Smoking Cessation Experiences Research Articles

Dietary supplementation with a wild green oat extract (Avena sativa L.) to improve wellness and wellbeing during smoking reduction or cessation: a randomized double-blind controlled study.

Smoking reduction or cessation are critical public health goals, given the well-documented risks of tobacco use to health. Reducing smoking frequency and cessation entirely are challenging due to nicotine addiction and withdrawal symptoms, which can significantly affect mental wellness and overall wellbeing. Previous research has suggested that certain dietary supplements may support smoking cessation and reduction efforts by mitigating these adverse effects. The objective of this study was to assess the effect of supplementation with 900 mg/day of Neuravena®, a green oat extract (GOE) of Avena sativa L., in enhancing wellness and wellbeing during a smoking reduction or cessation experience. This was an 8-week randomized, double-blind, placebo-controlled study, ClinicalTrials Identifier: NCT04749017 (https://classic.clinicaltrials.gov/ct2/show/NCT04749017). Participants were assigned to one of the study groups, 72 participants were assigned to GOE and 73 to placebo. The subjects were followed for 8-weeks intervention period as well as an additional 4-week follow-up period. At subsequent visits, they underwent clinical assessments including assessments of quality of life, perceived stress, depression, nicotine dependence, anxiety, cognitive performance, and specific assessments of craving intensity. GOE was associated with greater improvements in elements of the abbreviated World Health Organization Quality of Life (WHOQOL-BREF) questionnaire as compared with placebo. Similar results were obtained from the SF-36 questionnaire and a visual QoL analogue scale (VAS). Perceived stress levels showed greater decline from baseline among the GOE supplemented participants as compared to placebo. Sleep quality parameters improved with GOE supplementation and worsened in the placebo group. At the end of the intervention period, the percentage of successful reducers (defined as >20% reduction in daily cigarettes) was higher in the GOE group as compared to placebo (66.7% vs. 49.3%, p = 0.034). The improvements from baseline in QoL measures in the GOE group persisted at 4 weeks after termination of the intervention. GOE supplementation demonstrated greater improvements in quality of life measures, stress and sleep related parameters during a smoking reduction or cessation experience and the product was shown to be safe and well tolerated.

IDF23-0443 Experiences of smoking and smoking cessation in people living with Diabetes Mellitus: A systematic review

IDF23-0443 Experiences of smoking and smoking cessation in people living with Diabetes Mellitus: A systematic review

Therapeutic Analysis of Smoking Cessation Efforts: Literature Review

Background: Smoking is one of the most major health problems leading to the emergence of cardiovascular disease, lung disease, and cancer in the world. Smoking cessation experiences from various backgrounds of therapy types can be input to develop successful smoking cessation strategies. Objective: This literature review is to provide comprehensive information regarding types of therapies and how support and needs are encountered to successfully quit smoking. Method: This study uses the Literature review method using PRISMA Checklist guidelines and takes electronic database data sources, namely Science direct, Google Schloar, PubMed and Perpusnas with articles published from 2013 to 2022 with the keyword smoking cessation therapy. After selection and identification according to the inclusion criteria, there were 15 articles reviewed. Results: Based on the results of an analysis of 15 research articles reviewed. There are 7 types of smoking cessation therapy including Spiritual Emotional Freedom Technique (SEFT), Cognitive Restructuring, N-Acetylcystein Mucolytic Therapy, Nicotine Replacement Therapy (NRT), Varenicline Therapy, Self-Control Therapy and Hypnoterapy. Conclusion: Smoking cessation therapy is divided into 2 parts, namely Pharmacotherapy (N- Acetylcystein Mucolytic Therapy, Nicotine Replacement Therapy (NRT), Varenicline Therapy) and Non Pharmacotherapy (Spiritual Emotional Freedom Technique (SEFT), Cognitive Restructuring, Self- Control Therapy and Hypnoterapy

Smoking Histories by State in the U.S.

Smoking rates across U.S. states have declined at different rates over time because some states have progressive tobacco control policies, whereas others have yet to adopt them. Therefore, each state has its own unique historical experience of smoking initiation, cessation, and prevalence. This study characterizes smoking histories for each U.S. state by birth cohort. Using 1965-2018 National Health Interview Survey and 1992-2019 Tobacco Use Supplement to the Current Population Survey data, statistical methods applied an age‒period‒cohort modeling framework to reconstruct population-level smoking histories for each state. Smoking initiation, cessation, and intensity by age, gender, and cohort were estimated for each state. These were used to construct state-specific trends in the prevalence of current, former, and never smoking as well as the mean smoking duration and pack years. Analysis was conducted from 2017 to 2022. California and Kentucky, respectively, are exemplar states of more and less aggressive tobacco control. Initiation probabilities were consistently lower in California than in Kentucky, and cessation probabilities were higher. Hence, the smoking prevalence derived from these parameters is higher in Kentucky. The intensity of cigarette smoking was higher in Kentucky than in California, yielding considerably higher estimated pack years when used with the other parameters. Summaries of smoking trends are given for all states. Smoking initiation, cessation, and intensity trends vary substantially across states, resulting in major differences in estimated smoking prevalence, duration, and pack years. Some states show improvements in smoking metrics over time with more recent birth cohorts, but others have shown very little.

Self-Reflection Program as A Future Healthcare Worker: The Smoking Cessation Experience of Health Science Students

Introduction: Smoking is one of the behaviors that is a risk factor for various diseases and can cause death. Health workers have a big role in promotive and preventive as well as curative and rehabilitative efforts by controlling risk factors by advising patients not to smoke. However, it was found that health workers and health students still smoked. It is a challenge for health study program students to try to stop smoking. Research Objective: This study aims to explore the experiences of students from the Faculty of Health Sciences in an effort to stop smoking after participating in a self-reflection program on their role in the future as health workers, especially counsellors for patients. Method: This study uses a phenomenological method with an in-depth interview approach. The participants in this study were 14 undergraduate students from the Faculty of Medicine and Health Sciences. Data analysis in this study used inductive analysis. This research has passed the ethical test from the Faculty of Medicine and Health Sciences UMY. Results: There are five themes that describe participants' experiences of the self-reflection program that they have participated in 1) Mind Blowing: Contradicting the role of participants in the future as health workers with current smoking habits, 2) Awareness of inappropriate smoking behaviour for health workers, 3) Be aware of the dangers of smoking not only for yourself but also for others, 4) Increase motivation to quit smoking, 5) Gaining insight into how to quit smoking. Conclusion: A self-reflection program for smoking cessation efforts can increase motivation and help reflect on participants to stop smoking. This effort can be used as one of the counsellor’s methods in smoking cessation to help students in the health program quit smoking. Abstrak: Latar Belakang: Merokok merupakan salah satu perilaku yang menjadi fator resiko berbagai penyakit dan dapat menyebabkan kematian. Tenaga Kesehatan memiliki peran besar dalam upaya promotif dan preventif serta kuratif dan rehabilitative dengan mengendalikan factor resiko dengan menyarankan pasien untuk tidak merokok. Akan tetapi ditemukan tenaga kesehatan maupun mahasiswa kesehatan yang masih merokok. Menjadi tantangan tersendiri bagi mahasiswa program studi kesehatan untuk berupaya berhenti merokok. Tujuan Penelitian: Penelitian ini bertujuan untuk menggali pengalaman mahasiswa fakultas ilmu Kesehatan dalam upaya berhenti merokok setelah mengikuti program refleksi diri akan perannya di masa depan sebagai tenaga kesehatan khususnya konselor untuk pasien. Metode: Penelitian ini menggunakan metode fenomenologi dengan pendekatan wawancara mendalam. Partisipan dalam penelitian ini berjumlah 14 mahasiswa program sarjana Fakultas Kedokteran dan Ilmu Kesehatan. Analisis data dalam penelitian ini menggunakan induktif analisis. Penelitian ini sudah lulus uji etik dari Fakultas Kedokteran dan Ilmu Kesehatan UMY. Hasil: Terdapat lima tema yang dirasakan oleh partisipan setelah mengikuti program refleksi diri yaitu : 1) Mind blowing: mengguggah pikiran akan kontradiksi peran di masa depan sebagai konselor yang akan menyadarkan bahaya merokok dengan kondisi sekarang yang masih merokok, 2) Menyadarkan bahwa perilaku merokok tidak pantas untuk tenaga kesehatan; 3) Meningkatkan motivasi berhenti merokok; 4) Menambah wawasan metode berhenti merokok; 5) Menyadarkan bahawa merokok merugikan diri sendiri dan orang lain. Kesimpulan: Program refleksi diri sebagai upaya berhenti merokok untuk mahasiswa Kesehatan dapat meningkatkan motivasi dan membantu partisipan untuk berhenti merokok. Upaya ini dapat dijadikan sebagai salah satu cara konselor dalam upaya berhenti merokok untuk membantu mahasiswa program kesehatan berhenti merokok.

Exploring smoking cessation experiences among persons with spinal cord injury: Informing theory-based recommendations for interventions.

Qualitative study. Use an integrated knowledge translation (IKT) and theory-based approach, to (1) explore factors influencing smoking cessation behaviour among people with SCI, and (2) explore the preferred intervention and implementation options for smoking cessation interventions for persons with SCI. Community. Aligned with an IKT approach, an SCI organization was meaningfully engaged throughout the research process. Semi-structured interviews were conducted with people with SCI who have quit or tried to quit smoking. Barriers and facilitators to smoking cessation were extracted and deductively coded using the Theoretical Domains Framework (TDF) and inductively analysed. To identify intervention options, a behavioural analysis was conducted using the Behaviour Change Wheel. To identify implementation options, modes of delivery and intervention messengers were extracted. Modes of delivery were deductively coded, and themes relating to intervention messengers were constructed. Among the 12 participants (7 males; 6 with tetraplegia), seven had quit and five had relapsed. Across the 12 interviews, 130 barriers and 218 facilitators were coded to the TDF. The prominent TDF domains were beliefs about consequences, social influences, environmental context and resources, and behavioural regulation, and served as themes in the inductive analysis. Multiple modes of delivery and intervention messengers were considered important for the delivery of smoking cessation interventions. This study is the first to use IKT and theory-based approaches to explore factors influencing smoking cessation among persons with SCI. Findings from this study resulted in the co-development of practical recommendations for future SCI-specific smoking cessation interventions.

The experience of nicotine dependence among adolescent smokers

A cigarette contains nicotine substance that can cause smokers to become dependent on nicotine. Smokers who are already addicted will experience withdrawal syndrome. The earlier age people smoke at, the higher level of dependence they have. The adverse effect of nicotine dependence is that smokers will find it difficult to stop smoking. This study aimed to investigate the experiences of adolescent smokers who are dependent on nicotine. This was a qualitative study conducted with a phenomenological approach. Data were collected through an in-depth interview with five informants who were selected through purposive sampling technique. Triangulation was employed to enhance the credibility of the study. Data were analyzed using a phenomenological approach. This study resulted in four main themes, namely: age to start smoking; the causes of smoking; perceptions of smoking; experience of smoking cessation. Conclusion that can be drawn for this study was smoking abstinence led to anxiety, decreased concentration and craving to cigarette. The smokers need to educate about the nicotine withdrawal symptoms that they can anticipate it when symptoms appeared.

My quitting stories: A qualitative study exploring Aboriginal women’s experiences of smoking cessation and preventing relapse in the context of pregnancy

BackgroundMost women who give up smoking during pregnancy relapse to smoking postnatally. Evidence on strategies that are helpful in maintaining smoking cessation during and beyond pregnancy is limited. AimThis paper aims to explore Aboriginal women’s experiences of quitting smoking, relapsing, and preventing relapse, focusing on the strategies they applied for attaining and maintaining abstinence and the support they received. MethodsQualitative interviews were conducted between October 2020 and June 2021, in urban New South Wales, Australia, with 12 Aboriginal women who either smoked tobacco or quit smoking and had been pregnant in the last five years. Aboriginal Research Assistants recruited participants, participated in data collection and data analysis. Data were thematically analysed. ResultsMajor themes that emerged from the data include: a) aspiration to be abstinent; b) strong mindset; c) strategies to stay smoke-free; d) supports received; and e) service and policy recommendations. Protecting children from second-hand smoke had salience for the maintenance of abstinence. Having a strong mindset was perceived as a prerequisite to staying smoke-free. Use of multiple coping strategies in combination was frequently expressed. Knowledge about tobacco-related harms, the way nicotine dependence works, and the available support options was empowering and enabled informed decision making and actions around smoking cessation. ConclusionThis qualitative study conducted with 12 Aboriginal women revealed that Aboriginal women employ multiple strategies (cognitive, behavioural and social) to quit smoking and stay smoke-free. The strategies warrant further exploration with different Aboriginal communities across Australia and consideration of inclusion in smoking cessation care.

Methods and factors influencing successful smoking cessation in Thailand: A case-control study among smokers at the community level.

INTRODUCTIONDespite comprehensive tobacco control policies being in place since 1992, smoking prevalence in Thailand has not declined since 2009, indicating a potential need for individual-level measures. This study examined factors influencing successful smoking cessation attempts in Thailand.METHODSWith a case-control design, smoking cessation experiences of 284 successful (defined as having quit smoking for at least six months) and 837 unsuccessful quitters, who were all lifetime daily smokers, were compared, using sociodemographic data, smoking behaviors, and smoking cessation experiences from their last quitting attempt. Data were collected between August and December 2020. Multivariate-adjusted logistic regressions were employed.RESULTSUnaided smoking cessation was the most popular method among Thais attempting to quit smoking; more than 99% of both successful and unsuccessful quitters used this method. A significantly higher proportion of successful quitters favored stopping their smoking abruptly than did unsuccessful quitters. Depending on the cessation phases (nicotine withdrawal or relapse prevention), cessation-supporting factors included a doctor’s recommendation to stop smoking due to smoker’s sickness (OR=2.6; 95% CI: 1.9–3.6), having a grandchild (OR=2.5; 95% CI: 1.1–5.6) or child (OR=2.0; 95% CI: 1.2–3.1), exercising (OR=13.9; 95% CI: 7.2–26.9), avoiding smokers (OR=6.7; 95% CI: 4.1–11.1), self-efficacy (OR=8.5; 95% CI: 3.6–20.0), having a good appetite (OR=1.9; 95% CI: 1.3–2.8), wishing to avoid the unpleasant smell of other people’s smoking after cessation (OR=3.7; 95% CI: 2.5–5.5), smoking prohibitions in public places (OR=2.8; 95% CI: 1.2–6.4) and workplaces (OR=4.5; 95% CI: 1.9–10.3), and expensive tobacco (OR=1.9; 95% CI: 1.3–2.9). Barriers to successful cessation included using roll-your-own (OR=0.4; 95% CI: 0.3–0.5), insomnia (OR=0.3; 95% CI: 0.2–0.5), social pressure to smoke (OR=0.4; 95% CI: 0.3–0.6), associating smoking with a habit/specific activity (OR=0.4; 95% CI: 0.3–0.5), and pleasure of smoking (OR=0.5; 95% CI: 0.3–0.7).CONCLUSIONSThis study highlights several factors found to influence successful smoking cessation among Thai smokers which can be used to design a guideline for unaided smoking cessation, and for smoking cessation enhancement programs and policies.

Exploring pregnant women's experiences of stopping smoking with an incentive scheme with 'enhanced' support: a qualitative study.

This study aims to understand pregnant women's experiences of smoking cessation with an incentive scheme in a deprived UK city. This is important because smoking cessation with pregnant women is one of the most crucial public health initiatives to promote, and is particularly challenging in deprived areas. While financial incentive schemes are controversial, there is a need to better understand pregnant women's experiences. The scheme combined quasi-financial incentives (shopping vouchers) for validated quits (carbon monoxide (CO) validated at < 10 ppm), enhanced support from smoking cessation advisors, the opportunity to identify a 'Significant Other Supporter' and nicotine replacement therapy. With the focus on understanding pregnant women's experiences, a qualitative design was adopted. Semi-structured interviews were completed with 12 pregnant women from the scheme, and the three advisors. All interviews were transcribed, and thematic analysis conducted. Pregnant women reported various challenges to quitting, including long-established routines, and stress. Participants were aware of stigma around incentives but were all very positive about the scheme. The relationship with advisors was described as fundamental. The women valued their advice and support, while uptake of the 'Significant Other Supporter' appeared low. Participants viewed the CO monitoring as 'an incentive', while the vouchers were framed as a 'bonus'. Advisors perceived the vouchers as helping engage pregnant women and maintain quit status, and women appreciated the vouchers both as financial assistance and recognition of their accomplishments. This study highlights the great value women placed on the support, advice and monitoring from specialist advisors. The distinction between vouchers as a welcomed bonus, rather than 'the incentive' to engage, is important. How smoking cessation and schemes to promote this are communicated to pregnant women and health professionals is important, particularly given the stigma and controversy involved.

우리나라 청소년들의 흡연유형 경험 영향요인

Objectives: The purpose of this study is to investigate the factors that affect the smoking type among those who have used regular cigarettes, liquid or cigarette-type e-cigarettes. Methods: The subjects of analysis were 6,081 people who had smoked regular cigarettes or e-cigarettes. For data analysis, SPSS ver.25.0 statistical package program was used. Multinomial logistic regression analysis was performed to find out the factors affecting smoking type. Results: Factors affecting the experience of using e-cigarettes compared to regular cigarette smoking are gender and class. Academic performance, living with family members, drinking experience, and secondhand smoke in school. The factors influencing dual use compared to regular cigarette smoking were gender, class, academic performance, economic status, living with family, drinking experience, and experience of secondhand smoke in school. Smoking cessation attempts had an effect on dual use compared to regular cigarette smoking. Conclusion: Smoking cessation experience had a greater effect on e-cigarette use than regular cigarette smoking.

The influence of smoking on oral health and patient evaluation of tobacco cessation help from dentists working in the dental college of Bareilly city

Introduction: Dentists play a key role in assisting patients in quitting smoking. Dentists’ competence in smoking cessation as part of regular patient treatment is studied in this research. Methodology: Two hundred twenty-six patients were selected from the Institute of Dental Sciences Bareilly’s smoke cessation center to complete in-person cross-sectional research about previous dental visits Patients’ smoking patterns, as well as their smoking cessation experience from their dentists, and willingness for dentists to apply smoking cessation recommendations were all covered in the survey. Results: Overall, 38 percent of the subjects were current smokers, 8% were former smokers, and 68% had tried to stop smoking before. Former/non-smokers had significantly greater plaque index, gingival index, and probing depth levels than smokers (p0.05). The dentists’ approach to cessation conversations, on the other hand, was limited to a list of the negative consequences. Only 32% of patients were told about the negative impacts of tobacco, and only a third were encouraged to quit. Conclusions: Smoking causes dental health issues. Dentists in Bareilly City may inquire about their patients’ smoking habits, but they are less likely to provide actual assistance in quitting.

Examining Cannabis, Tobacco, and Vaping Discourse on Reddit: An Exploratory Approach Using Natural Language Processing.

Background: Perceptions of tobacco, cannabis, and electronic nicotine delivery systems (ENDS) are continually evolving in the United States. Exploring these characteristics through user generated text sources may provide novel insights into product use behavior that are challenging to identify using survey-based methods. The objective of this study was to compare the topics frequently discussed among Reddit members in cannabis, tobacco, and ENDS-specific subreddits.Methods: We collected 643,070 posts on the social media site Reddit between January 2013 and December 2018. We developed and validated an annotation scheme, achieving a high level of agreement among annotators. We then manually coded a subset of 2,630 posts for their content with relation to experiences and use of the three products of interest, and further developed word cloud representations of the words contained in these posts. Finally, we applied Latent Dirichlet Allocation (LDA) topic modeling to the 643,070 posts to identify emerging themes related to cannabis, tobacco, and ENDS products being discussed on Reddit.Results: Our manual annotation process yielded 2,148 (81.6%) posts that contained a mention(s) of either cannabis, tobacco, or ENDS with 1,537 (71.5%) of these posts mentioning cannabis, 421 (19.5%) mentioning ENDS, and 264 (12.2%) mentioning tobacco. In cannabis-specific subreddits, personal experiences with cannabis, cannabis legislation, health effects of cannabis use, methods and forms of cannabis, and the cultivation of cannabis were commonly discussed topics. The discussion in tobacco-specific subreddits often focused on the discussion of brands and types of combustible tobacco, as well as smoking cessation experiences and advice. In ENDS-specific subreddits, topics often included ENDS accessories and parts, flavors and nicotine solutions, procurement of ENDS, and the use of ENDS for smoking cessation.Conclusion: Our findings highlight the posting and participation patterns of Reddit members in cannabis, tobacco, and ENDS-specific subreddits and provide novel insights into aspects of personal use regarding these products. These findings complement epidemiologic study designs and highlight the potential of using specific subreddits to explore personal experiences with cannabis, ENDS, and tobacco products.

Slovenian Coalition for Public Health, Environment and Tobacco Control: 17 years of experience of smoking cessation and counselling with the support of ENSP and Slovenian Ministry of Health

Slovenian Coalition for Public Health, Environment and Tobacco Control: 17 years of experience of smoking cessation and counselling with the support of ENSP and Slovenian Ministry of Health

Factors Associated with Smoke-Free Pregnancy among Aboriginal and Torres Strait Women and Their Experience of Quitting Smoking in Pregnancy: A Mixed Method Cross-Sectional Study.

Smoke-free pregnancies have long-term health benefits for mothers and babies. This paper quantitatively examines factors associated with smoke-free pregnancies among Aboriginal and Torres Strait Islander women (hereafter Aboriginal women) and qualitatively explores their smoking cessation (SC) experiences during pregnancy. An Aboriginal-led online cross-sectional study on SC was conducted with Aboriginal women and in partnership with Aboriginal communities, between July and October 2020. The present analysis includes participants who made a pregnancy-related quit attempt (N = 103). Chi-squared tests, logistic regression models, and thematic analysis of free-form text responses were performed. The adjusted odds of having smoke-free pregnancies were 4.54 times higher among participants who used Aboriginal Health Services (AHS) (AOR = 4.54, p-value 0.018). Participants living in urban settings had 67% lower odds of having smoke-free pregnancies compared to their regional/remote counterparts (AOR = 0.33, p-value 0.020). Qualitative data revealed strong motivations to reduce tobacco-related harms to the fetus and variability in quitting experiences at different stages of and across pregnancies. Smoking cessation care (SCC) can support Aboriginal women meaningfully if their quitting experiences are considered in SCC development and implementation. Consistent funding for AHS-led SCC is needed to garner health benefits for Aboriginal peoples. More research into urban versus regional/remote differences in maternal SC is recommended.

In Case You Haven't Heard…

A report just released from Israel finds that individuals with behavioral health issues, specifically serious mental illness (SMI), do want to quit smoking. The study, titled “Comparison of Perceptions and Smoking Cessation Experiences Between Smokers With and Without Serious Mental Illness in a Large Health Maintenance Organization,” indicated “Persons with serious mental illness (PWSMI) have similar levels of motivation and intention to quit smoking as those without SMI. However, they are disadvantaged by the reduced support received from their family physicians and lower cessation medication usage.” According to the report, irrespective of mental health status, the most significant predictor of abstinence was the use of smoking cessation prescription medications. Family physicians were significantly less likely to inquire about motivation to quit, refer to smoking cessation programs, or prescribe smoking cessation medications for PWSMI than for people without SMI. Efforts to promote the implementation of smoking cessation treatment guidelines will help promote smoking abstinence among PWSMI.

Comparison of Perceptions and Smoking Cessation Experiences Between Smokers With and Without Serious Mental Illness in a Large Health Maintenance Organization

Objective Smoking prevalence is threefold higher among people with serious mental illness (PWSMI) than in the general population, yet smoking cessation rates for PWSMI are lower. Numerous reasons have been posited as to why tobacco use is higher and abstinence rates are lower among PWSMI. This study explores smoking cessation perceptions and experiences among PWSMI and people without serious mental illness (SMI). Methods Participants in this cross-sectional study were recruited from among members of a large health maintenance organization (HMO) in Israel who had registered for or commenced a smoking cessation program in 2015 through 2017. The sample comprised 208 PWSMI and a matched sample of people without SMI (N = 428). Telephone surveys were used to collect information about smoking status and smoking/cessation history, use of smoking cessation programs and aids (prescription medications, nicotine replacement therapy, electronic cigarettes), motivation and intention to quit, self-efficacy (to quit), smoking cessation outcome expectancies, physician support to quit, barriers and facilitators for those who had not quit, and reinforcements/challenges for those who had quit. Results Of those without SMI, 27% quit smoking compared to 20% of PWSMI (p = .051). Irrespective of mental health status, the most significant predictor of abstinence was the use of smoking cessation prescription medications. Family physicians were significantly less likely to inquire about motivation to quit, refer to smoking cessation programs, or prescribe smoking cessation medications for PWSMI than for people without SMI. Beyond these factors, no differences were noted between respondents with and without SMI regarding motivation to quit, intention to quit, and abstinence self-efficacy. PWSMI who had not quit were more likely to be concerned about how quitting might affect their functioning and how they would pass the time without cigarettes. Conclusions PWSMI have similar levels of motivation and intention to quit smoking as those without SMI. However, they are disadvantaged by the reduced support received from their family physicians and lower cessation medication usage. Efforts to promote the implementation of smoking cessation treatment guidelines will help promote smoking abstinence among PWSMI.

Smoking-Related Characteristics of Lung Cancer Patients With Alcohol Use Problems

Objectives: This study was designed to investigate the smoking-related characteristics of lung cancer patients with alcohol use problem. Methods ： A total of 200 histologically confirmed lung cancer patients who had a current smoking status at the time of cancer diagnosis were recruited into this study. Demographic and smoking- related characteristics were assessed. Smoking-related characteristics, including smoking onset and duration, experiences of smoking cessation, Fagerstrom Test for Nicotine Dependence (FTND), and Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria for tobacco use disorder, were assessed. The Korean version of Alcohol Use Disorders Identification Test (AUDIT-K) was used to classify the alcohol use problem group and the non-alcohol use problem group. Results ： Lung cancer patients with alcohol use problem smoked more number of cigarettes per day. Smoking cessation attempts, duration of the longest smoking cessation, and experiences of smoking cessation treatment did not differ between the two groups. The alcohol use problem group showed a higher FTND score and prevalence of severe tobacco use disorder. Conclusion : The results showed that lung cancer patients with alcohol use problem had more severe nicotine dependence. This implies that the alcohol use problem comorbid with lung cancer would interfere with smoking cessation trials and aggravate lung cancer. Detection and intervention for alcohol use problem in lung cancer patients would be beneficial for smoking cessation and longitudinal course of lung cancer.

Smoking Cessation Experience and Socioeconomic Status of Online Motorcycle Taxi Drivers in Surabaya

Online motorcycle taxi drivers are at risk of experiencing exposure to air pollution, and smoking habits can exacerbate the risk of decreased lung function. The success of smoking cessation could be influenced by the experience of cessation and socioeconomic status. In this regard, the study aimed to investigate the success of smoking cessation of online motorcycle taxi drivers in Surabaya, Indonesia, using a cross-sectional design from May–December 2020. A questionnaire was used to collect data through interviews, and the data were analyzed using a chi-square test. The number of respondents was 92. Among the respondents, 43.5% failed to quit smoking, while 56.5% of them succeeded. The chi-square test results demonstrated a relationship between all experience factors and the success of smoking cessation. Additionally, a relationship between education level (p&lt;0.001) and income level (p&lt;0.001) with socioeconomic status was observed. Further research is needed to observe how other factors such as knowledge, motivation, and environmental factors affect smoking cessation.

Oncology Patient Smoking Cessation Treatment Preferences: Perceptions Across Former and Current Cigarette Smokers.

Although the benefits of smoking cessation following a cancer diagnosis have been well-established, up to 50% of cancer patients continue to smoke. Continued smoking through oncology treatment leads to increased risk of adverse events including reduced effectiveness of treatment, recurrence of additional malignancies, and reduced survival rates. Upon the cancer diagnosis, oncology healthcare providers become the primary trusted source of information and support, which represents a great opportunity to assist these patients to quit smoking. However, it remains unclear how oncology healthcare providers can best address smoking cessation from a patient-centered perspective. The present study surveyed oncology patients from Birmingham, AL, classified as either former (n = 174) or current smokers (n = 81) to identify their perceptions regarding the role of oncology healthcare providers in their smoking cessation efforts. Current smokers were more likely to be younger, received their cancer diagnosis within the past 3years, and have a cancer diagnosis with high smoking-related public awareness (i.e., head, neck, or lung) compared to former smokers. Additionally, 81% of current smokers reported experiencing smoking cessation discussions with their oncology healthcare providers with the most prominent recommendations being use of nicotine replacement therapies (46.9%) and medication (35.8%). These smoking cessation experiences align with patient preferences. However, despite the frequency of smoking cessation discussions, current smokers demonstrated an ambivalence in understanding the risks of continued smoking during their medical treatment. Overall, this study highlights the important role of oncology healthcare providers on implementing smoking cessation intervention for their patients who continue to smoke.