Understanding and use of nicotine replacement therapy and nonpharmacologic smoking cessation strategies among Chinese and vietnamese smokers and their families

Icarus K. Tsang, Janice Y. Tsoh, Ching Wong, Khanh Le, Joyce W. Cheng, Anthony N. Nguyen, Tung T. Nguyen, Stephen J. McPhee, Nancy J. Burke

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

Introduction Population-based studies have reported high rates of smoking prevalence among Chinese and Vietnamese American men. Although nicotine replacement therapy (NRT) is effective, recommended, and accessible without prescription, these populations underuse NRT for smoking cessation. The aim of this study was to assess understanding and use of NRT and nonpharmacologic treatments among Chinese and Vietnamese American male smokers and their families. Methods In-depth qualitative interviews were conducted with 13 smoker-family pairs, followed by individual interviews with each participant. A total of 39 interviews were conducted in Vietnamese or Chinese, recorded, translated, and transcribed into English for analysis. Results Four themes were identified: use and understanding of NRT, nonpharmacologic strategies, familial and religious approaches, and willpower. Both smokers and their family members believed strongly in willpower and a sense of personal responsibility as the primary drivers for stopping smoking. Lack of these 2 qualities keeps many Chinese and Vietnamese men from using NRT to quit smoking. Those who do use NRT often use it incorrectly, following their own preferences rather than product instructions. Conclusion Our findings indicate the importance of culturally appropriate patient education about NRT. It may be necessary to teach smokers and their families at an individual level about NRT as a complementary approach that can strengthen their resolve to quit smoking. At a community level, public health education on the indication and appropriate use of evidence-based smoking cessation resources, such as NRT, would be an important component of effective tobacco control.

Original languageEnglish (US)
Article number130299
JournalPreventing chronic disease
Volume11
Issue number2
DOIs
StatePublished - 2014

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health Policy
  • Medicine(all)

Fingerprint Dive into the research topics of 'Understanding and use of nicotine replacement therapy and nonpharmacologic smoking cessation strategies among Chinese and vietnamese smokers and their families'. Together they form a unique fingerprint.

  • Cite this

    Tsang, I. K., Tsoh, J. Y., Wong, C., Le, K., Cheng, J. W., Nguyen, A. N., Nguyen, T. T., McPhee, S. J., & Burke, N. J. (2014). Understanding and use of nicotine replacement therapy and nonpharmacologic smoking cessation strategies among Chinese and vietnamese smokers and their families. Preventing chronic disease, 11(2), [130299]. https://doi.org/10.5888/pcd11.130299