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Exploring attitudes towards smoking behaviour and cessation among hospitalised smokers via a socio-ecological framework: A scoping review
Addictive Behaviors ( IF 4.4 ) Pub Date : 2021-07-02 , DOI: 10.1016/j.addbeh.2021.107040
Obumneke Obieche 1 , Megan Lee 1 , Nasim Salehi 1
Affiliation  

Objectives

Cigarette smoking is a leading cause of preventable mortality and disability. Smoke-free policies in healthcare settings have been implemented as a public health measure. This scoping review aims to explore attitudes on smokers’ cessation in smoke-free healthcare settings using a socio-ecological framework.

Methods

Four databases were searched for terms: smoking cessation, patient attitudes, and smoke-free policy. Of 420 studies, 17 met full inclusion criteria.

Results

The review identified four socio-ecological aspects of smoking cessation in smoke-free healthcare settings: Intrapersonal factors (health literacy, health conditions, and self-efficacy), interpersonal factors (social support, peer pressure, and social responsibility), healthcare factors (perceived mixed messages, healthcare setting, clinical, psychosocial and health promotion supports), and societal factors (restrictions on smoking in a public place and social acceptability of smoking). Smoke-free policies effectively encouraged cessation in some patients but were ineffective in those that felt a loss of autonomy. Provision of smoke breaks within smoke-free policies was considered a mixed message.

Conclusions

Holistic strategies are required to interconnect the four socio-ecological dimensions for successful smoking cessation.



中文翻译:

通过社会生态框架探索住院吸烟者对吸烟行为和戒烟的态度:范围审查

目标

吸烟是导致可预防的死亡和残疾的主要原因。医疗保健环境中的无烟政策已作为一项公共卫生措施实施。本范围界定审查旨在使用社会生态框架探讨对吸烟者在无烟医疗保健环境中戒烟的态度。

方法

在四个数据库中搜索了以下术语:戒烟、患者态度和无烟政策。在 420 项研究中,17 项符合完全纳入标准。

结果

该评价确定了在无烟医疗机构戒烟的四个社会生态方面:个人因素(健康素养、健康状况和自我效能)、人际关系因素(社会支持、同伴压力和社会责任)、医疗因素(感知的混合信息、医疗环境、临床、社会心理和健康促进支持)和社会因素(在公共场所吸烟的限制和吸烟的社会可接受性)。无烟政策有效地鼓励了一些患者戒烟,但对那些感到失去自主权的患者无效。在无烟政策中提供禁烟令被认为是一个混合信息。

结论

要成功戒烟,需要整体策略将四个社会生态维度相互联系起来。

更新日期:2021-07-08
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