Hetil. 2019; 160(6): 220-227.

Smoking is a major public health problem in Qatar. The potential for community pharmacists to offer smoking cessation counseling in this country can be high. To determine the current smoking cessation practices of community pharmacists in Qatar, to examine their attitudes about tobacco use and smoking cessation, to evaluate their perceptions about performing professional roles with respect to smoking cessation and to assess their perceived barriers for smoking cessation counseling in the pharmacy setting in Qatar. Community pharmacies in Qatar. The objectives were addressed in a cross sectional survey of community pharmacists in Qatar from June 2010 to October 2010. A phone call was made to all community pharmacists in Qatar (318 pharmacists) inviting them to participate. Consenting pharmacists anonymously completed the survey either online or as paper using fax. Data was analyzed using Statistical Package of Social Sciences (SPSS®) Version 18. Qatar community pharmacists' smoking cessation practices, their attitudes toward tobacco use, smoking cessation and smoking cessation counseling and their perceived barriers for smoking cessation counseling. Over 5 months, we collected 127 surveys (40 % response rate). Only 21 % of respondents reported that they always or most of the time asked their patients if they smoke. When the patients' smoking status was identified, advising quitting and assessing readiness to quit were always or most of the time performed by 66 and 52 % of respondents respectively. Only 15 % always or most of the time arranged follow-up with smokers and 22 % always or most of the time made smoking cessation referrals. Most respondents (>80 %) agreed that smoking could cause adverse health effects and that smoking cessation could decrease the risk of these effects. In addition, the majority (>80 %) believed that smoking cessation counseling was an important activity and was an efficient use of their time. The top two perceived barriers for smoking cessation counseling were lack of time (65 % of respondents) and lack of patients' interest in smoking cessation (54 %). Qatar community pharmacists have positive attitudes toward smoking cessation counseling. These attitudes need to be translated into action. Interventions should be implemented to overcome perceived barriers and to improve smoking cessation activities among pharmacists.

The number of orthopedic surgeries performed in the United States has increased substantially over the past several years. The most recent data available from the Agency for Healthcare Research and Quality indicate that five of the 10 operative procedures most commonly performed during inpatient stays involve the musculoskeletal system. Cigarette smoking is one of the most prevalent and preventable risk factors for musculoskeletal disorders and orthopedic surgery complications. This article discusses the effects of smoking on bone health, the importance of smoking cessation among patients scheduled for or recovering from orthopedic surgery, and the vital role nurses play in supporting patient efforts to lead a tobacco-free life.

Ten Million Calls and Counting: Progress and Promise of Tobacco Quitlines in the U.S.

System change interventions for smoking cessation in hospitalised patients