Smoking habits, awareness and support needs for cessation among people with multiple sclerosis in Australia: findings from an online survey

Objectives To assess smoking habits, nicotine use, exposure to passive smoking, awareness of associated harms, and experiences with and preferences for smoking cessation support among people with multiple sclerosis (MS).Design Online survey, convenience sampling.Setting Community setting, Australia....

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Main Authors: Roshan das Nair, Ron Borland, Claudia H Marck, Isabelle Weld-Blundell, Lisa Grech, Sarah L White
Format: Article
Language:English
Published: BMJ Publishing Group 2022-07-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/7/e059637.full
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author Roshan das Nair
Ron Borland
Claudia H Marck
Isabelle Weld-Blundell
Lisa Grech
Sarah L White
author_facet Roshan das Nair
Ron Borland
Claudia H Marck
Isabelle Weld-Blundell
Lisa Grech
Sarah L White
author_sort Roshan das Nair
collection DOAJ
description Objectives To assess smoking habits, nicotine use, exposure to passive smoking, awareness of associated harms, and experiences with and preferences for smoking cessation support among people with multiple sclerosis (MS).Design Online survey, convenience sampling.Setting Community setting, Australia.Participants Adults living in Australia with probable or diagnosed MS were recruited via social media and newsletters to participate in 2020.Results Of the 284 participants in our convenience sample, 25.7% were current smokers (n=73) and 38.0% were former smokers (n=108). Awareness of the harms of smoking on MS onset (n=68, 24.3%) and progression (n=116, 41.6%) was low. Almost a quarter (n=67, 23.8%) of participants were regularly exposed to passive smoke, and awareness of associated harm was also low (n=47, 16.8%). Among current smokers, 76.1% (n=54) had tried quitting and 73.2% considered quitting within 6 months (n=52). Many participants reported perceived short-term benefits of smoking, and long-term benefits of quitting, on MS symptoms and general well-being (short-term n=28, 40.0%; long-term n=28, 82.4%). While most participants reported that their neurologist (n=126, 75.4%) or other healthcare providers (n=125, 74.9%) had assessed smoking status, very few neurologists (n=3, 1.8%) or other healthcare providers (n=14, 8.4%) had provided help with quitting. Most current smokers preferred speaking about smoking to a neurologist (n=36, 52.2%) or general practitioner (n=41, 59.4%). Almost 60% of the current smokers wanted additional cessation information specific to MS (n=41, 59.4%), and 45.5% said this information would motivate them to quit smoking (n=30).Conclusions Our convenience sample, which may not be representative, indicated an urgent need for regular evidence-based smoking cessation supports for people with MS. Most participants felt they would benefit from smoking cessation advice. MS clinicians, in collaboration with patient organisations, smoking cessation services and general practitioners, should make smoking cessation promotion with people with MS a priority.
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spelling doaj-art-57f0c6b97ca74e05b0182a5c7dcf29582025-01-31T11:20:10ZengBMJ Publishing GroupBMJ Open2044-60552022-07-0112710.1136/bmjopen-2021-059637Smoking habits, awareness and support needs for cessation among people with multiple sclerosis in Australia: findings from an online surveyRoshan das Nair0Ron Borland1Claudia H Marck2Isabelle Weld-Blundell3Lisa Grech4Sarah L White5Health Division, SINTEF, Trondheim, NorwayThe University of Melbourne School of Psychological Sciences, Melbourne, Victoria, AustraliaDisability and Health Unit, Centre for Health Equity, the Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, AustraliaDisability and Health Unit, Centre for Health Equity, the Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, AustraliaMedicine Monash Health, Monash University, Clayton, Victoria, AustraliaQuit, Cancer Council Victoria, Melbourne, Victoria, AustraliaObjectives To assess smoking habits, nicotine use, exposure to passive smoking, awareness of associated harms, and experiences with and preferences for smoking cessation support among people with multiple sclerosis (MS).Design Online survey, convenience sampling.Setting Community setting, Australia.Participants Adults living in Australia with probable or diagnosed MS were recruited via social media and newsletters to participate in 2020.Results Of the 284 participants in our convenience sample, 25.7% were current smokers (n=73) and 38.0% were former smokers (n=108). Awareness of the harms of smoking on MS onset (n=68, 24.3%) and progression (n=116, 41.6%) was low. Almost a quarter (n=67, 23.8%) of participants were regularly exposed to passive smoke, and awareness of associated harm was also low (n=47, 16.8%). Among current smokers, 76.1% (n=54) had tried quitting and 73.2% considered quitting within 6 months (n=52). Many participants reported perceived short-term benefits of smoking, and long-term benefits of quitting, on MS symptoms and general well-being (short-term n=28, 40.0%; long-term n=28, 82.4%). While most participants reported that their neurologist (n=126, 75.4%) or other healthcare providers (n=125, 74.9%) had assessed smoking status, very few neurologists (n=3, 1.8%) or other healthcare providers (n=14, 8.4%) had provided help with quitting. Most current smokers preferred speaking about smoking to a neurologist (n=36, 52.2%) or general practitioner (n=41, 59.4%). Almost 60% of the current smokers wanted additional cessation information specific to MS (n=41, 59.4%), and 45.5% said this information would motivate them to quit smoking (n=30).Conclusions Our convenience sample, which may not be representative, indicated an urgent need for regular evidence-based smoking cessation supports for people with MS. Most participants felt they would benefit from smoking cessation advice. MS clinicians, in collaboration with patient organisations, smoking cessation services and general practitioners, should make smoking cessation promotion with people with MS a priority.https://bmjopen.bmj.com/content/12/7/e059637.full
spellingShingle Roshan das Nair
Ron Borland
Claudia H Marck
Isabelle Weld-Blundell
Lisa Grech
Sarah L White
Smoking habits, awareness and support needs for cessation among people with multiple sclerosis in Australia: findings from an online survey
BMJ Open
title Smoking habits, awareness and support needs for cessation among people with multiple sclerosis in Australia: findings from an online survey
title_full Smoking habits, awareness and support needs for cessation among people with multiple sclerosis in Australia: findings from an online survey
title_fullStr Smoking habits, awareness and support needs for cessation among people with multiple sclerosis in Australia: findings from an online survey
title_full_unstemmed Smoking habits, awareness and support needs for cessation among people with multiple sclerosis in Australia: findings from an online survey
title_short Smoking habits, awareness and support needs for cessation among people with multiple sclerosis in Australia: findings from an online survey
title_sort smoking habits awareness and support needs for cessation among people with multiple sclerosis in australia findings from an online survey
url https://bmjopen.bmj.com/content/12/7/e059637.full
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