Morphett Kylie, Partridge Brad, Gartner Coral, Carter Adrian, Hall Wayne
University of Queensland Centre for Clinical Research, Royal Brisbane and Women's Hospital Site, Herston, 4029 Queensland, Australia.
University of Queensland, School of Public Health, Corner of Wyndham Street and Herston Road, Herston, 4006 Queensland, Australia.
Int J Environ Res Public Health. 2015 Jun 10;12(6):6591-607. doi: 10.3390/ijerph120606591.
The development of prescription medication for smoking cessation and the introduction of evidence-based guidelines for health professionals has increasingly medicalised smoking cessation. There are debates about whether medicalisation is a positive development, or whether it has devalued unassisted quitting. In this debate the views of smokers have been neglected. This study explored the attitudes of smokers towards a range of quitting methods, and their considerations when judging their value. We conducted semi-structured interviews with 29 smokers and analysed data using thematic analysis. The results show that the perceived nature of an individual smoker's addiction was central to judgments about the value of pharmacological cessation aids, as was personal experience with a method, and how well it was judged to align with an individual's situation and personality. Unassisted quitting was often described as the best method. Negative views of pharmacological cessation aids were frequently expressed, particularly concerns about side effects from prescription medications. Smokers' views about the value of different methods were not independent: attitudes about cessation aids were shaped by positive attitudes towards unassisted quitting. Examining smokers' attitudes towards either assisted or unassisted quitting in isolation provides incomplete information on quitting preferences.
用于戒烟的处方药的研发以及为健康专业人员引入循证指南，使得戒烟日益医学化。关于医学化是一项积极进展，还是贬低了自主戒烟，存在诸多争论。在这场争论中，吸烟者的观点被忽视了。本研究探讨了吸烟者对一系列戒烟方法的态度，以及他们在判断这些方法的价值时的考量因素。我们对29名吸烟者进行了半结构化访谈，并运用主题分析法对数据进行了分析。结果表明，个体吸烟者成瘾的感知本质对于判断药物戒烟辅助手段的价值至关重要，使用某种方法的个人经历以及该方法被认为与个人情况和性格的契合程度也是如此。自主戒烟常常被描述为最佳方法。吸烟者经常表达对药物戒烟辅助手段的负面看法，尤其是对处方药副作用的担忧。吸烟者对不同方法价值的看法并非相互独立：对戒烟辅助手段的态度受到对自主戒烟的积极态度的影响。孤立地考察吸烟者对辅助戒烟或自主戒烟的态度，会提供关于戒烟偏好的不完整信息。
