Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Van der Boechorststraat 7, 1081 BT Amsterdam, the Netherlands.
Tranzo Scientific Center for Care and Wellbeing, Tilburg School of Social and Behavioral Sciences, Tilburg University, Professor Cobbenhagenlaan 125, 5037 DB Tilburg, the Netherlands.
Health Promot Int. 2024 Oct 1;39(5). doi: 10.1093/heapro/daae141.
Social and community service organizations (SCSOs) may be a promising new environment to more successfully reach people with a lower socioeconomic position (SEP) for smoking cessation support. However, studies that investigate clients' perspectives of the suitability of SCSOs as a setting to discuss smoking are scarce. This study aimed to (i) investigate the suitability of smoking cessation support provided by SCSOs, according to people with a low SEP, and (ii) explore their reasons for considering it suitable or unsuitable. Semi-structured interviews were conducted with 19 individuals with a low SEP who smoked regularly (N = 14) or had smoked regularly (N = 5). They have been in contact with SCSOs in a specific neighborhood in Amsterdam. Data were analyzed using a thematic approach. Participants generally considered SCSOs as suitable for providing smoking cessation support, as professionals are involved, build a relationship of trust, and offer personalized and holistic support. SCSOs are located nearby and familiar, they provide support in both group and individual settings and might offer additional supportive (group)activities. A number of participants expressed doubts about the waiting time for support, the fact that the needed support might exceed professionals' expertise, and the lack of aftercare. SCSOs can be an additional opportunity for providing smoking cessation support that aligns with the circumstances of lower SEP people. To harness the potential, smoking cessation could be integrated into education programs and training among professionals could be promoted. Policy changes within and outside SCSOs would be needed.
社会和社区服务组织(SCSO)可能是一个有前途的新环境,可以更成功地为社会经济地位较低的人提供戒烟支持。然而,很少有研究调查客户对 SCSO 作为讨论吸烟的合适环境的看法。本研究旨在:(i)根据社会经济地位较低的人的观点,调查 SCSO 提供的戒烟支持的适宜性,(ii)探讨他们认为适宜或不适宜的原因。对 19 名社会经济地位较低的经常吸烟(N=14)或曾经经常吸烟的人(N=5)进行了半结构化访谈。他们曾与阿姆斯特丹特定社区的 SCSO 接触过。使用主题方法分析数据。参与者普遍认为 SCSO 适合提供戒烟支持,因为专业人员参与其中,建立了信任关系,并提供个性化和全面的支持。SCSO 位于附近且熟悉,他们提供小组和个人环境下的支持,并可能提供额外的支持性(小组)活动。一些参与者对支持的等待时间、所需支持可能超出专业人员专业知识的事实以及缺乏后续护理表示怀疑。SCSO 可以为提供与社会经济地位较低的人的情况相匹配的戒烟支持提供额外的机会。为了利用这一潜力,可以将戒烟纳入专业人员的教育计划和培训中,并可以促进这方面的培训。需要对 SCSO 内外的政策进行调整。