HomePsychology and Education: A Multidisciplinary Journalvol. 5 no. 1 (2022)

Seeking the Light from the Smoke: A Case Study of Chain Smokers on Smoking Cessation in Mandaue City, Philippines

Rachel Kate Limalima | Glyza Kadusale | Mikaela Gepiga | Blaise Mariel Colimbo | John Clyde Alquiza | Jhayzee Mae Marco | Mary Fair Ruval Estrera | Roberto Samson Jr | Romel C. Mutya

Discipline: Education

 

Abstract:

This study explored an in-depth analysis of the faces of smoking cessation of chain smokers. Specifically, this study investigated the meaningful events encountered by chain smokers that led them to start smoking cessation, the struggles they experienced when they began smoking cessation, and the adaptive mechanisms of chain smokers to continue smoking cessation. This study utilized a qualitative case study research design using Braun and Clarke’s data analysis method to describe an in-depth dissection of a phenomenon involving six participants through semi-structured interviews. Participants were recruited using purposive sampling technique and passed the inclusion criteria. Findings revealed five themes: (1) relevance of quitting smoking, (2) risks of smoking, (3) roadblocks from the goal, (4) rewards from quitting smoking over time, and (5) intrinsic and extrinsic motivations towards smoking cessation. The findings show that various factors led the chain smokers to start smoking cessation. Most of the participants quit smoking owing to health risks and environmental risks. Family support greatly helps smokers to manage relapse. The study recommends that the government health center expand and make people more aware of the smoking cessation programs and create a program that will provide a health systems approach that focuses on promoting and integrating clinical best practices to increase smokers to quit smoking successfully.



References:

  1. American Cancer Society (2018). The tobacco atlas: Philippines. Retrieved from: https://tobaccoatlas.org/country/philippines/.
  2. Arikunto, S. (2013). Prosedur penelitian suatu pendekatan praktik.
  3. Aung, M. N., Yuasa, M., Moolphate, S., Lorga, T., Yokokawa, H., Fukuda, H., ... & Marui, E. (2019). Effectiveness of a new multicomponent smoking cessation service package for patients with hypertension and diabetes in northern Thailand: a randomized controlled trial (ESCAPE study). Substance Abuse Treatment, Prevention, and Policy, 14(1), 1-10.
  4. Baxter, P., & Jack, S. (2008). Qualitative case study methodology: Study design and implementation for novice researchers. The qualitative report, 13(4), 544-559.
  5. Baumeister, R. F. (2017). Addiction, cigarette smoking, and voluntary control of action: Do cigarette smokers lose their free will?. Addictive behaviors reports, 5, 67-84.
  6. Blevins, C. E., Farris, S. G., Brown, R. A., Strong, D. R., & Abrantes, A. M. (2016). The role of self-efficacy, adaptive coping, and smoking urges in long-term cessation outcomes. Addictive disorders & their treatment, 15(4), 183.
  7. Burnette, J. L., McCullough, M. E., Van Tongeren, D. R., & Davis, D. E. (2012). Forgiveness results from integrating information about relationship value and exploitation risk. Personality and Social Psychology Bulletin, 38(3), 345-356.
  8. Centers for Disease Control and Prevention (2020). CurrentCigarette Smoking Among Adults in the United States. Retrieved f r o m : cdc.gov/tobacco/data_statistics/fact_sheets/adult_data/cig_smoking/I ndex.htm
  9. Chun, H. R., Cheon, E., & Hwang, J. E. (2022). Systematic review of changed smoking behaviour, smoking cessation and psychological states of smokers according to cigarette type during the COVID-19 pandemic. BMJ open, 12(6), e055179.
  10. Culpepper, M. K. (2018). “Yeah, That’s What I Am Now”: Affordances, Action, and Creative Identity. In The Palgrave Handbook of Creativity at Work (pp. 107-124). Palgrave Macmillan, Cham.
  11. Dawood, O. T., Rashan, M. A. A., Hassali, M. A., & Saleem, F. (2016). Knowledge and perception about health risks of cigarette smoking among Iraqi smokers. Journal of pharmacy & bioallied sciences, 8(2), 146.
  12. De Houwer, J., Custers, R., & De Clercq, A. (2006). Do smokers have a negative implicit attitude toward smoking?. Cognition and Emotion, 20(8), 1274-1284.
  13. Ellis, L. C., Berg-Nielsen, T. S., Lydersen, S., & Wichstrøm, L. (2012). Smoking during pregnancy and psychiatric disorders in preschoolers. European child & adolescent psychiatry, 21(11), 635-644.
  14. Feng, Y., Kong, Y., Barnes, P. F., Huang, F. F., Klucar, P., Wang, X., ... & Shams, H. (2011). Exposure to cigarette smoke inhibits the pulmonary T-cell response to influenza virus and Mycobacterium tuberculosis. Infection and immunity, 79(1), 229-237.
  15. Fowler Jr, F. J. (2013). Survey research methods. Sage publications. Global Burden of Disease (GBD). Global Burden of Disease Study 2019 (GBD 2019) Smoking Tobacco Use Prevalence 1990-2019. R e t r i e v e d f r o m : https://ghdx.healthdata.org/record/ihme-data/gbd-2019-smoking-tob acco-use-prevalence-1990-2019
  16. Gregor, K., & Borrelli, B. (2012). Barriers to quitting smoking among medically ill smokers. Journal of behavioral medicine, 35(5), 484-491.
  17. Hiscock, R., Bauld, L., Amos, A., Fidler, J. A., & Munafò, M. (2012). Socioeconomic status and smoking: a review. Annals of the New York Academy of Sciences, 1248(1), 107-123.
  18. Holm, M., Schiöler, L., Andersson, E., Forsberg, B., Gislason, T., Janson, C., ... & Torén, K. (2017). Predictors of smoking cessation: A longitudinal study in a large cohort of smokers. Respiratory medicine, 132, 164-169
  19. Jones, M., Lewis, S., Parrott, S., Wormall, S., & Coleman, T. (2016). Reā€starting smoking in the postpartum period after receiving a smoking cessation intervention: a systematic review. Addiction, 111(6), 981-990.
  20. Kaarbo, J., & Beasley, R. K. (1999). A practical guide to the comparative case study method in political psychology. Political psychology, 20(2), 369-391.
  21. Lee, J., Taneja, V., & Vassallo, R. (2012). Cigarette smoking and inflammation: cellular and molecular mechanisms. Journal of dental research, 91(2), 142-149.
  22. Leshargie, C. T., Alebel, A., Kibret, G. D., Birhanu, M. Y., Mulugeta, H., Malloy, P., ... & Arora, A. (2019). The impact of peer pressure on cigarette smoking among high school and university students in Ethiopia: A systemic review and meta-analysis. PloS One, 14(10), e0222572.
  23. Martin, R. A., Cassidy, R. N., Murphy, C. M., & Rohsenow, D. J. (2016). Barriers to quitting smoking among substance dependent patients predict smoking cessation treatment outcome. Journal of substance abuse treatment, 64, 7-12.
  24. McRobbie, H., Bullen, C., Glover, M., Whittaker, R., Wallace-Bell, M., & Fraser, T. (2008). New Zealand smoking cessation guidelines. The New Zealand Medical Journal (Online), 121(1276).
  25. National Institute on Drug Abuse (2022). Tobacco, Nicotine, and ECigarettes Research Report. Is Nicotine Addictive? Retrieved from: https://nida.nih.gov/publications/research-reports/tobacco-nicotine-e -cigarettes/nicotine-addictive
  26. Patterson, F., Grandner, M. A., Malone, S. K., Rizzo, A., Davey, A., & Edwards, D. G. (2019). Sleep as a target for optimized response to smoking cessation treatment. Nicotine and Tobacco Research, 21(2), 139-148.
  27. Ranjit, A., Latvala, A., Kinnunen, T. H., Kaprio, J., & Korhonen, T. (2020). Depressive symptoms predict smoking cessation in a 20-year longitudinal study of adult twins. Addictive behaviors, 108, 106427.
  28. Samet, J. M., & Barrington-Trimis, J. (2021). E-cigarettes and harm reduction: An artificial controversy instead of evidence and a wellframed decision context. American Journal of Public Health, 111(9), 1572-1574.
  29. Schroder, H. S., Yalch, M. M., Dawood, S., Callahan, C. P., Donnellan, M. B., & Moser, J. S. (2017). Growth mindset of anxiety buffers the link between stressful life events and psychological distress and coping strategies. Personality and individual differences, 110, 23-26.
  30. Shaheen, K., Oyebode, O., & Masud, H. (2018). Experiences of young smokers in quitting smoking in twin cities of Pakistan: a phenomenological study. BMC public health, 18(1), 1-12.
  31. Sharma, A., & Szatkowski, L. (2014). Characteristics of smokers who have never tried to quit: evidence from the British Opinions and Lifestyle Survey. BMC Public Health, 14(1), 1-7.
  32. Shepherd, J. (2012). Free will and consciousness: Experimental studies. Consciousness and cognition, 21(2), 915-927. Snyder, M., McDevitt, J., & Painter, S. (2008). Smoking cessation and serious mental illness. Archives of psychiatric nursing, 22(5), 297-304.
  33. Song, F., Bachmann, M. O., Aveyard, P., Barton, G. R., Brown, T. J., Maskrey, V., ... & Brandon, T. H. (2018). Relapse to smoking and health-related quality of life: Secondary analysis of data from a study of smoking relapse prevention. PloS one, 13(11), e0205992.
  34. Stubbs, B., Veronese, N., Vancampfort, D., Prina, A. M., Lin, P. Y., Tseng, P. T., ... & Koyanagi, A. (2017). Perceived stress and smoking across 41 countries: a global perspective across Europe, Africa, Asia and the Americas. Scientific reports, 7(1), 1-8.
  35. Talukder, M. H., Johnson, W. M., Varadharaj, S., Lian, J., Kearns, P. N., El-Mahdy, M. A., ... & Zweier, J. L. (2011). Chronic cigarette smoking causes hypertension, increased oxidative stress, impaired NO bioavailability, endothelial dysfunction, and cardiac remodeling in mice. American Journal of Physiology-Heart and Circulatory Physiology, 300(1), H388-H396.
  36. Tomar, S. L., Alpert, H. R., & Connolly, G. N. (2010). Patterns of dual use of cigarettes and smokeless tobacco among US males: findings from national surveys. Tobacco Control, 19(2), 104-109.
  37. Tombor, I., Shahab, L., Brown, J., & West, R. (2013). Positive smoker identity as a barrier to quitting smoking: Findings from a national survey of smokers in England. Drug and Alcohol Dependence, 133(2), 740-745.
  38. Twyman, L., Bonevski, B., Paul, C., & Bryant, J. (2014). Perceived barriers to smoking cessation in selected vulnerable groups: a systematic review of the qualitative and quantitative literature. BMJ open, 4(12), e006414.
  39. Vangeli, E., Stapleton, J., Smit, E. S., Borland, R., & West, R. (2011). Predictors of attempts to stop smoking and their success in adult general population samples: a systematic review. Addiction , 106 (12), 2110-2121.
  40. Volkow, N. D., & Morales, M. (2015). The brain on drugs: from reward to addiction. Cell, 162(4), 712-725.
  41. West, R. (2017). Tobacco smoking: Health impact, prevalence, correlates and interventions. Psychology & health, 32(8), 1018-1036.
  42. West, R., & Shiffman, S. (2016). Smoking cessation (3rd ed.). Abingdon: Health Press.
  43. Westmaas, J. L., Bontemps-Jones, J., & Bauer, J. E. (2010). Social support in smoking cessation: reconciling theory and evidence. Nicotine & Tobacco Research, 12(7), 695-707.
  44. World Health Organization (2022). Tobacco. Retrieved from: https://www.who.int/news-room/fact-sheets/detail/tobacco
  45. World Health Organization (2011). WHO report on the global tobacco epidemic, 2011: warning about the dangers of tobacco. Geneva: WHO; 2011.
  46. U.S. Department of Health and Human Services (2006). The health consequences of involuntary exposure to tobacco smoke: a report of the surgeon general. Atlanta (GA): Centers for Disease Control and Prevention
  47. Young, R. P., Hopkins, R. J., Smith, M., & Hogarth, D. K. (2010). Smoking cessation: the potential role of risk assessment tools as motivational triggers. Postgraduate medical journal, 86(1011), 26- 33.