Examining the onset and cessation patterns of active smoking among college students: an interpretative analysis

Published: 9 September 2024
Abstract Views: 50
PDF: 20
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Smoking is a prevalent global issue, with a significant risk factor for various non-communicable diseases necessitating prolonged, costly, and potentially devastating medical treatments. In addition, infectious diseases such as tuberculosis, COVID-19, and pneumonia in toddlers are often associated with active and passive smoking habits. The correlation is evident across diverse demographics, encompassing individuals of varying ages, professions, and genders. Therefore, this research aimed to explore and describe behavior of active smokers among campus members at various universities, focusing on the initiation, cessation, and influencing factors associated with smoking.
A qualitative research design was used with a hermeneutic phenomenological approach, where information was provided by five active smoker informants.
These individuals started smoking as teenagers, and the fluctuating patterns were influenced by health concerns or a perceived lack of significance attributed to smoking. However, the periods of abstinence were only temporary due to the pervasive influence of social and environmental factors. The initiation of smoking commonly started from the influence of close acquaintances, such as family members. Meanwhile, the process of quitting encountered numerous obstacles, primarily from potent social factors outweighing personal intentions.
The implementation of smoking cessation strategies posed challenges due to the profound impacts of addiction, requiring unwavering determination, comprehensive plans, and diligent efforts.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Virdis A, Giannarelli C, Neves MF, Taddei S, Ghiadoni L. Cigarette smoking and hypertension. Curr Pharm Des. 2010;16(23):2518-25. doi: 10.2174/138161210792062920. PMID: 20550499. DOI: https://doi.org/10.2174/138161210792062920
Benjamin EJ, Blaha MJ, Chiuve SE, Cushman M, Das SR, Deo R, et al. Heart Disease and Stroke Statistics’2017 Update: A Report from the American Heart Association. Vol. 135, Circulation. 2017. 146–603 p. DOI: https://doi.org/10.1161/CIR.0000000000000491
Hu FB. Globalization of diabetes: The role of diet, lifestyle, and genes. Diabetes Care. 2011;34(6):1249–57. DOI: https://doi.org/10.2337/dc11-0442
Stanaway JD, Afshin A, Gakidou E, Lim SS, Abate D, Abate KH, et al. Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990-2017: A systematic analysis for the Global Burden of Disease Stu. Lancet. 2018;392(10159):1923–94. DOI: https://doi.org/10.1016/S0140-6736(18)32225-6
Islami F, Goding Sauer A, Miller KD, Siegel RL, Fedewa SA, Jacobs EJ, et al. Proportion and number of cancer cases and deaths attributable to potentially modifiable risk factors in the United States. CA Cancer J Clin. 2018;68(1):31–54. DOI: https://doi.org/10.3322/caac.21440
Sumartono W, Sirait AM, Holy M, Thabrany H. Smoking and socio-demographic determinant of cardiovascular diseases among males 45+ years in Indonesia. Int J Environ Res Public Health. 2011;8(2):528–39. DOI: https://doi.org/10.3390/ijerph8020528
Rigotti NA, Clair C. Managing tobacco use: The neglected cardiovascular disease risk factor. Eur Heart J. 2013;34(42):3259–67. DOI: https://doi.org/10.1093/eurheartj/eht352
Yankelevitz DF, Henschke CI, Yip R, Boffetta P, Shemesh J, Cham MD, et al. Second-hand tobacco smoke in never smokers is a significant risk factor for coronary artery calcification. JACC Cardiovasc Imaging. 2013;6(6):651–7. DOI: https://doi.org/10.1016/j.jcmg.2013.02.004
Tazinya AA, Halle-Ekane GE, Mbuagbaw LT, Abanda M, Atashili J, Obama MT. Risk factors for acute respiratory infections in children under five years attending the Bamenda Regional Hospital in Cameroon. BMC Pulm Med. 2018;18(1):1–8. DOI: https://doi.org/10.1186/s12890-018-0579-7
Jordan RE, Adab P, Cheng KK. Covid-19: Risk factors for severe disease and death. BMJ. 2020;368(March):1–2. DOI: https://doi.org/10.1136/bmj.m1198
Ahmed N, Maqsood A, Abduljabbar T, Vohra F. Tobacco smoking a potential risk factor in transmission of COVID-19 infection. Pakistan J Med Sci. 2020;36(COVID19-S4):S104–7. DOI: https://doi.org/10.12669/pjms.36.COVID19-S4.2739
Dai M, Tao L, Chen Z, Tian Z, Guo X, Allen-Gipson DS, et al. Influence of Cigarettes and Alcohol on the Severity and Death of COVID-19: A Multicenter Retrospective Study in Wuhan, China. Front Physiol. 2020;11(December):1–6. DOI: https://doi.org/10.3389/fphys.2020.588553
Ekpu VU, Brown AK. The Economic Impact of Smoking and of Reducing Smoking Prevalence: Review of Evidence. Tob Use Insights. 2015;8:TUI.S15628. DOI: https://doi.org/10.4137/TUI.S15628
World Health Organization. WHO global report on trends in prevalence of tobacco use 2000 - 2025 fourth edition [Internet]. World Health Organization. 2021. 150 p. Available from: http://apps.who.int/bookorders.
Achadi A, Soerojo W, Barber S. The relevance and prospects of advancing tobacco control in Indonesia. Health Policy (New York). 2005;72(3):333–49. DOI: https://doi.org/10.1016/j.healthpol.2004.09.009
World Health Organization (WHO). WHO report on the global tobacco epidemic, 2019. Offer help to quit tobacco use [Internet]. Geneva: World Health Organization. 2019. 1–209 p. Available from: https://www.who.int/teams/health-promotion/tobacco-control/who-report-on-the-global-tobacco-epidemic-2019
Bartington SE, Wootton R, Hawkins P, Farley A, Jones LL, Haroon S. Smoking behaviours and attitudes towards campus-wide tobacco control policies among staff and students: A cross-sectional survey at the University of Birmingham. BMC Public Health. 2020;20(1):1–9. DOI: https://doi.org/10.1186/s12889-020-8321-9
Braverman MT, Geldhof GJ, Hoogesteger LA, Johnson JA. Predicting students’ noncompliance with a smoke-free university campus policy. Prev Med (Baltim) [Internet]. 2018;114(January):209–16. Available from: https://doi.org/10.1016/j.ypmed.2018.07.002 DOI: https://doi.org/10.1016/j.ypmed.2018.07.002
Seo DC, Macy JT, Torabi MR, Middlestadt SE. The effect of a smoke-free campus policy on college students’ smoking behaviors and attitudes. Prev Med (Baltim) [Internet]. 2011;53(4–5):347–52. Available from: http://dx.doi.org/10.1016/j.ypmed.2011.07.015 DOI: https://doi.org/10.1016/j.ypmed.2011.07.015
Sabrian F, Utomo W. Perceptions of students, lecturers and staffs on establishing a smoke-free campus. Enferm Clin [Internet]. 2019;29:42–5. Available from: http://dx.doi.org/10.1016/j.enfcli.2018.11.016 DOI: https://doi.org/10.1016/j.enfcli.2018.11.016
Mohmad S, Ismail A, Ks H, Hassan N, Imran AM, Hamzah NF, et al. Comparison and determination of factors associated with smoking status, smoking knowledge, attitude and practice (S-KAP) between smoke-free and non-smoke-free campuses in public universities in Malaysia: A cross-sectional study. BMJ Open. 2022;12(3):1–12. DOI: https://doi.org/10.1136/bmjopen-2021-052275
Morrell HER, Song A V., Halpern-Felsher BL. Predicting adolescent perceptions of the risks and benefits of cigarette smoking: A Longitudinal investigation. Heal Psychol. 2010;29(6):610–7. DOI: https://doi.org/10.1037/a0021237
Swan AV, Creeser R, Murray M. When and why children first start to smoke. Int J Epidemiol. 1990;19(2):323–30. DOI: https://doi.org/10.1093/ije/19.2.323
Tilson EC, McBride CM, Lipkus IM, Catalano RF. Testing the interaction between parent–child relationship factors and parent smoking to predict youth smoking. J Adolesc Heal. 2004;35(3):182–9. DOI: https://doi.org/10.1016/S1054-139X(03)00532-9
Harakeh Z, Vollebergh WAM. The impact of active and passive peer influence on young adult smoking: An experimental study. Drug Alcohol Depend [Internet]. 2012;121(3):220–3. Available from: http://dx.doi.org/10.1016/j.drugalcdep.2011.08.029 DOI: https://doi.org/10.1016/j.drugalcdep.2011.08.029
Dinh KT, Sarason IG, Peterson A V., Onstad LE. Children’s Perceptions of Smokers and Nonsmokers: A Longitudinal Study. Heal Psychol. 1995;14(1):32–40. DOI: https://doi.org/10.1037//0278-6133.14.1.32
Lundborg P, Andersson H. Gender, risk perceptions, and smoking behavior. J Health Econ. 2008;27(5):1299–311. DOI: https://doi.org/10.1016/j.jhealeco.2008.03.003
Ritchie D, Amos A, Martin C. Public places after smoke-free-A qualitative exploration of the changes in smoking behaviour. Heal Place [Internet]. 2010;16(3):461–9. Available from: http://dx.doi.org/10.1016/j.healthplace.2009.12.003 DOI: https://doi.org/10.1016/j.healthplace.2009.12.003
Bjartveit K, Tverdal A. Health consequences of smoking 1-4 cigarettes per day. Tob Control. 2005;14(5):315–20. DOI: https://doi.org/10.1136/tc.2005.011932
Nuryunarsih D, Lewis S, Langley T. Health Risks of Kretek Cigarettes: A Systematic Review. Nicotine Tob Res. 2021;23(8):1274–82. DOI: https://doi.org/10.1093/ntr/ntab016
Ratih SP, Susanna D. Perceived effectiveness of pictorial health warnings on changes in smoking behaviour in Asia: A literature review. BMC Public Health. 2018;18(1):1–16. DOI: https://doi.org/10.1186/s12889-018-6072-7
Petrescu DC, Vasiljevic M, Pepper JK, Ribisl KM, Marteau TM. What is the impact of e-cigarette adverts on children’s perceptions of tobacco smoking? An experimental study. Tob Control. 2017;26(4):421–7. DOI: https://doi.org/10.1136/tobaccocontrol-2016-052940
Murphy-Hoefer R, Alder S, Higbee C. Perceptions about cigarette smoking and risks among college students. Nicotine Tob Res. 2004;6(SUPPL. 3). DOI: https://doi.org/10.1080/14622200412331320770
Grobe JE, Goggin K, Harris KJ, Richter KP, Resnicow K, Catley D. Race moderates the effects of Motivational Interviewing on smoking cessation induction. Patient Educ Couns [Internet]. 2020;103(2):350–8. Available from: https://doi.org/10.1016/j.pec.2019.08.023 DOI: https://doi.org/10.1016/j.pec.2019.08.023
Ickes MJ, Rayens MK, Wiggins A, Hahn EJ. Students’ Beliefs About and Perceived Effectiveness of a Tobacco-Free Campus Policy. Policy, Polit Nurs Pract. 2017;18(1):17–25. DOI: https://doi.org/10.1177/1527154417700633
Ickes M, Gokun Y, Rayens MK, Hahn EJ. Comparing Two Observational Measures to Evaluate Compliance With Tobacco-Free Campus Policy. Health Promot Pract. 2015;16(2):210–7. DOI: https://doi.org/10.1177/1524839914561060
Glassman TJ, Reindl DM, Whewell AT. Strategies for implementing a tobacco-free campus policy. J Am Coll Heal. 2011;59(8):764–8. DOI: https://doi.org/10.1080/07448481.2010.529479

How to Cite

Sugiyatmi, T. A., Handoko, L., Sentosa, A., Fitriyanti, F., & Mulyani, S. (2024). Examining the onset and cessation patterns of active smoking among college students: an interpretative analysis. Healthcare in Low-Resource Settings. https://doi.org/10.4081/hls.2024.13023