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Need for Smoking Cessation Support for Better Health of Employees

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Chemistry: The Key to our Sustainable Future

Abstract

Tobacco is a silent killer, with more than 400 poisonous chemical substances. The use of tobacco is driven by dependence on nicotine, the primary addictive substance in tobacco. Smoking in the workplace has adverse effects on both the employee health and productivity. Hence, it is important to raise awareness on the need to quit smoking. The objectives of the study were to determine the intention to quit smoking and cessation attempts among employees of an educational institution, to assess the association between level of dependence and the Trans-Theoretical Model of Change and to identify the smoking cessation facilities available in Mauritius. This study had a mixed approach. In the quantitative part, smokers were recruited using a convenience sampling. The inclusion criteria were employees who were current smokers. A validated questionnaire adapted from the Global Adult Tobacco Survey questionnaire was used. The qualitative part evaluated the facilities available at the Smoking Cessation Clinics set up in Mauritius. The findings showed that 81 % of the participants intended to quit smoking and most of them planned to quit within the next month. Three major obstacles to relapse were identified. Awareness of smoking cessation techniques was low but willingness to use nicotine replacement therapy and other support therapy was high. This study highlighted the need to implement free smoking cessation programs on work premises to cater for the needs of employees so that they stop inhaling poisonous chemical substances which jeopardize the health and future of employees.

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References

  1. World Health Organization (2008) Report on the global tobacco epidemic, The MPOWER package, Geneva. http://www.who.int/tobacco/mpower/mpower_report_full_2008.pdf. Accessed 11 Sep 2011

  2. Dixon T (2009) Should there be further restrictions on the advertising, selling, and smoking of tobacco? Should it be banned? http://www.idebate.org/debatabase/topic_details.php?topicID=16. Accessed 20 Sep 2011

  3. World Health Organization (2003) WHO framework convention on tobacco control. http://www.who.int/tobacco/framework/WHO_FCTC_english.pdf. Accessed 22 Oct 2011

  4. Dunnington J (1993) Tobacco almanac: a collection of tobacco facts. University of Texas, Houston

    Google Scholar 

  5. Cancer Research UK (2009) Smoking and cancer. http://info.cancerresearchuk.org/healthyliving/smokingandtobacco/whatsinacigarette/#Tar. Accessed 14 Sep 2011

  6. World Health Organization (2011) Report on the global tobacco epidemic. Warn about the dangers of tobacco. http://whqlibdoc.who.int/publications/2011/9789240687813_eng.pdf. Accessed 22 Oct 2011

  7. The Tobacco Atlas (2009). Third edition. http://www.tobaccoatlas.org/downloads/TobaccoAtlas_sm.pdf. Accessed 11 Sep 2011

  8. World Health Organization (2010) WHO framework convention on tobacco control. http://apps.who.int/gb/fctc/PDF/cop4/FCTC_COP4_12-en.pdf. Accessed 22 Oct 2011

  9. WHO/EMRO (2004) Collaboration on a national level: working together to bring about anti-tobacco legislation: a success story, World Health Organization, Geneva

    Google Scholar 

  10. WHO/AFRO (2004) Tobacco-free initiative: WHO/AFRO overview, World Health Organization, Geneva

    Google Scholar 

  11. Ministry of Health & Quality of Life (2009) Non-communicable diseases survey, republic of Mauritius. http://www.gov.mu/portal/goc/moh/file/ncd/ncd-2009.pdf. Accessed 12 Sep 2011

  12. United States Environmental Protection Agency (1992) Respiratory health effects of passive smoking: lung cancer and other disorders, Office of Research and Development, Office of Air and Radiation. http://www.epa.gov/ncea/ets/pdfs/acknowl.pdf. Accessed 24 Nov 2011

  13. Gonzales AC (2003) Passive smoking. Br Med J 326:1094

    Article  Google Scholar 

  14. Secretan B, Straif K, Baan R, Grosse Y, El Ghissassi F, Bouvard V, Benbrahim-Tallaa L, Guha N, Freeman C, Galichet L, Cogliano V (2009) A review of human carcinogens – part E: tobacco, areca nut, alcohol, coal smoke, and salted fish. Lancet Oncol 10:1033–1034

    Article  Google Scholar 

  15. Carlo WA, Goudar SS, Jehan I, Chomba E, Tshefu A, Garces A, Parida S, Althabe F, McClure EM, Derman RJ, Goldenberg RL, Bose C, Krebs NF, Panigrahi P, Buekens P, Chakraborty H, Hartwell TD, Wright LL (2010) Newborn-care training and perinatal mortality in developing countries. N Engl J Med 362:614–623

    Article  CAS  Google Scholar 

  16. Centers for Disease Control and Prevention (2011) Current cigarette smoking prevalence among working adults, United States, 2004–2010. Morb Mortal Wkly Rep 60:1305–1309

    Google Scholar 

  17. Ministry of Health & Quality of Life (2011) Report on strengthening the health information system regarding tobacco use among NCD patients attending public health institutions. http://www.gov.mu/portal/goc/mih/file/atsa4.pdf. Accessed 11 Apr 2012

  18. International Tobacco Control Policy Evaluation Project (2011) ITC Mauritius wave 2 national report. www.itcproject.org/download/…/itc20mauritius20reportprintdraftpdf. Accessed 20 Feb 2012

    Google Scholar 

  19. Jha P, Chaloupka FJ, Moore J, Gajakshmi V, Gupta PC, Peck R, Asma S, Zatonski W (2006) Tobacco addiction (chap 46). In: Jamison DT, Breman JG, Measham AR, Alleyne G, Claeson M, Evans DB, Jha P, Mills A, Musgrove P (eds) Disease control priorities in developing countries, 2nd edn. World Bank, Washington, pp 869–895

    Google Scholar 

  20. Håkansta (2004) Workplace smoking. Working paper: a review of national and local practical and regulatory measures. http://www.ilo.org/wcmsp5/groups/public/@ed_protect/@protrav/@safework/documents/publication/wcms_108424.pdf. Accessed 5 Apr 2012

  21. Bunn WB, Stave GM, Downs KE, Alvir JM, Dirani R (2006) Effect of smoking status on productivity loss. J Occup Environ Med 48:1099–1108

    Article  Google Scholar 

  22. Max W (2001) The financial impact of smoking on health related costs: a review of the literature. Am J Health Promot 15:321–331

    Article  CAS  Google Scholar 

  23. Halpern MT, Shikiar R, Rentz AM, Khan ZM (2001) Impact of smoking status on workplace absenteeism and productivity. Tob Control 10:233–238

    Article  CAS  Google Scholar 

  24. US National Research Council (1986) Environmental tobacco smoke: measuring exposures and assessing health effects, National Academy Press, Washington, DC

    Google Scholar 

  25. American Cancer Society (2012) Guide to quitting smoking. http://www.cancer.org/Healthy/StayAwayfromTobacco/GuidetoQuittingSmoking/guide-to-quitting-smoking-types-of-nrt. Accessed 28 Feb 2012

  26. Fiore MC (2008) Treating tobacco use and dependence. Clinical practice guideline. http://www.surgeongeneral.gov/tobacco/treating_tobacco_use08.pdf. Accessed 17 Feb 2012

  27. Prochaska JO, Velicer WF (1997) The transtheoretical model of health behavior change. Am J Health Promot 12:38–48

    Article  CAS  Google Scholar 

  28. Griffiths J, Grieves K (2002) Why smoking in the workplace matters: an employer’s guide, World Health Organization, Copenhagen. http://www.euro.who.int/document/e74820.pdf. Accessed 5 Apr 2012

  29. International Tobacco Control (2009) International Tobacco Control Policy Evaluation Project. China Summary

    Google Scholar 

  30. Abdullah AS, Lam TH, Chan SS, Hedley AJ (2006) Smoking cessation among Chinese young smokers: does gender and age difference matters and what are the predictors? Addict Behav 31:913–921

    Article  Google Scholar 

  31. Wong DC, Chan SS, Ho SY, Fong DY, Lam TH (2010) Predictors of intention to quit smoking in Hong Kong secondary school children. J Public Health 32:360–371

    Article  Google Scholar 

  32. Shiffman S, Brockwell SE, Pillitteri JL, Gitchell JG (2008) Use of smoking cessation treatments in the United States. Am J Prev Med 34:102–111

    Article  Google Scholar 

  33. Fagan P, Augustson E, Backinger CL, O’Connell ME, Vollinger RE, Kaufman A, Gibson JT (2007) Quit attempts and intention to quit cigarette smoking among young adults in the United States. Am J Public Health 97:1412–1420

    Article  Google Scholar 

  34. Joseph A, Lexau B, Willenbring M, Nugent S, Nelson D (2004) Factors associated with readiness to stop smoking among patients in treatment for alcohol use disorder. http://www.ncbi.nlm.nih.gov/pubmed/15370939. Accessed 5 Apr 2012

  35. Leatherdale ST, Shields M (2009) Smoking cessation: intentions, attempts and techniques. Health Rep 20:31–39

    Google Scholar 

  36. Burns DM, Shanks TG, Major JM, Gower KB, Shopland DR (2000) Restrictions on smoking in the workplace. In: USDHHS and National Cancer Institute (ed) Population based smoking cessation. National Institutes of Health, Bethesda, p 99

    Google Scholar 

  37. Zhu SH (2007) Differential cessation rates across populations: what explains it and how to reduce it? Paper presented at the meeting of the Oceania tobacco control conference, Auckland. http://otcc.confex.com/otcc/otcc07/techprogram/S1069.HTM. Accessed 14 Oct 2011

  38. Chen PH, White HR, Pandina RJ (2001) Predictors of smoking cessation from adolescence into young adulthood. Addict Behav 26:517–529

    Article  CAS  Google Scholar 

  39. Ellickson PL, McGuigan KA, Klein DJ (2001) Predictors of late-onset smoking and cessation over 10 years. J Adolesc Health 29:101–108

    Article  CAS  Google Scholar 

  40. Macy JT, Seo DC, Chassin L, Presson CC, Sherman SJ (2007) Prospective predictors of long-term abstinence versus relapse among smokers who quit as young adults. Am J Public Health 97:1470–1475

    Article  Google Scholar 

  41. Paavola M, Vartiainen E, Puska P (2001) Smoking cessation between teenage years and adulthood. Health Educ Res 16:49–57

    Article  CAS  Google Scholar 

  42. Rose JS, Chassin L, Presson CC, Sherman SJ (1996) Prospective predictors of quit attempts and smoking cessation in young adults. Health Psychol 15:261–268

    Article  CAS  Google Scholar 

  43. Tucker JS, Ellickson PL, Orlando M, Klein DJ (2005) Predictors of attempted quitting and cessation among young adult smokers. Prev Med 41:554–561

    Article  Google Scholar 

  44. Wisconsin Tobacco Survey (2003) www.ctri.wisc.edu/Publications/…/BarrierstoQuitting.2.28.pdf. Accessed 5 Apr 2012

    Google Scholar 

  45. Norregaard J, Tonnesen P, Petersen L (1993) Predictors and reasons for relapse in smoking cessation with nicotine and placebo patches. http://www.ncbi.nlm.nih.gov/pubmed/8483863. Accessed 19 Oct 2011

  46. Catley D, Harris KJ, Okuyemi KS, Mayo MS, Pankey E, Ahluwalia JS (2005) The influence of depressive symptoms on smoking cessation among African Americans in a randomized trial of bupropion. Nicotine Tob Res 7:859–870. http://www.ncbi.nlm.nih.gov/pubmed/16298721. Accessed 3 Oct 2011

    Google Scholar 

  47. Perkins KA (1993) Weight gain following smoking cessation. J Consult Clin Psychol 61:768–777. http://psycnet.apa.org/index.cfm?fa=buy.optionToBuy&id=1994-07255-001. Accessed 18 Sep 2011

    Google Scholar 

  48. Hughes JR (1992) Tobacco withdrawal in self-quitters. J Consult Clin Psychol 60:689–697

    Article  CAS  Google Scholar 

  49. Doggrell SA (2007) Which is the best primary medication for long-term smoking cessation--nicotine replacement therapy, bupropion or varenicline? http://www.ncbi.nlm.nih.gov/pubmed/18001252. Accessed 5 Apr 2012

  50. Wu P, Wilson K, Dimoulas P, Mills JE (2006) Effectiveness of smoking cessation therapies: a systematic review and meta-analysis. http://www.biomedcentral.com/1471-2458/6/300. Accessed 5 Apr 2012

  51. Fiore MC, Bailey WC, Cohen SJ, Dorfman SF, Goldstein MG, Gritz EF, Heyman RB, Jae’n CR, Kottke TE, Lando JA, Meckleburg RE, Mullen PD, Nett LM, Robinson R, Stitzer ML, Tommasello AC, Villejo L, Wewers ME (2000) Treating tobacco use and dependence: clinical practice guidelines. U.S. Department of Health and Human Services, Public Health Service, Rockville

    Google Scholar 

  52. Curry SJ, Sporer AK, Pugach O, Campbell RT, Emery S (2007) Use of tobacco cessation treatments among young adult smokers: 2005 National Health Interview Survey. Am J Public Health 97:1464–1469

    Article  Google Scholar 

  53. Ellis JA, Perl SB, Davis K, Vichinsky L (2008) Gender differences in smoking and cessation behaviors among young adults after implementation of local comprehensive tobacco control. Am J Public Health 98:310–316

    Article  Google Scholar 

  54. Hughes JR, Cohen B, Callas PW (2009) Treatment seeking for smoking cessation among young adults. J Subst Abuse Treat 32:211–213

    Article  Google Scholar 

  55. Messer K, Trinidad DR, Al-Delaimy WK, Pierce JP (2008) Smoking cessation rates in the United States: a comparison of young adult and older smokers. Am J Public Health 98:317–322

    Article  Google Scholar 

  56. McDonald P (2003) Consideration and rationale for a national action plan to help Canadian tobacco users. Ontario Tobacco Research Unit, Canada

    Google Scholar 

  57. Pierce JP, Gilpin EA (2002) Impact of over-the-counter sales on effectiveness of pharmaceutical aids for smoking cessation. JAMA 288:1260–1264

    Article  Google Scholar 

  58. Becona E, Gomez-Duran B, Alvarez-Soto E, Garcia MP (1992) Scores of Spanish smokers on Fagerstrom’s Tolerance Questionnaire. Psychol Rep 71:1227–1233

    CAS  Google Scholar 

  59. Jimenez-Ruiz CA, Masa F, Miravitlles M, Gabriel R, Viejo JL, Villasante C, Sobradillo V (2001) Smoking characteristics: differences in attitudes and dependence between healthy smokers and smokers with COPD. Chest 119:1365–1370

    Article  CAS  Google Scholar 

  60. Duaso MJ, De Irala J, Canga N (2005) Employee’s perceived exposure to environmental tobacco smoke, passive smoking risk beliefs and attitudes towards smoking: a case study in a university setting. Health Educ Res 21:26–33

    Article  Google Scholar 

  61. Sanglam L, Bayraktar R, Kadioglu EE, Acemoglu H (2010) Smoking prevalence and the degree of nicotine dependence among healthcare workers at the Ataturk University Medical Facility. http://www.eajm.org/pdf/pdf_EAJM_346.pdf. Accessed 5 Apr 2012

  62. Bang H (1996) Smoking among employees at University of Pittsburgh/Upmc. http://d-scholarship.pitt.edu/8061/1/bangh_etd.pdf. Accessed 5 Apr 2012

  63. Girma E, Assefa T, Deribew A (2010) Cigarette smokers’ intention to quit smoking in Dire Dawa town Ethiopia: an assessment using the Transtheoretical Model. BMC Public Health 10:320

    Article  Google Scholar 

  64. DiClemente CC, Prochaska JO, Fairhurst SK, Velicer WF, Velasquez MM, Rossi JS (1991) The process of smoking cessation: an analysis of precontemplation, contemplation, and preparation stages of change. J Consult Clin Psychol 59:295–304

    Article  CAS  Google Scholar 

  65. Kleinjan M, Brug J, Eijnden RJJM, Vermulst AA, Zundert RMP, Engels RCME (2007) Associations between the transtheoretical processes of change, nicotine dependence and adolescent smokers’ transition through the stages of change. http://fataids.org/assets/pdf/0514-200802000-00026.pdf. Accessed 5 Apr 2012

  66. Kleinjan M, Eijnden RJJM, Leeuwe JV, Brug J, van de Ven MOM, Engels RCME (2008) Adolescent’s movement towards cessation of smoking: role and relative value of the processes of change and nicotine dependence. http://www.tandfonline.com/doi/abs/10.1080/08870440701757344#preview. Accessed 5 Apr 2012

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Correspondence to Marie Chan Sun .

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Sun, M.C., Erriah, J., Ramasawmy, D. (2014). Need for Smoking Cessation Support for Better Health of Employees. In: Gupta Bhowon, M., Jhaumeer-Laulloo, S., Li Kam Wah, H., Ramasami, P. (eds) Chemistry: The Key to our Sustainable Future. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-7389-9_8

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