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. 2021 Nov 8:2021:9592693.
doi: 10.1155/2021/9592693. eCollection 2021.

Barriers to Cigarette Smoking Cessation in Pakistan: Evidence from Qualitative Analysis

Abdul Hameed  1 , Daud Malik  1
Affiliations

Barriers to Cigarette Smoking Cessation in Pakistan: Evidence from Qualitative Analysis

Abdul Hameed et al. J Smok Cessat. .

Abstract

Background: With over 25 million tobacco users, Pakistan has one of the largest smoking populations in the world. Tobacco addiction comes with grave health consequences, especially for the poor and marginalized.

Objective: This study explores barriers to smoking cessation in marginalized communities of Islamabad and the possibility of their use of Harm Reduction Products (HRPs), primarily e-cigarettes. Methodology. The study has used primary data of 48 respondents from marginalized communities. Several domains have been employed to evaluate the barriers to smoking cessation in these communities. Using qualitative technique, data was organized and categorized into objective themes.

Conclusion: The experience of combustible smoking usually occurs in the 10-20 years' age bracket. Regular smokers in marginalized areas of Islamabad smoke 20 cigarettes or a pack per day. Their choice of cigarette brand is largely driven by affordability. Most smokers have made at least one attempt to quit smoking. Peer pressure and friendship are major barriers to smoking cessation. Lack of knowledge seems to be the major reason for not seeking medical assistance for quitting smoking. Knowledge about HRPs, especially e-cigarettes, can best be described as vague. Higher prices of the alternatives to combustible smoking are a major hurdle preventing their use for smoking cessation.

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Conflict of interest statement

The corresponding author on the behalf of all authors declares that there is no competing interest among authors for this study.

Figures

Figure 1
Figure 1
Study area map (Islamabad—capital of Pakistan).
Figure 2
Figure 2
Conceptual framework.
See this image and copyright information in PMC

References

    1. WHO. WHO report on the global tobacco epidemic . 2019 http://www.who.int/tobacco/mpower/offer/en/
    1. Barbeau E. M., Krieger N., Soobader M. J. Working class matters: socioeconomic disadvantage, race/ethnicity, gender, and smoking in NHIS 2000. American journal of public health. . 2004;94(2):269–278. doi: 10.2105/AJPH.94.2.269. - DOI - PMC - PubMed
    1. Harman J., Graham H., Francis B., Inskip H. M., SWS Study Group Socioeconomic gradients in smoking among young women: a British survey. Social science & medicine. . 2006;63(11):2791–2800. doi: 10.1016/j.socscimed.2006.07.021. - DOI - PubMed
    1. Ezzati M., Lopez A. D., Rodgers A. A., Murray C. J. Comparative Quantification of Health Risks: Global and Regional Burden of Disease Attributable to Selected Major Risk Factors . World Health Organization; 2004.
    1. Sreeramareddy C. T., Pradhan P. M., Mir I. A., Sin S. Smoking and smokeless tobacco use in nine south and southeast Asian countries: prevalence estimates and social determinants from Demographic and Health Surveys. Population health metrics. . 2014;12(1):1–6. doi: 10.1186/s12963-014-0022-0. - DOI - PMC - PubMed