ArticleBMJ open2019
Barriers to smoking cessation: a qualitative study from the perspective of primary care in Malaysia.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Pooled it
- When primary care providers and smokers meet: a systematic review and metasynthesis.NPJ primary care respiratory medicine · 2021Pooled it
- Effectiveness of community health workers involvement in smoking cessation programme: A systematic review.PloS one · 2020Pooled it
- Female smokers' perspectives on tobacco use and smoking cessation: a qualitative study guided by health belief model.NPJ primary care respiratory medicine · 2026Article
- Sociodemographic and behavioral factors associated with time to first cigarette upon waking: Findings from the Malaysian national tobacco survey 2023.Tobacco induced diseases · 2026Article
- Behavioral smoking cessation outcomes among industrial workers in Myanmar following a health belief model-based health education and mobile phone short message service intervention.Frontiers in public health · 2026Article
- Smoking cessation behavior, nicotine addiction, and mental health among current smokers in Klang Valley, Malaysia- a cross-sectional questionnaire survey.BMC public health · 2025Article
- What Increases Smokers' Stress? Degree of Nicotine Dependence and Motivation to Quit Smoking in People After Myocardial Infarction.Journal of clinical medicine · 2025Article
- Factors Influencing Smoking Behavior Among Japanese Employees: A Cross-Sectional Study.Cureus · 2025Article
- Temporal Analysis and Spatial Distribution of Mortality Related to Head and Neck Cancer in the State of Santa Catarina, Brazil.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2024Article
- Review
- Associations between Nicotine Dependence, Smartphone Usage Patterns, and Expected Compliance with a Smoking Cessation Application among Smokers.Healthcare informatics research · 2024Article
- Evaluating smokers' opinions on smoking and customized cessation in a Thailand University context: A qualitative study.Tobacco induced diseases · 2024Article
- Abstinence Rate, Adverse Events and Withdrawal Symptoms after Varenicline Use and Predicting Factors of Smoking Abstinence: A Multicentre Single-State Study in Malaysia.International journal of environmental research and public health · 2022Article
- Factors affecting smoking initiation and cessation among adult smokers in Fiji: A qualitative study.Tobacco induced diseases · 2021Article
- Evaluation of Smoking Prevalence, Secondhand Smoke Exposure, Attitudes of Tobacco Control, and Smoking Cessation Knowledge among Pharmacy and Medical Students in a Private University, Malaysia.Journal of pharmacy & bioallied sciencesArticle
- Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis qualitative study aims to construct a model of the barriers to smoking cessation in the primary care setting.
designIndividual in-depth, semistructured interviews were audio-taped, then verbatim transcribed and translated when necessary. The data were first independently coded and then collectively discussed for emergent themes using the Straussian grounded theory method. PARTICIPANTS AND
settingFifty-seven current smokers were recruited from a previous smoking related study carried out in a primary care setting in Malaysia. Current smokers with at least one failed quit attempts were included.
resultsA five-theme model emerged from this grounded theory method. (1) Personal and lifestyle factors: participants were unable to resist the temptation to smoke; (2) Nicotine addiction: withdrawal symptoms could not be overcome; (3) Social cultural norms: participants identified accepting cigarettes from friends as a token of friendship to be problematic; (4) Misconception: perception among smokers that ability to quit was solely based on one's ability to achieve mind control, and perception that stopping smoking will harm the body and (5) Failed assisted smoking cessation: smoking cessation services were not felt to be user-friendly and were poorly understood. The themes were organised into five concentric circles based on time frame: those actionable in the short term (themes 1 and 2) and the long term (themes 3, 4, 5).
conclusionsFive themes of specific beliefs and practices prevented smokers from quitting. Clinicians need to work on these barriers, which can be guided by the recommended time frames to help patients to succeed in smoking cessation.
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Registered trials
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