A qualitative study to assess perceptions, barriers, and motivators supporting smokeless tobacco cessation in the US fire service.

While firefighters currently have low smoking rates, rates of smokeless tobacco (SLT) use among this population are remarkably high and substantially greater than similar occupational groups, and the general population. This study explored determinants associated with SLT use, barriers to cessation,...

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Autores principales:	Nattinee Jitnarin, Walker S C Poston, Sara A Jahnke, Christopher K Haddock, Hannah N Kelley, Herbert H Severson
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/c5728c55e3c6470695774a64b32592ed
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spelling	oai:doaj.org-article:c5728c55e3c6470695774a64b32592ed2021-12-02T20:11:21ZA qualitative study to assess perceptions, barriers, and motivators supporting smokeless tobacco cessation in the US fire service.1932-620310.1371/journal.pone.0251128https://doaj.org/article/c5728c55e3c6470695774a64b32592ed2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0251128https://doaj.org/toc/1932-6203While firefighters currently have low smoking rates, rates of smokeless tobacco (SLT) use among this population are remarkably high and substantially greater than similar occupational groups, and the general population. This study explored determinants associated with SLT use, barriers to cessation, and motivators for SLT cessation in the fire service. Key informant interviews were conducted in 23 career firefighters who were current (n = 14) and former (n = 9) SLT users from across the U.S. Discussions were recorded and independently coded according to questions and themes. Major themes that developed among firefighters regarding SLT use determinants included positive perceptions of SLT products, social influences from their peers and family members, acceptability of SLT use in the fire service, and a coping resource for job stress. Firefighters discussed several barriers to SLT cessation, including intrapersonal barriers such as SLT use habits and its dependency, concerns about withdrawal symptoms; and social-environmental barriers including lack of support from health and other services providers, and lack of enforcement of existing tobacco policies regarding SLT use. Firefighters also mentioned both internal and external motivators for cessation. Internal motivators included self-motivation and their health concerns while external motivators included friends and family support, incentives or rewards, and price of SLT products. Findings provide unique perspectives from firefighters on factors that influence SLT use and barriers and motivators to SLT cessation. These are insufficiently assessed and considered by the fire service organizations and their health care providers. Thus, the organizations must understand these issues in order to mitigate barriers and motivate the personnel to quit using SLT. Information gained from firefighters who were current and former SLT users can be used to develop an effective, culturally-tailored intervention that is acceptable to fire service personnel.Nattinee JitnarinWalker S C PostonSara A JahnkeChristopher K HaddockHannah N KelleyHerbert H SeversonPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0251128 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Nattinee Jitnarin Walker S C Poston Sara A Jahnke Christopher K Haddock Hannah N Kelley Herbert H Severson A qualitative study to assess perceptions, barriers, and motivators supporting smokeless tobacco cessation in the US fire service.
description	While firefighters currently have low smoking rates, rates of smokeless tobacco (SLT) use among this population are remarkably high and substantially greater than similar occupational groups, and the general population. This study explored determinants associated with SLT use, barriers to cessation, and motivators for SLT cessation in the fire service. Key informant interviews were conducted in 23 career firefighters who were current (n = 14) and former (n = 9) SLT users from across the U.S. Discussions were recorded and independently coded according to questions and themes. Major themes that developed among firefighters regarding SLT use determinants included positive perceptions of SLT products, social influences from their peers and family members, acceptability of SLT use in the fire service, and a coping resource for job stress. Firefighters discussed several barriers to SLT cessation, including intrapersonal barriers such as SLT use habits and its dependency, concerns about withdrawal symptoms; and social-environmental barriers including lack of support from health and other services providers, and lack of enforcement of existing tobacco policies regarding SLT use. Firefighters also mentioned both internal and external motivators for cessation. Internal motivators included self-motivation and their health concerns while external motivators included friends and family support, incentives or rewards, and price of SLT products. Findings provide unique perspectives from firefighters on factors that influence SLT use and barriers and motivators to SLT cessation. These are insufficiently assessed and considered by the fire service organizations and their health care providers. Thus, the organizations must understand these issues in order to mitigate barriers and motivate the personnel to quit using SLT. Information gained from firefighters who were current and former SLT users can be used to develop an effective, culturally-tailored intervention that is acceptable to fire service personnel.
format	article
author	Nattinee Jitnarin Walker S C Poston Sara A Jahnke Christopher K Haddock Hannah N Kelley Herbert H Severson
author_facet	Nattinee Jitnarin Walker S C Poston Sara A Jahnke Christopher K Haddock Hannah N Kelley Herbert H Severson
author_sort	Nattinee Jitnarin
title	A qualitative study to assess perceptions, barriers, and motivators supporting smokeless tobacco cessation in the US fire service.
title_short	A qualitative study to assess perceptions, barriers, and motivators supporting smokeless tobacco cessation in the US fire service.
title_full	A qualitative study to assess perceptions, barriers, and motivators supporting smokeless tobacco cessation in the US fire service.
title_fullStr	A qualitative study to assess perceptions, barriers, and motivators supporting smokeless tobacco cessation in the US fire service.
title_full_unstemmed	A qualitative study to assess perceptions, barriers, and motivators supporting smokeless tobacco cessation in the US fire service.
title_sort	qualitative study to assess perceptions, barriers, and motivators supporting smokeless tobacco cessation in the us fire service.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/c5728c55e3c6470695774a64b32592ed
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A qualitative study to assess perceptions, barriers, and motivators supporting smokeless tobacco cessation in the US fire service.

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