Centre for Health Research and Psycho-oncology, Cancer Council New South Wales, Priority Research Centre for Health Behaviour, University of Newcastle, Hunter Medical Research Institute, Callaghan, NSW, 2308, Australia.
BMC Public Health. 2011 Jun 24;11:493. doi: 10.1186/1471-2458-11-493.
Smoking rates remain unacceptably high among individuals who are socially disadvantaged. Social and community service organisations (SCSO) are increasingly interested in providing smoking cessation support to clients, however little is known about the best way to assist disadvantaged smokers to quit in this setting. This study aimed to explore barriers and facilitators to quitting within the conceptual framework of the PRECEDE model to identify possible interventions appropriate to the social and community service setting.
Semi-structured focus groups were conducted with clients attending five community welfare organisations located in New South Wales, Australia. Thirty-two clients participated in six focus groups. A discussion guide was used to explore the barriers and facilitators to smoking and smoking cessation including: current smoking behaviour, motivation to quit, past quit attempts, barriers to quitting and preferences for cessation support. Focus groups were audio-taped, transcribed and analysed using thematic analysis techniques.
Participants were current smokers and most expressed a desire to quit. Factors predisposing continued smoking included perceived benefits of smoking for stress relief, doubting of ability to quit, fear of gaining weight, and poor knowledge and scepticism about available quit support. The high cost of nicotine replacement therapy was a barrier to its use. Continual exposure to smoking in personal relationships and in the community reinforced smoking. Participants expressed a strong preference for personalised quit support.
Disadvantaged smokers in Australia express a desire to quit smoking, but find quitting difficult for a number of reasons. SCSOs may have a role in providing information about the availability of quit support, engaging disadvantaged smokers with available quit support, and providing personalised, ongoing support.
在社会弱势群体中，吸烟率仍然高得令人无法接受。社会和社区服务组织（SCSO）越来越有兴趣为客户提供戒烟支持，但对于如何在这种环境下帮助弱势吸烟者戒烟，知之甚少。本研究旨在根据 PRECEDE 模型的概念框架探索戒烟的障碍和促进因素，以确定适合社会和社区服务环境的可能干预措施。
在澳大利亚新南威尔士州的五个社区福利组织中，对参加的客户进行了半结构化焦点小组讨论。32 名客户参加了六个焦点小组。使用讨论指南探讨了吸烟和戒烟的障碍和促进因素，包括：当前吸烟行为、戒烟动机、过去戒烟尝试、戒烟障碍和戒烟支持偏好。对焦点小组进行了录音、转录，并使用主题分析技术进行了分析。
参与者是当前吸烟者，大多数人表示希望戒烟。继续吸烟的促成因素包括吸烟缓解压力的好处、怀疑戒烟能力、担心体重增加、以及对可用戒烟支持的知识不足和怀疑。尼古丁替代疗法的高成本是其使用的障碍。在人际关系和社区中持续接触吸烟强化了吸烟行为。参与者强烈希望获得个性化的戒烟支持。
澳大利亚的弱势吸烟者表示希望戒烟，但由于多种原因，他们发现戒烟困难。SCSO 可以在提供有关戒烟支持的可用性信息、让弱势吸烟者接触可用的戒烟支持以及提供个性化、持续的支持方面发挥作用。
