Objective Decades of research into smoking cessation have created a plethora of knowledge yet quit rates continue to be low and relapse rates high. In order to better understand this complex behaviour, this paper examines incentives and barriers to smoking cessation for a high risk group.
Methods The successful and unsuccessful quitting experiences of twenty- five blue collar males with pregnant partners were examined using semi- structured interviews.
Results Indicators which differentiated between successful and unsuccessful quitters were awareness, approach to quitting and whether the participants had a cultural or direct relationship with smoking.
Conclusions This study provides insights that give direction for both new approaches to tailoring smoking cessation programmes and further research.
Australian Institute of Health and Welfare and Australasian Association of Cancer Registries. Cancer in Australia 1991-1994. Canberra : Commonwealth of Australia, 1998 . AIHW Cat. No. CAN 2.
2.
Hill DJ, White VM, Scollo M.Smoking behaviours of Australian adults in 1995: trends and concerns. Medical Journal of Australia, 1998: 168: 209-213.
3.
Macken KM, Wilder D., Mersy DJ, Madlon-Kay DJSmoking patterns in a low-income urban population. The Journal of Family Practice, 1991: 31(6): 93-96.
4.
Pierce JP, Fiore MC, Novotny TE, Hatzieandreu EJ, Davis RMTrends in cigarette smoking in the United States: Educational differences are increasing. Jourttal of the American Medical Association , 1989: 261(1): 56-60.
5.
Cook DG, Strachan DPSummary of effects of parental smoking on the respiratory health of children and implications for research. Thorax, 1999 : 54(5): 357-365.
6.
Witorsch RJ, Witorsch P.Environmental tobacco smoke and respiratory health in children: A critical review and analysis of the literature from 1969 to 1988. Indoor and Built Environment, 2000: 9(5): 246-264.
7.
Gergen PJEnvironmental tobacco smoke as a risk factor for respiratory disease in children . Respiration Physiology, 2001: 128: 39-46.
8.
Fisher KJ, Glasgow RE, Terborg JRWork site smoking cessation: A meta-analysis of long-term quit rates from controlled studies. Journal of Occupational Medicine, 1990: 32(5): 429-439.
9.
Glynn TJ, Boyd GM, Gruman JCEssential elements of self-help/minimal intervention strategies for smoking cessation. Health Education Quarterly, 1990 : (Fall): 329-345.
10.
Fisher EB, Lichtenstein E., Haire-Joshu D., Morgan G., Rehberg H.Methods, successes and failures of smoking cessation programs. Annual Review of Medicine, 1993: 44: 481-513.
11.
Schwartz J.Methods of smoking cessation. Clinics in Chest Medicine, 1991: 12(4): 720-753.
12.
Nelson DE, Emont SL, Brackbill RM, Cameron LL, Peddicord J., Fiore MCCigarette smoking prevalence by occupation in the United States. A comparison between 1978 to 1980 and 1987 to 1990. Journal of Occupational Medicine, 1994: 36(5): 516-525.
13.
Fiorie MC, Novotny TE, Pierce JP, Giovino GA, Hatziandreu EJ, Newcomb PA, Surawicz TS, Davis RMMethods used to quit smoking in the United States: Do cessation programs help ? Journal of the American Medical Association, 1990: 263(20): 2760-2766.
14.
Lowe JB, Balanda KP, Clare G.Evaluation of antenatal smoking cessation programs for pregnant women. Australian and New Zealand Journal of Public Health, 1998: 22(1): 55-59.
15.
Wadland WC, Soffelmayr B., Ives K.Enhancing smoking cessation of low-income smokers in managed care. Journal of Family Practice, 2001: 50(2): 138-144.
16.
Macken KM, Wilder D., Mersy DJ, Maldon-Kay DJ. Smoking patterns in a low-income urban population. The Journal of Family Practice, 1991: 31 (6): 93-96.
17.
Fisher KJ, Glasgow RE, Terborg JRWork site smoking cessation: A meta-analysis of long-term quit rates from controlled studies. Journal of Occupational Medicine, 1990: 32(5): 429-439.
18.
Cruse SM, Forster Njd, Thurgood G., Sys L.Smoking cessation in the workplace: Results of an intervention programme using nicotine patches. Occupational Medicine, 2001 : 51 (8): 501-506.
19.
Sorensen G. , Stoddard AM, LaMontagne AD, Emmons K., Hunt MK, Youngstrom R., McLellan D., Christiani D.A comprehensive worksite cancer prevention intervention: Behavior change results from a randomized controlled trial (United States). Cancer Causes and Control, 2002:13: 493-502.
20.
Kleinman J. , Madans J.The effects of maternal smoking. Physical stature and education attainment on the incidence of low birth weight. American Journal of Epidemiology, 1985:121:843-855.
21.
Floyd RL, Rimer BK, Giovino GA, Mullen PD, Sullivan SEA review of smoking in pregnancy: Effects of pregnancy outcomes and cessation efforts. Annual Review of Public Health, 1993 : 14: 379-411.
22.
Wall M., Brocks J., Holsclaw D., Reeding G.Health effects of smoking on children. American Review of Respiratory Disease, 1985: 132: 1137-1145.
23.
Turrell G., Battistutta D., McGuffog I.Social determinants of smoking among parents with infants. Australian and New Zealand Journal of Public Health, 2002: 26(1): 30-37.
24.
Orlebeke JF , Knol DL, Verhulst FCIncrease in child behaviour problems resulting from maternal smoking during pregnancy. Archives of Environmental Health, 1997: 52(4): 317-321.
25.
Milberger S. , Biederman J., Faranoen SV, Guite J., Tsuang MTPregnancy delivery and infancy complications and attention deficit hyperactivity disorder: Issues of gene-environment interaction . Biological Psychiatry, 41(1): 65-75.
26.
Walsh R., Redman S.Smoking cessation in pregnancy: Do effective programs exist? Health Promotion International, 1993: 8(2): 111-127.
27.
McBride PD, Quinn VP, Ershoff DHMaintenance of nonsmoking post-partum by women who stopped during pregnancy . American Journal of Public Health, 1990: 80: 541-544.
28.
Penn G., Owen L.Factors associated with continued smoking during pregnancy: Analysis of socio-demographic, pregnancy and smoking-related factors. Drug and Alcohol Review , 2002: 21(1): 177-225.
29.
Tong LY, Oldenburg B.Determinants of smoking cessation during and after pregnancy. Health Promotion International, 2001: 16(4): 355-365.
30.
Cnattinguis S.Smoking habits in early pregnancy. Addictive Behaviors, 1989: 14: 453-457.
31.
Waterson EJ, Evans C., Murray-Lyon IMIs pregnancy a time of changing drinking and smoking patterns for fathers as well as mothers? An initial investigation. British Journal of Addiction, 1990: 85: 389-396.
32.
Escobedo LG, Anda RF, Smith PF, Remington PL, Mast EESocio demographic characteristics of cigarette smoking initiation in the United States: Implications for smoking prevention policy. Journal of the American Medical Association, 1990: 264: 1550-1555.
33.
Jarvis M., Jackson P.Cigar and pipe smoking in Britain: Implications for smoking prevalence and cessation. British Journal of Addiction, 1988 : 83: 323-330.
34.
Price JH, Everett SHPerceptions of lung cancer and smoking in an economically disadvantaged population . Journal of Community Health, 1994:19(5): 361-374.
35.
Ockene JK, Emmons KM, Mermelstein RJ, Perkins KA, Bonollo DS, Voorhees CC, Hollis JF Relapse and maintenance issues for smoking cessation. Health Psychology, 2000: 19(1): 17-31.
Thompson B. , Hopp HPCommunity-based programs for smoking cessation . Clinics in Chest Medicine, 1991: 12(4): 801-817.
39.
Steuer JD, Wewers MECigarette craving and subsequent coping responses among smoking cessation clinic participants. Oncology Nursing Forum, 1989: 16(2): 193-198.
40.
Cobb AK, Bott MJ, O'Connell KA. A qualitative/interpretive taxonomy of stop smoking strategies . Western Journal of Nursing Research, 1997 : 19(6): 702-718.
41.
Curry SJ, Grothaus L., McBride C.Reasons for quitting: Intrinsic and extrinsic motivation for smoking cessation in a population-based sample of smokers. Addictive Behaviours , 1997: 22(6): 727-739.
42.
Puskar M.Smoking cessation in women: Findings from qualitative research. Nurse Practitioner, 1995:20(11): 80-89.
43.
Currie CE,Amos A., Hunt SMThe dynamics and processes of behavioural change in five classes of health-related behaviour - findings from qualitative research. Health Education Research, 1991: 6(4): 443-453.
44.
Meillier LK , Lund AB, Kok G.Cues to action in the process of changing lifestyle. Patient Education and Counselling, 1997: 30: 37-51.
45.
Bott MJ, Cobb AK, Scheibmeir MS, O'Connell KA. Quitting: Smokers relate their experiences. Qualitative Health Research, 1997: 7(2): 255-269.
46.
Willms DGA new stage, a new life: Individual success in quitting smoking. Social Science and Medicine, 1991: 33(12): 1365-1371.
47.
Lincoln Y., Guba E.Naturalistic Inquiry. Newbury Park: Sage Publications, 1985.
48.
Kidder L.Research Methods in Social Relations. New York: Holt, Rinehart and Winston, 1981.
49.
Chaplin JPDictionary of Psychology (revised edition). New York: Dell Publishing, 1975.
50.
Ferrari M., Sternberg EJSelf-Awareness: Its Nature and Development. New York: The Guilford Press, 1998.
51.
Hjelle LA, Ziegler DJPersonality Theories: Basic Assumptions, Research and Applications (3rd edition). New York: McGraw-Hill,1992.
