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. Author manuscript; available in PMC: 2023 Feb 1.
Published in final edited form as: Psychol Addict Behav. 2021 Mar 25;36(1):109–116. doi: 10.1037/adb0000692

Table 1.

Cervical cancer survivors’ perceived barriers to smoking cessation

Theme Codes Illustrative Quotesa
Motivation to quit
Readiness to quit: Motivation to quit, as it pertains to urgency or timeliness
  • “I’m just stuck right there. It’s just sorta, I’m just stuck.” (121, Current)

  • “The only thing in my way… when I’m stressed or overwhelmed or somethin’, I need to do somethin’ else besides pick up a cigarette. There’s nothing else, there’s nobody or no other influence, it’s totally on me.” (148, Current)

Confidence to quit
Unsure how to quit: Unaware of best method for quitting in general or for oneself specifically
  • “If I knew, I’d do it, so I don’t know.” (120, Current)

  • “I mean, I know I heard a lot of people talkin’ about the patches, but like I said, I’ve never really gotten any of the patches and tried it, but people have said them patches really help.” (152, Current)

Belief “nothing works”: Belief that smoking cessation treatment is ineffective
  • “I’ve tried so many times, it’s just, nothing works.” (120, Current)

  • “Yeah, I tried the candies…and as soon as I would finish the candy, it would make me want a cigarette that much more. You know, it just didn’t work, the candy didn’t.” (142, Current)

Triggers
Triggers: Stimuli or situations that contribute to desire or urge to smoke
  • “And most of my smoking—mostly on the weekends, when I drink my coffee or whatever.” (127, Current)

  • “…you smoke in places eating sometimes, you know, have a cigarette with food…” (126, Former)

Social/environmental factors
Social network smokes: Family, friends, coworkers, etc. smoke
  • “…everybody in my family smokes.” (127, Current)

Negative social exchanges: Things said or done by members of one’s social network that undermine motivation or efforts to quit
  • “A support system that would help me instead of going ‘I knew you’d start smoking again, I knew you’d start smoking again!’ ‘Cause I quit for two or three months, and then you know, you know, my health started declining, and you know, stress level went up, and I started again. And instead of encouraging me to, you know, ‘Hey you can do this!’, it was the direct opposite. It was ‘I knew you’d go back to smoking’, instead of going ‘Hey, you know, you can do this!”. It was, you know…very negative” (121, Current)

  • “Well, my boyfriend constantly tells me [to quit], but he smokes, too.” (127, Current)

  • “I don’t talk to the doctors about it ‘cause I know they’ll harp and gripe…You know, they tell me I need to quit smoking, I know that, I realize that. OK. You know it, I know it, OK let’s go on to the next thing.” (106, Current)

a

In parentheses is the participant’s identification number and smoking status