BARRIERS TO SMOKING CESSATION: RESULTS OF A SURVEY AMONG FAMILY PRACTICE PATIENTS

TABLE 6
FACTORS THAT CAN CONVINCE A SMOKER TO STOP SMOKING
(n=100)

Factors
Number (%)*
Realization of the benefits of not smoking
Seeing a person ill due to smoking
Better health
Better breath, taste and smell
Monetary saving
None

68(37.4)
47(25.8)
25(13.7)
18(9.9)
13(7.1)
11(6.0)

* number of responses=182

Fifty three (53%) smokers showed their willingness to initiate smoking cessation on their own while thirty five (35%) of the smokers agreed to join a smoking cessation program.
Fifty nine (59%) smokers showed their willingness to give up smoking if provided with nicotine replacement. Eighty four (84%) smokers were not convinced that health department and media were playing an adequate role in discouraging smoking in the country.

DISCUSSION

This study documents the failed attempts and perceived barriers to smoking cessation.
Since we have interviewed a limited number of patients, and without using systematic random method for patient selection, generalization of the study results cannot be recommended. The majority of the respondents were men (96 percent) and with graduate education (53 percent), making generalization of the results to the rest of the population difficult. The overwhelming proportion of men in the study is due to the low prevalence of smoking among Pakistani women11. Since we interviewed patients visiting a teaching hospital, this again introduces a bias in the study. Despite these inherent weaknesses in the design and conduct of the study, we have documented the barriers to smoking cessation among the study population.
It will improve our understanding of the management of smoking cessation programs. It is for this reason that such survey should be part of family practice facilities, in order to improve the success rates of smoking cessation among the patients.