IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0240411.html
   My bibliography  Save this article

Experiences of tobacco cessation including a prescription approach among patients in Swedish primary health care with a focus on socioeconomically disadvantaged areas

Author

Listed:
  • Anne Leppänen
  • Solvig Ekblad
  • Tanja Tomson

Abstract

Background: Tobacco Cessation on Prescription (TCP) is a new intervention that is being evaluated in socioeconomically disadvantaged areas in Swedish primary health care (PHC). Patients’ perceptions of TCP are important to understand as this may have implications for the acceptability and adherence to treatment and explain cessation outcomes. Patients’ general experiences of tobacco cessation are also important to explore to improve cessation support in this setting. Aim: To explore experiences of tobacco cessation and TCP among patients in Swedish PHC focusing on socioeconomically disadvantaged areas. Methods: Inductive content analysis of transcripts from eight semi-structured interviews with patients recruited from the intervention group in a randomized controlled trial evaluating the effectiveness of TCP in socioeconomically disadvantaged areas in PHC in Stockholm. Results: Two themes were identified: needing individualized support to quit, taking differences in patients’ experiences of tobacco use and cessation into account, acknowledging individual factors such as impact of health and wellbeing on tobacco use and differing attitudes towards tobacco and cessation and needing a supportive environment to facilitate tobacco cessation, taking contextual factors like professional support from the health care system, the importance of the social environment and supportive societal structures into account. Regarding TCP, the prescription form was perceived as useful for providers but did not appear to have a direct impact on tobacco cessation from the informants’ perspective. However, individualized counseling from a tobacco cessation specialist, an empathetic approach in the treatment and long-term follow-up was considered important. Conclusion: A holistic approach may be needed in cessation treatment, combined with interventions outside the health care system, to facilitate tobacco cessation among patients in socioeconomically disadvantaged areas in Swedish PHC. The TCP prescription form may be helpful for PHC providers but counseling and follow-up appear to be the most important components of TCP for patients in this setting.

Suggested Citation

  • Anne Leppänen & Solvig Ekblad & Tanja Tomson, 2020. "Experiences of tobacco cessation including a prescription approach among patients in Swedish primary health care with a focus on socioeconomically disadvantaged areas," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-17, October.
    • Handle: RePEc:plo:pone00:0240411
    DOI: 10.1371/journal.pone.0240411
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0240411
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0240411&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0240411?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Anne Leppänen & Solvig Ekblad & Tanja Tomson, 2019. "Tobacco Cessation on Prescription as a primary health care intervention targeting a context with socioeconomically disadvantaged groups in Sweden: A qualitative study of perceived implementation barri," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-17, February.
    2. Evans-Polce, Rebecca J. & Castaldelli-Maia, Joao M. & Schomerus, Georg & Evans-Lacko, Sara E., 2015. "The downside of tobacco control? Smoking and self-stigma: A systematic review," Social Science & Medicine, Elsevier, vol. 145(C), pages 26-34.
    3. repec:cdl:ctcres:qt8nw5p0zt is not listed on IDEAS
    4. Stuber, Jennifer & Galea, Sandro & Link, Bruce G., 2008. "Smoking and the emergence of a stigmatized social status," Social Science & Medicine, Elsevier, vol. 67(3), pages 420-430, August.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. repec:plo:pone00:0208950 is not listed on IDEAS
    2. Grace Lewis & Neneh Rowa-Dewar & Rachel O’Donnell, 2020. "Stigma and Smoking in the Home: Parents’ Accounts of Using Nicotine Replacement Therapy to Protect Their Children from Second-Hand Smoke," IJERPH, MDPI, vol. 17(12), pages 1-19, June.
    3. Pierre-Olivier Robert & Adeline Grard & Nora Mélard & Martin Mlinarić & Arja Rimpelä & Matthias Richter & Anton E Kunst & Vincent Lorant, 2020. "The effect of school smoke-free policies on smoking stigmatization: A European comparison study among adolescents," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-15, July.
    4. Kelly, Brian C. & Vuolo, Mike & Frizzell, Laura C. & Hernandez, Elaine M., 2018. "Denormalization, smoke-free air policy, and tobacco use among young adults," Social Science & Medicine, Elsevier, vol. 211(C), pages 70-77.
    5. Shaon Lahiri & Jeffrey B. Bingenheimer & William Douglas Evans & Yan Wang & Priyanka Dubey & Bobbi Snowden, 2021. "Social Norms Change and Tobacco Use: A Protocol for a Systematic Review and Meta-Analysis of Interventions," IJERPH, MDPI, vol. 18(22), pages 1-14, November.
    6. Mattauch, Linus & Hepburn, Cameron & Stern, Nicholas, 2018. "Pigou pushes preferences: decarbonisation and endogenous values," INET Oxford Working Papers 2018-16, Institute for New Economic Thinking at the Oxford Martin School, University of Oxford.
    7. Stine Glenstrup & Lotus Sofie Bast & Dina Danielsen & Anette Andersen & Tine Tjørnhøj-Thomsen, 2021. "Places to Smoke: Exploring Smoking-Related Practices among Danish Adolescents," IJERPH, MDPI, vol. 18(2), pages 1-12, January.
    8. Michael Schreuders & Loekie Klompmaker & Bas van den Putte & Anton E Kunst, 2019. "Adolescent Smoking in Secondary Schools that Have Implemented Smoke-Free Policies: In-Depth Exploration of Shared Smoking Patterns," IJERPH, MDPI, vol. 16(12), pages 1-13, June.
    9. James E. Prieger, 2023. "Tax noncompliance: The role of tax morale in smokers' behavior," Contemporary Economic Policy, Western Economic Association International, vol. 41(4), pages 653-673, October.
    10. Barnett, Ross & Pearce, Jamie & Moon, Graham, 2009. "Community inequality and smoking cessation in New Zealand, 1981-2006," Social Science & Medicine, Elsevier, vol. 68(5), pages 876-884, March.
    11. Maryam Dilmaghani, 2022. "The link between smoking, drinking and wages: Health, workplace social capital or discrimination?," Industrial Relations Journal, Wiley Blackwell, vol. 53(2), pages 160-183, March.
    12. Carpiano, Richard M. & Fitz, Nicholas S., 2017. "Public attitudes toward child undervaccination: A randomized experiment on evaluations, stigmatizing orientations, and support for policies," Social Science & Medicine, Elsevier, vol. 185(C), pages 127-136.
    13. Mattauch, Linus & Hepburn, Cameron & Spuler, Fiona & Stern, Nicholas, 2022. "The economics of climate change with endogenous preferences," Resource and Energy Economics, Elsevier, vol. 69(C).
    14. Ronzani, Telmo Mota & Higgins-Biddle, John & Furtado, Erikson F., 2009. "Stigmatization of alcohol and other drug users by primary care providers in Southeast Brazil," Social Science & Medicine, Elsevier, vol. 69(7), pages 1080-1084, October.
    15. Riley, Alicia R., 2024. "State cigarette taxes, smoking cessation, and implications for the educational gradient in mortality," Social Science & Medicine, Elsevier, vol. 362(C).
    16. Echeverría, Sandra E. & Gundersen, Daniel A. & Manderski, Michelle T.B. & Delnevo, Cristine D., 2015. "Social norms and its correlates as a pathway to smoking among young Latino adults," Social Science & Medicine, Elsevier, vol. 124(C), pages 187-195.
    17. Elaine M. Hernandez & Mike Vuolo & Laura C. Frizzell & Brian C. Kelly, 2019. "Moving Upstream: The Effect of Tobacco Clean Air Restrictions on Educational Inequalities in Smoking Among Young Adults," Demography, Springer;Population Association of America (PAA), vol. 56(5), pages 1693-1721, October.
    18. Paolo Liberati & Francesco Crespi & Massimo Paradiso & Simone Tedeschi & Antonio Scialà, 2018. "Smokers Are Different: The Heterogeneity Of Smokers’ Responses To Price Increases," Departmental Working Papers of Economics - University 'Roma Tre' 0237, Department of Economics - University Roma Tre.
    19. Schudson, Michael & Baykurt, Burcu, 2016. "How does a culture of health change? Lessons from the war on cigarettes," Social Science & Medicine, Elsevier, vol. 165(C), pages 289-296.
    20. Okoli, Chizimuzo T.C. & Pederson, Ann & Rice, Wendy, 2013. "Support for a smoke-free bylaw in parks and on beaches," Health Policy, Elsevier, vol. 111(2), pages 127-134.
    21. Graham Moon & Ross Barnett & Jamie Pearce, 2010. "Ethnic Spatial Segregation and Tobacco Consumption: A Multilevel Repeated Cross-Sectional Analysis of Smoking Prevalence in Urban New Zealand, 1981–1996," Environment and Planning A, , vol. 42(2), pages 469-486, February.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0240411. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.