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Smoking, smoking cessation and tobacco control in rural China: a qualitative study in Shandong Province
BACKGROUND: Smoking prevalence is high in China and even higher among rural residents. The aims of this study were: 1) to gain insights into the motivations of tobacco use and barriers to smoking cessation among rural village residents; 2) to understand the current tobacco control measures in the ru...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4169812/ https://www.ncbi.nlm.nih.gov/pubmed/25190269 http://dx.doi.org/10.1186/1471-2458-14-916 |
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author | Wang, Jian Li, Chenghui Jia, Chongqi Liu, Yanxun Liu, Junjie Yan, Xiaona Fang, Yufeng |
author_facet | Wang, Jian Li, Chenghui Jia, Chongqi Liu, Yanxun Liu, Junjie Yan, Xiaona Fang, Yufeng |
author_sort | Wang, Jian |
collection | PubMed |
description | BACKGROUND: Smoking prevalence is high in China and even higher among rural residents. The aims of this study were: 1) to gain insights into the motivations of tobacco use and barriers to smoking cessation among rural village residents; 2) to understand the current tobacco control measures in the rural villages and barriers encountered or perceived for implementation. METHODS: Qualitative semi-structured face-to-face interviews and focus group discussions were conducted of 59 rural villagers including 37 village residents, 10 village leaders and 12 village doctors in three counties in Shandong Province, China. RESULTS: Smoking initiation was most often out of curiosity when seeing others smoke, but pressure from cigarette sharing and gifting custom was the major barrier to smoking cessation. The most important reason for quitting successfully was a detrimental health problem. Although many attempted to quit at the advice of other family members, relapses were common and few were able to quit completely and for long-term unless accompanied by significant health issues. Although doctor’s advice to quit is effective, many doctors do not offer advice to all patients. There is a lack of true understanding of the harm of smoking and second-hand smoking among the villagers and a lack of access to and knowledge of effective smoking cessation tools among both smokers and village doctors. Tobacco control activities at villages were rare and infrequent. CONCLUSIONS: This study highlighted the need to develop tobacco control measures that reflect the unique culture in rural China. Smoking cessation measures are not likely to achieve large scale effect unless the prevailing cigarette sharing and gifting custom is drastically changed. More educations of the hazards of smoking and second-hand smoking to village residents and educations of effective smoking cessation treatment to both village residents and healthcare providers are needed. |
format | Online Article Text |
id | pubmed-4169812 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-41698122014-09-22 Smoking, smoking cessation and tobacco control in rural China: a qualitative study in Shandong Province Wang, Jian Li, Chenghui Jia, Chongqi Liu, Yanxun Liu, Junjie Yan, Xiaona Fang, Yufeng BMC Public Health Research Article BACKGROUND: Smoking prevalence is high in China and even higher among rural residents. The aims of this study were: 1) to gain insights into the motivations of tobacco use and barriers to smoking cessation among rural village residents; 2) to understand the current tobacco control measures in the rural villages and barriers encountered or perceived for implementation. METHODS: Qualitative semi-structured face-to-face interviews and focus group discussions were conducted of 59 rural villagers including 37 village residents, 10 village leaders and 12 village doctors in three counties in Shandong Province, China. RESULTS: Smoking initiation was most often out of curiosity when seeing others smoke, but pressure from cigarette sharing and gifting custom was the major barrier to smoking cessation. The most important reason for quitting successfully was a detrimental health problem. Although many attempted to quit at the advice of other family members, relapses were common and few were able to quit completely and for long-term unless accompanied by significant health issues. Although doctor’s advice to quit is effective, many doctors do not offer advice to all patients. There is a lack of true understanding of the harm of smoking and second-hand smoking among the villagers and a lack of access to and knowledge of effective smoking cessation tools among both smokers and village doctors. Tobacco control activities at villages were rare and infrequent. CONCLUSIONS: This study highlighted the need to develop tobacco control measures that reflect the unique culture in rural China. Smoking cessation measures are not likely to achieve large scale effect unless the prevailing cigarette sharing and gifting custom is drastically changed. More educations of the hazards of smoking and second-hand smoking to village residents and educations of effective smoking cessation treatment to both village residents and healthcare providers are needed. BioMed Central 2014-09-04 /pmc/articles/PMC4169812/ /pubmed/25190269 http://dx.doi.org/10.1186/1471-2458-14-916 Text en © Wang et al.; licensee BioMed Central Ltd. 2014 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Wang, Jian Li, Chenghui Jia, Chongqi Liu, Yanxun Liu, Junjie Yan, Xiaona Fang, Yufeng Smoking, smoking cessation and tobacco control in rural China: a qualitative study in Shandong Province |
title | Smoking, smoking cessation and tobacco control in rural China: a qualitative study in Shandong Province |
title_full | Smoking, smoking cessation and tobacco control in rural China: a qualitative study in Shandong Province |
title_fullStr | Smoking, smoking cessation and tobacco control in rural China: a qualitative study in Shandong Province |
title_full_unstemmed | Smoking, smoking cessation and tobacco control in rural China: a qualitative study in Shandong Province |
title_short | Smoking, smoking cessation and tobacco control in rural China: a qualitative study in Shandong Province |
title_sort | smoking, smoking cessation and tobacco control in rural china: a qualitative study in shandong province |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4169812/ https://www.ncbi.nlm.nih.gov/pubmed/25190269 http://dx.doi.org/10.1186/1471-2458-14-916 |
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