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Exploring attitudes towards smoking behaviour and cessation among hospitalised smokers via a socio-ecological framework: a scoping review
Journal article

Exploring attitudes towards smoking behaviour and cessation among hospitalised smokers via a socio-ecological framework: a scoping review

Obumneke Obieche, Megan Lee and Nasim Salehi
Addictive Behaviors, Vol.122, 107040
2021
DOI: https://doi.org/10.1016/j.addbeh.2021.107040
PMID: 34246988
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Exploring attitudes towards smoking behaviour and cessation among hospitalised smokers via a socio-ecological framework: a scoping reviewView
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Abstract

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.</p>

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