A qualitative study exploring older smokers' attitudes and motivation toward quitting during the COVID-19 pandemic.

A qualitative study exploring older smokers' attitudes and motivation toward quitting during the COVID-19 pandemic.
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DOI:
10.1016/j.pmedr.2021.101359
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发表时间:
2021-06
影响因子:
2.8
通讯作者:
Lung Screening, Tobacco, and Health Study
Lung Screening, Tobacco, and Health Study
中科院分区:
医学3区
文献类型:
--
作者:
Cordon M;Eyestone E;Hutchison S;Dunlap D;Smith L;Williams RM;Kim E;Kao JY;Hurtado-de-Mendoza A;Stanton C;Davis K;Frey J;McKee B;Parikh V;Taylor KL;Lung Screening, Tobacco, and Health Study

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吸烟的老年人由于长期吸烟和潜在的健康状况,患COVID-19严重后果的风险增加。在这项定性研究中,我们探讨了COVID-19对吸烟态度和戒烟动机的影响。参与者(N = 30)参加了一项在肺癌筛查环境中进行的更大规模的随机对照戒烟试验。从2020年3月至5月,我们评估了参与者对COVID-19的整体关注、吸烟量的变化以及减少/戒烟动机的定量和定性反应。对定量问题的回答表明,64.3%的参与者非常担心COVID-19,20.7%的人报告吸烟量减少,37.9%的人报告戒烟动机增加。这些定性的回答是使用直观的定性研究指南转录和编码的,通过提供参与者关注的内容扩展了这些发现,其中包括感染COVID-19的感知风险,COVID-19造成的额外压力,以及对吸烟量和戒烟动机的可变影响。尽管一半的参与者对COVID-19表示极度担忧,但更少的人表示增加了动力或减少了吸烟。定性主题表明,大流行的最初两个月促使一些吸烟者减少或戒烟,但它加剧了其他人的吸烟诱因。了解这一流行病如何继续影响这一弱势群体,将有助于调整方法,支持他们努力戒烟和保持禁欲。
Older individuals who smoke are at increased risk of having severe outcomes from COVID-19, due to their long-term smoking and underlying health conditions. In this qualitative study, we explored the impact of COVID-19 on attitudes toward smoking and motivation to quit. Participants (N = 30) were enrolled in a larger ongoing randomized controlled smoking cessation trial conducted in the lung cancer screening setting. From March to May 2020, we assessed quantitative and qualitative responses to participants’ overall concern about COVID-19, changes in amount smoked, and motivation to reduce/quit smoking. Responses to the quantitative questions indicated that 64.3% of participants were extremely concerned with COVID-19, 20.7% reported reductions in amount smoked, and 37.9% reported increased motivation to quit. The qualitative responses, which were transcribed and coded using Consensual Qualitative Research guidelines, expanded upon these findings by providing the content of participants’ concerns, which included perceived risk of contracting COVID-19, the added stressors caused by COVID-19, and a variable impact on the amount smoked and motivation to quit. Although half of participants expressed extreme concern regarding COVID-19, fewer indicated increased motivation or reduced smoking. Qualitative themes suggested that the initial two months of the pandemic prompted some smokers to reduce or quit, but it exacerbated smoking triggers for others. Understanding how the pandemic continues to affect this vulnerable group will aid in adapting methods to support their efforts to stop smoking and remain abstinent.
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