Adapting smoking cessation interventions for developing countries

A model for the Middle East

W. Maziak, T. Eissenberg, R. C. Klesges, U. Keil, Kenneth D. Ward

Research output: Contribution to journalReview article

46 Citations (Scopus)

Abstract

OBJECTIVE: To describe the rationale and methods for the development of culturally-sensitive smoking cessation interventions for primary care settings in developing countries. RATIONALE: Smokers in the Middle East have great difficulty quitting. Effective smoking cessation programs are currently lacking in the Middle East, and the development of culturally sensitive programs is hindered by the dearth of standardized information regarding tobacco use and dependence in this region. METHODs. Epidemiological and clinical laboratory methods are needed to determine the prevalence and patterns of tobacco use and nicotine dependence. One strategy is to adapt smoking cessation methods widely used in industrialized countries to the Syrian and Middle Eastern environment. In a recently initiated project, the Syrian Center for Tobacco Studies has been established to address these issues. Initial work is focusing on collecting formative data including key informant interviews, focus groups, and epidemiological surveys to assess smokers' use patterns, needs, and resources. Clinical laboratory techniques are also being applied to assess the physiological, behavioral, and subjective effects of local tobacco use methods, such as narghile (water pipe) smoking. These data will be used to help adapt existing smoking cessation interventions from industrialized countries to be evaluated in a randomized controlled trial. CONCLUSION: There is a great need to develop and disseminate effective cessation interventions in low-income countries. Successful interventions will contribute to a culturally sensitive and sustainable regional tobacco control infrastructure. This paper describes one approach to the development of such an infrastructure that is currency underway in the Middle East.

Original languageEnglish (US)
Pages (from-to)403-413
Number of pages11
JournalInternational Journal of Tuberculosis and Lung Disease
Volume8
Issue number4
StatePublished - Apr 1 2004

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Middle East
Smoking Cessation
Tobacco Use Disorder
Developing Countries
Tobacco Use
Developed Countries
Tobacco
Clinical Laboratory Techniques
Focus Groups
Primary Health Care
Randomized Controlled Trials
Smoking
Interviews
Water

All Science Journal Classification (ASJC) codes

  • Pulmonary and Respiratory Medicine
  • Infectious Diseases

Cite this

Adapting smoking cessation interventions for developing countries : A model for the Middle East. / Maziak, W.; Eissenberg, T.; Klesges, R. C.; Keil, U.; Ward, Kenneth D.

In: International Journal of Tuberculosis and Lung Disease, Vol. 8, No. 4, 01.04.2004, p. 403-413.

Research output: Contribution to journalReview article

Maziak, W. ; Eissenberg, T. ; Klesges, R. C. ; Keil, U. ; Ward, Kenneth D. / Adapting smoking cessation interventions for developing countries : A model for the Middle East. In: International Journal of Tuberculosis and Lung Disease. 2004 ; Vol. 8, No. 4. pp. 403-413.
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