Weight gain and smoking: perceptions and experiences of obese quitline participants

BMC Public Health

Lyndsay Miles²  Brooke Magnusson⁴  Michele D Levine³  Clarissa Hsu¹  Terry Bush⁴ 

[1] Center for Community Health and Evaluation, Group Health Research Institute, 1730 Minor Ave, Suite 1600, Seattle, WA 98101-1404, USA;Formerly with Alere Wellbeing, 9228 NE 183rd St., Bothell, WA 98011, USA;Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, 3811 O’Hara Street, Pittsburgh, PA 15213, USA;Alere Wellbeing, 999 3rd Ave, Suite 2000, Seattle, WA 98104-1139, USA

关键词: Qualitative;    Attitudes;    Weight gain;    Obesity;    Smoking;   

Others  :  1122882
DOI  :  10.1186/1471-2458-14-1229

 received in 2014-08-12, accepted in 2014-11-17,  发布年份 2014

【 摘 要 】

Background

Weight gain that commonly accompanies smoking cessation can undermine a person’s attempt to quit and increase the risk for metabolic disorders. Research indicates that obese smokers have more weight concerns and gain more weight after quitting than non-obese smokers, yet little is known about possible reasons for these outcomes. We sought to gain an understanding of obese smokers’ experiences of quitting and their attitudes and beliefs about the association between smoking and weight gain.

Methods

In-depth semi-structured interviews were conducted with obese smokers who called a state tobacco quitline. Interviewers elicited discussion of obese smokers’ thoughts about smoking, the effects of quitting on change in weight, challenges they faced with quitting, and how quitlines might better serve their needs.

Results

Participants (n = 29) discussed their fear of gaining weight after quitting, their beliefs about smoking and their weight and significant experiences related to quitting. Participants’ awareness of weight gain associated with quitting was based on prior experience or observation of others who quit. Most viewed cessation as their primary goal and discussed other challenges as being more important than their weight, such as managing stress or coping with a chronic health condition. Although weight gain was viewed as less important than quitting, many talked about changes they had made to mitigate the anticipated weight gain.

Conclusions

Weight gain is a concern for obese smokers interested in quitting. Understanding the relative importance of body weight and other challenges related to smoking cessation can help tailor interventions for the specific group of smokers who are obese and interested in smoking cessation.

【 授权许可】

   
2014 Bush et al.; licensee BioMed Central.

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