Internal Code: MAS3076
Heath Care Assignment:
Case Study:
Smoking has clearly been associated with several respiratory disorders such as lung cancer, COPD and emphysema which can lead to higher rates of mortality. Peer pressure influence, anxiety condition, socioeconomic discrimination due to low social class and/or racial minority are the major determinants of smoking habit (Hanifi, Mahmood and Bhuiya - 2011). Health and Social Care Information Center (2015)
informed that people with good paying jobs and those working at optimum working environments smoke less and are more likely to quit smoking. Employees working in poor conditions that is paid minimally has higher chances of tobacco use as a way of dealing with stress or work frustrations (Hanifi, Mahmood, and Bhuiya - 2011). A study conducted in Bangladesh shows high prevalence of smoking in men associated with social inequalities, lack of access to health care and poverty (Lumley et al, - 2009), which makes it an important public health concern. Tobacco, major substance in cigarette, is highly addictive that limit an individual ability to quit, due to the unpleasant effects of withdrawal. Yet, it is documented that smoking cessation can be achieved by sufficient will and support. Apart from the prevention of
several smoking-related respiratory diseases, smoking cessation can greatly improve mental health. There is evidence that smokers who quit smoking have improved positive mood and, reduced depression and anxiety (ref..). The objective of this health promotion program involves establishing smoking cessation as an intervention for the target group in Birmingham, UK by providing adequate support and information that facilitate quitting of the smoking habit.
Target Group: Bangladeshi men in Birmingham
Nearly 1% of the UK population is British Bangladeshi. Of these British Bangladeshi men, 40% are smokers (ref 2). A study conducted in 2007 showed that Bangladeshi British men had a difficult phase of adapting to the smoke-free legislation and a larger sum of people had changed their smoking-style to shisha and e-cigarettes (ref 3). The highest smoking rate in Bangladeshi men is among people aged 35 and above (Hartge, and Gapstur - 2013). Bangladeshi men above 35 yearsThis population are married men who face heightened pressure and anxiety from the responsibility of being the main income earner in a household. In addition to this, smokers are mainly from low socio-
economic status (Hanifi, Mahmood, and Bhuiya, 2011). To cope with stress-related to a financial issue, they tend to smoke, which can, in turn, induce addiction (Thun, et al. - 2013). Therefore, the over 35 Male Bangladeshi population is selected as the target group for
our ‘smoking cessation’ intervention. The intervention will involve cognitive behavioral therapy in a community-based setting by therapists and community workers.