{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T17:42:40Z","timestamp":1790185360629,"version":"4.1.0"},"reference-count":77,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2023,8,30]],"date-time":"2023-08-30T00:00:00Z","timestamp":1693353600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/501100006364","name":"French National Cancer Institute","doi-asserted-by":"crossref","award":["INCa_11506"],"award-info":[{"award-number":["INCa_11506"]}],"id":[{"id":"10.13039\/501100006364","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To summarize findings from qualitative studies on factors associated with smoking cessation among adolescents and young adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data sources<\/jats:title>\n                    <jats:p>We searched Pubmed, Psychinfo, CINAHL, Embase, Web of Science, and SCOPUS databases, as well as reference lists, for peer-reviewed articles published in English or French between January 1, 2000, and November 18, 2020. We used keywords such as adolescents, determinants, cessation, smoking, and qualitative methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study selection<\/jats:title>\n                    <jats:p>Of 1724 records identified, we included 39 articles that used qualitative or mixed methods, targeted adolescents and young adults aged 10\u201324, and aimed to identify factors associated with smoking cessation or smoking reduction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data extraction<\/jats:title>\n                    <jats:p>Two authors independently extracted the data using a standardized form. We assessed study quality using the National Institute for Health and Care Excellence checklist for qualitative studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data synthesis<\/jats:title>\n                    <jats:p>We used an aggregative meta-synthesis approach and identified 39 conceptually distinct factors associated with smoking cessation. We grouped them into two categories: (1) environmental factors [tobacco control policies, pro-smoking norms, smoking cessation services and interventions, influence of friends and family], and (2) individual attributes (psychological characteristics, attitudes, pre-quitting smoking behavior, nicotine dependence symptoms, and other substances use). We developed a synthetic framework that captured the factors identified, the links that connect them, and their associations with smoking cessation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This qualitative synthesis offers new insights on factors related to smoking cessation services, interventions, and attitudes about cessation (embarrassment when using cessation services) not reported in quantitative reviews, supplementing limited evidence for developing cessation programs for young persons who smoke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications<\/jats:title>\n                    <jats:p>Using an aggregative meta-synthesis approach, this study identified 39 conceptually distinct factors grouped into two categories: Environmental factors and individual attributes. These findings highlight the importance of considering both environmental and individual factors when developing smoking cessation programs for young persons who smoke. The study also sheds light on self-conscious emotions towards cessation, such as embarrassment when using cessation services, which are often overlooked in quantitative reviews. Overall, this study has important implications for developing effective smoking cessation interventions and policies that address the complex factors influencing smoking behavior among young persons.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ntr\/ntad167","type":"journal-article","created":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T16:11:51Z","timestamp":1693239111000},"page":"2-11","source":"Crossref","is-referenced-by-count":14,"title":["A Systematic Review of Qualitative Studies on Factors Associated With Smoking Cessation Among Adolescents and Young Adults"],"prefix":"10.1093","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8157-7447","authenticated-orcid":false,"given":"Sarah","family":"Bitar","sequence":"first","affiliation":[{"name":"Universit\u00e9 de Lorraine, APEMAC , Nancy , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magali","family":"Collonnaz","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Lorraine, APEMAC , Nancy , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7240-7588","authenticated-orcid":false,"given":"Jennifer","family":"O\u2019Loughlin","sequence":"additional","affiliation":[{"name":"\u00c9cole de Sant\u00e9 Publique de l\u2019Universit\u00e9 de Montr\u00e9al (ESPUM) , Montreal, QC , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Kestens","sequence":"additional","affiliation":[{"name":"\u00c9cole de Sant\u00e9 Publique de l\u2019Universit\u00e9 de Montr\u00e9al (ESPUM) , Montreal, QC , Canada"},{"name":"Centre de recherche du CHUM (CRCHUM), Universit\u00e9 de Montr\u00e9al , Montreal, QC , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laetitia","family":"Ricci","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Lorraine, APEMAC , Nancy , France"},{"name":"CHRU-Nancy, INSERM, Universit\u00e9 de Lorraine, CIC, Epid\u00e9miologie Clinique , Nancy , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Herv\u00e9","family":"Martini","sequence":"additional","affiliation":[{"name":"Service de M\u00e9decine L\/ Addictologie CHRU de Nancy, H\u00f4pitaux de Brabois - B\u00e2timent Philippe Canton, Rue du Morvan , Vand\u0153uvre-l\u00e8s-Nancy , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3906-7670","authenticated-orcid":false,"given":"Nelly","family":"Agrinier","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Lorraine, APEMAC , Nancy , France"},{"name":"CHRU-Nancy, INSERM, Universit\u00e9 de Lorraine, CIC, Epid\u00e9miologie Clinique , Nancy , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laetitia","family":"Minary","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Lorraine, APEMAC , Nancy , France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,8,30]]},"reference":[{"issue":"10258","key":"2023122114162982900_CIT0001","doi-asserted-by":"crossref","first-page":"1223","DOI":"10.1016\/S0140-6736(20)30752-2","article-title":"Global burden of 87 risk factors in 204 countries and territories, 1990\u20132019: a systematic analysis for the Global Burden of Disease Study 2019","volume":"396","author":"Murray","year":"2020","journal-title":"The Lancet"},{"issue":"4","key":"2023122114162982900_CIT0002","doi-asserted-by":"crossref","first-page":"543","DOI":"10.2105\/AJPH.84.4.543","article-title":"The report of the Surgeon General: preventing tobacco use among young people","volume":"84","author":"Elders","year":"1994","journal-title":"Am J Public Health."},{"key":"2023122114162982900_CIT0003","volume-title":"WHO report on the global tobacco epidemic 2019: offer help to quit tobacco use [Internet]","author":"World Health Organization"},{"issue":"3","key":"2023122114162982900_CIT0004","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1016\/S0749-3797(03)00198-3","article-title":"Nicotine-dependence symptoms are associated with smoking frequency in adolescents","volume":"25","author":"O\u2019Loughlin","year":"2003","journal-title":"Am J Prev Med."},{"issue":"6","key":"2023122114162982900_CIT0005","doi-asserted-by":"crossref","first-page":"1127","DOI":"10.1542\/peds.2009-0238","article-title":"Early course of nicotine dependence in adolescent smokers","volume":"125","author":"Doubeni","year":"2010","journal-title":"Pediatrics."},{"key":"2023122114162982900_CIT0006","first-page":"428","article-title":"Centers for Disease Control and Prevention (CDC). 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