scholarly journals HIV healthcare providers’ perceptions on smoking behavior among PLHIV and smoking cessation service provision in HIV clinics in Uganda

2021 ◽  
Vol 7 (September) ◽  
pp. 1-8
Author(s):  
Kellen Nyamurungi Namusisi ◽  
Frances Thirlway ◽  
Noreen Mdege ◽  
Joseph Matovu
Author(s):  
Aniruddh Ajith ◽  
Aaron Broun ◽  
Danielle A. Duarte ◽  
Bambi Jewett ◽  
Lilianna Phan ◽  
...  

Although Black/African American populations have high cigar-smoking prevalence, little is known about cigar-smoking cessation among this group. This study explored the perceptions and experiences of cigar-smoking cessation and assistance received from healthcare providers among forty Black young-adult cigar smokers (ages 21–29). Semi-structured in-depth phone interviews were transcribed and coded. Qualitative data were analyzed by using thematic analysis. Participants mostly smoked cigarillos, large cigars, and blunts. Overall, many regular cigarillo smokers reported interest in quitting eventually, while large-cigar and blunt smokers shared less interest in quitting because they perceived low harm from smoking these products. The reasons for cigar-smoking cessation were health concerns and financial constraints. Most of the participants who attempted to quit cigars did not use any cessation aids. The reasons for relapse included nicotine withdrawal, stress, and easy access. Additionally, most participants reported their healthcare providers did not ask whether they smoked cigars, and even when they knew, little assistance for cigar-smoking cessation was provided. Informing Black cigar smokers of the harm of cigar smoking and encouraging healthcare providers to screen for and assist with cigar-smoking cessation may alleviate the health burden of cigar smoking in this population.


Cancers ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 2423
Author(s):  
Marion Nicolas ◽  
Beatriz Grandal ◽  
Emma Dubost ◽  
Amyn Kassara ◽  
Julien Guerin ◽  
...  

Breast cancer (BC) is the most commonly diagnosed type of cancer and the leading cause of cancer deaths in women. Smoking is the principal modifiable risk factor for cancers and has a negative influence on long-term survival. We conducted a retrospective study on consecutive BC survivors seen at follow-up consultations between 3 June and 30 October 2019 at Institut Curie, Paris, France. Smoking behaviors were evaluated prospectively via interviewer-administered questionnaires. The aim of this study was to describe smoking-related patient care at diagnosis and smoking cessation patterns in women with a history of BC. A total of 1234 patients were included in the study. Smoking status at diagnosis was missing from electronic health records in 32% of cases, including 13% of patients who smoke. Only 20% of the 197 patients currently smoking at diagnosis recalled having a discussion about smoking with a healthcare professional. Radiotherapists and surgeons were more likely to talk about complications than other practitioners. The main type of information provided was general advice to stop smoking (n = 110), followed by treatment complications (n = 48), while only five patients were referred to tobaccologists. Since diagnosis, 33% (n = 65) of the patients currently smoking had quit. Patients who quit had a lower alcohol consumption, but no other factor was associated with smoking cessation. The main motivation for tobacco withdrawal was the fear of BC relapse (63%). This study highlights room for improvement in the assessment of smoking behavior. Our data raise important perspectives for considering BC treatment and follow-up as a window of opportunity for smoking cessation.


2021 ◽  
Author(s):  
Nathalia Machado ◽  
Henrique Gomide ◽  
Heder Bernardino ◽  
Telmo Ronzani

BACKGROUND Smoking is still the leading cause of preventable death. Governments and healthcare providers should make available more and accessible resources to help tobacco users stop. OBJECTIVE This study describes a pilot longitudinal study that evaluated the efficacy of a computerized intervention compared to the brief intervention for smoking cessation among Brazilians. METHODS Smokers were recruited and randomly assigned to one of the two intervention groups. RESULTS The results showed similar rates of cessation and reduction for both intervention groups. The internet-based intervention was a little more effective for smoking cessation, while the brief intervention was more effective in reducing the number of cigarettes smoked per day. Despite this, this difference was small and had no statistical significance even after adjusting for intention-to-treat analysis. These results should be interpreted with caution, especially due to the small sample size. CONCLUSIONS Forty-nine smokers were enrolled in this study (25 in the brief intervention group; 24 in the internet-based intervention group). The mean age was 44.46 years old; most were male (59.2%), had elementary school (44.9%), smoked an average of 14.5 cigarettes per day, had a mean score of 4.65 for nicotine dependence, and score of 5.7 for motivation to quit. Measures were drawn from comparing cessation rate, motivation score and sought treatment between groups. Thirty-five participants answered the follow up 1 and 19 answered to the second.


2016 ◽  
Vol 102 (3) ◽  
pp. 244-251 ◽  
Author(s):  
Micaela Lina ◽  
Roberto Mazza ◽  
Claudia Borreani ◽  
Cinzia Brunelli ◽  
Elisabetta Bianchi ◽  
...  

2021 ◽  
Vol 8 (21) ◽  
pp. 1630-1635
Author(s):  
Sree T. Sucharitha ◽  
Pradeep Rangasamy ◽  
Vaishikaa R ◽  
Balaji S.M ◽  
Bindu T ◽  
...  

BACKGROUND Majority of smokers are aware of health consequences due to smoking but reported inability to quit smoking in multiple studies. Reasons attributed to continued smoking include multiple causes like addiction, habit and stress, as well as face-valid causes such as disease, personality problems, weakness of character, etc. Tobacco cessation services promoted by World Health Organization (WHO) are typically to be initiated by the service provider and include brief opportunistic assessment for smoking cessation widely known as 5A’ and 5R’s for brief assessment. Health interventions are identified by WHO as an effective way to enhance the promotion of tobacco cessation as only three percent of smokers manage to quit without help of intervention. This study explored the awareness of smart phone apps for smoking cessation among private healthcare providers in Chennai. METHODS A qualitative, explorative study through one-on-one, personal interviews among 36 randomly approached and consenting healthcare providers primarily providing tobacco related health care services including dentists, psychiatrists, ear – nose - throat surgeons, general medicine, respiratory medicine, surgeons and obstetricians at six private teaching medical institutes was conducted from July 2020 to October 2020 in Chennai. RESULTS The results showed that majority of the healthcare providers lack awareness of smart phone-based apps for smoking cessation. However, a very small minority3 who were aware were limited by social determinants of health of the clients such as perceived poor digital literacy, unaffordability of internet packages to recommend them. CONCLUSIONS The healthcare providers from various fields lacked the awareness of smart phone apps aiding with smoking cessation with the exception of a minor few3 who acknowledged their existence but were engaged very minimally with these modalities. KEYWORDS Healthcare Providers’ Awareness, Smart Phone Based-Apps, Smoking Cessation Apps, Tobacco Clients, Personal Interviews


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