Understanding cigarette smoking and cessation among adults with intellectual disability in residential services: A multiperspective study

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors Pub Date : 2025-09-21 DOI:10.1016/j.addbeh.2025.108500

Amalia Udeanu , Gloria Garcia-Fernandez , Juan Antonio García-Aller , Patricia Solís-García , Chris Swerts , Laura E. Gómez

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引用次数: 0

Abstract

Background

Cigarette smoking is prevalent among adults with intellectual disability (ID), yet much remains to be understood about their smoking and cessation experiences, contributing to ongoing healthcare inequalities. This study aims to understand smoking experiences and cessation barriers and facilitators among people with ID in residential services, using a multiperspective approach.

Methods

This qualitative study involved 10 adults with ID who smoked cigarettes daily and 10 support professionals purposively recruited from residential services. In-depth face-to-face interviews were conducted to explore experiences of tobacco use and cessation. Data were analyzed using Interpretative Phenomenological Analysis.

Results

Six superordinate themes emerged: (1) smoking initiation as a social behavior and identity construction; (2) current smoking as a daily routine, shared activity, and source of gratification; (3) access to cigarettes and smoking regulation by support professionals; (4) ambivalent motivation to quit, with health concerns as transient triggers; (5) cessation barriers, including risk minimization, social influences, low self-efficacy, and limited knowledge of interventions; and (6) perceived cessation aids, including distraction and social support. Certain support practices—i.e., restricting access to cigarettes or using them as a reward—were experienced as limiting, underscoring tensions between health promotion and autonomy.

Conclusions

Findings highlight the need for rights-based, person-centered cessation approaches for people with ID. Cessation strategies should extend beyond pharmacology to include emotional, social, and environmental dimensions, while aligning with individuals’ values and experiences. Professionals require training to balance health promotion with self-determination. Future interventions should prioritize empowerment and provide tailored, evidence-based support addressing personal and contextual factors.

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了解居住服务中智力残疾成人的吸烟和戒烟：一项多视角研究

背景吸烟在智力残疾（ID）成年人中很普遍，但他们的吸烟和戒烟经历仍有待了解，这导致了持续的医疗不平等。本研究旨在运用多视角的方法，了解居住服务中ID人群的吸烟经历、戒烟障碍和促进因素。方法采用定性研究方法，对10名每天吸烟的成年ID患者和10名有目的的从住宿服务机构招募的支持专业人员进行研究。进行了深入的面对面访谈，以探索烟草使用和戒烟的经历。数据分析采用解释性现象学分析。结果：(1)吸烟起始作为一种社会行为和身份建构；(2)目前吸烟是一种日常习惯、共同活动和满足的来源；(3)辅助专业人员的香烟获取和吸烟管理；(4)以健康顾虑为短暂诱因的矛盾性戒烟动机；(5)戒烟障碍，包括风险最小化、社会影响、自我效能低和干预措施知识有限；(6)感知戒烟辅助，包括分心和社会支持。某些支持实践——例如：例如，限制吸烟或将吸烟作为奖励——被认为是限制，强调了健康促进和自主之间的紧张关系。结论：研究结果强调了对ID患者采取以权利为基础、以人为本的戒烟方法的必要性。戒烟策略应超越药理学，包括情感、社会和环境方面，同时与个人的价值观和经历保持一致。专业人员需要接受培训，以平衡促进健康与自我决定之间的关系。未来的干预措施应优先考虑赋权，并针对个人和环境因素提供量身定制的循证支持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Addictive behaviors 医学-药物滥用

CiteScore

8.40

自引率

4.50%

发文量

283

审稿时长

46 days

期刊介绍： Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.