Smoking after the age of 65 years: a qualitative exploration of older current and former smokers' views on smoking, stopping smoking, and smoking cessation resources and services
Smoking after the age of 65 years: a qualitative exploration of older current and former smokers' views on smoking, stopping smoking, and smoking cessation resources and services
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DOI：
10.1111/j.1365-2524.2006.00659.x
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发表时间：
2006-11-01
影响因子：
2.4
通讯作者：
Brown, Malcolm
中科院分区：
文献类型：
--
作者：
Kerr, Susan;Watson, Hazel;Brown, Malcolm
本研究的目的是探讨老年吸烟者对吸烟、戒烟、戒烟资源和服务的看法。尽管老年吸烟者已被确定为优先群体，但目前缺乏与年龄相关的戒烟研究来指导实践。本研究采用质性研究方法，并以健康信念模式作为概念架构。20名年龄>= 65岁的吸烟者和既往吸烟者通过全科实践和苏格兰西部老年人论坛招募。数据收集使用半结构化的采访时间表。录音带访谈被转录，然后使用内容分析程序进行分析。目前的吸烟者报告了许多积极的协会与吸烟，这往往阻止戒烟的尝试。大多数人都知道吸烟损害了他们的健康;然而，有些人不相信这种联系。一个普遍的观点是，“损害已经造成”，因此，试图戒烟没有什么意义。当建议尝试戒烟时，虽然一些卫生专业人员提供了良好的支持，但据报告，其他人提供的支持很少。一些参与者报告说，他们从未被建议戒烟。当地戒烟服务的知识普遍较差。最后，有人对使用尼古丁替代疗法的健康风险表示关切。戒烟者戒烟的主要原因与健康有关。许多人在试图戒烟时几乎没有得到卫生专业人员的帮助和支持。大多数曾经吸烟的人认为，在晚年戒烟对他们的健康有益。总之，初级保健小组的成员在鼓励老年人戒烟方面发挥着关键作用。为了有效运作，它们必须考虑到老年吸烟者的健康信念，并解决诸如戒烟资源知识等问题。
The aim of this study was to explore older current/former smokers' views on smoking, stopping smoking, and smoking cessation resources and services. Despite the fact that older smokers have been identified as a priority group, there is currently a dearth of age-related smoking cessation research to guide practice. The study adopted a qualitative approach and used the health belief model as a conceptual framework. Twenty current and former smokers aged >= 65 years were recruited through general practices and a forum for older adults in the West of Scotland. Data were collected using a semistructured interview schedule. The audio-taped interviews were transcribed and then analysed using content analysis procedures. Current smokers reported many positive associations with smoking, which often prevented a smoking cessation attempt. The majority were aware that smoking had damaged their health; however, some were not convinced of the association. A common view was that 'the damage was done', and therefore, there was little point in attempting to stop smoking. When suggesting a cessation attempt, while some health professionals provided good levels of support, others were reported as providing very little. Some of the participants reported that they had never been advised to stop smoking. Knowledge of local smoking cessation services was generally poor. Finally, concern was voiced regarding the perceived health risks of using nicotine replacement therapy. The main reasons why the former smokers had stopped smoking were health-related. Many had received little help and support from health professionals when attempting to stop smoking. Most of the former smokers believed that stopping smoking in later life had been beneficial to their health. In conclusion, members of the primary care team have a key role to play in encouraging older people to stop smoking. In order to function effectively, it is essential that they take account of older smokers' health beliefs and that issues, such as knowledge of smoking cessation resources, are addressed.