Factors influencing the implementation of a pilot smoking cessation intervention among migrant workers in Chinese factories: a qualitative study
Abstract Background Tobacco control intervention with Chinese internal migrants, especially those working in factories has rarely been investigated. This study aims to identify aids and barriers to implementing a comprehensive pilot intervention aimed at reducing smoking among migrant workers workin...
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Format: | Article |
Language: | English |
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BMC
2019-07-01
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Series: | BMC Public Health |
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Online Access: | http://link.springer.com/article/10.1186/s12889-019-7223-1 |
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author | Guanyang Zou Xiaolin Wei Simin Deng Jia Yin Li Ling |
author_facet | Guanyang Zou Xiaolin Wei Simin Deng Jia Yin Li Ling |
author_sort | Guanyang Zou |
collection | DOAJ |
description | Abstract Background Tobacco control intervention with Chinese internal migrants, especially those working in factories has rarely been investigated. This study aims to identify aids and barriers to implementing a comprehensive pilot intervention aimed at reducing smoking among migrant workers working in factories in China. Method Twenty in-depth interviews were conducted 3 months into the intervention, with managers, migrant workers and team leaders in two factories, where the pilot intervention was implemented, in Zhongshan city in Guangdong, a southern Chinese province. Data analysis was based on the thematic approach. Results This study identifies the societal, individual and programmatic factors that could influence the implementation of a pilot smoking cessation intervention among migrant workers in the two Chinese factories. At the societal level, social customs and relationships where smoking is seen as essential in social communications was the most important barrier to the implementation of smoking cessation intervention. At the individual level, migrant-related features such as low education, high mobility and poor integration with local residents, together with poor health beliefs and attitudes added to the challenges of implementing smoking cessation intervention. At the programmatic level, the role of small-team leaders was generally positive, although limited due to their busy work patterns and poor powers of enforcement. Conclusion Achieving successful smoking cessation intervention in factories could be challenging with many migrants, as multi-level factors including social context, intervention delivery, individual and migrants’ characteristics play an important role in shaping the implementation of the intervention. Our study suggests the importance of tailoring interventions for the migrant factory workers. Trial registration ChiCTR-OPC-17011637 at Chinese Clinical Trial Registry. Retrospectively registered on 12th June 2017. |
first_indexed | 2024-04-13T19:03:41Z |
format | Article |
id | doaj.art-92739a6d4a3449419398a8ffc1fc3906 |
institution | Directory Open Access Journal |
issn | 1471-2458 |
language | English |
last_indexed | 2024-04-13T19:03:41Z |
publishDate | 2019-07-01 |
publisher | BMC |
record_format | Article |
series | BMC Public Health |
spelling | doaj.art-92739a6d4a3449419398a8ffc1fc39062022-12-22T02:34:02ZengBMCBMC Public Health1471-24582019-07-011911810.1186/s12889-019-7223-1Factors influencing the implementation of a pilot smoking cessation intervention among migrant workers in Chinese factories: a qualitative studyGuanyang Zou0Xiaolin Wei1Simin Deng2Jia Yin3Li Ling4School of Economics and Management, Guangzhou University of Chinese MedicineDivision of Clinical Epidemiology &Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of TorontoKangning HospitalSchool of Health Policy and Management, Shandong UniversityCentre for Migrant Health Policy, Sun Yat-sen UniversityAbstract Background Tobacco control intervention with Chinese internal migrants, especially those working in factories has rarely been investigated. This study aims to identify aids and barriers to implementing a comprehensive pilot intervention aimed at reducing smoking among migrant workers working in factories in China. Method Twenty in-depth interviews were conducted 3 months into the intervention, with managers, migrant workers and team leaders in two factories, where the pilot intervention was implemented, in Zhongshan city in Guangdong, a southern Chinese province. Data analysis was based on the thematic approach. Results This study identifies the societal, individual and programmatic factors that could influence the implementation of a pilot smoking cessation intervention among migrant workers in the two Chinese factories. At the societal level, social customs and relationships where smoking is seen as essential in social communications was the most important barrier to the implementation of smoking cessation intervention. At the individual level, migrant-related features such as low education, high mobility and poor integration with local residents, together with poor health beliefs and attitudes added to the challenges of implementing smoking cessation intervention. At the programmatic level, the role of small-team leaders was generally positive, although limited due to their busy work patterns and poor powers of enforcement. Conclusion Achieving successful smoking cessation intervention in factories could be challenging with many migrants, as multi-level factors including social context, intervention delivery, individual and migrants’ characteristics play an important role in shaping the implementation of the intervention. Our study suggests the importance of tailoring interventions for the migrant factory workers. Trial registration ChiCTR-OPC-17011637 at Chinese Clinical Trial Registry. Retrospectively registered on 12th June 2017.http://link.springer.com/article/10.1186/s12889-019-7223-1Smoking cessationInterventionInternal migrantsFactoriesChina |
spellingShingle | Guanyang Zou Xiaolin Wei Simin Deng Jia Yin Li Ling Factors influencing the implementation of a pilot smoking cessation intervention among migrant workers in Chinese factories: a qualitative study BMC Public Health Smoking cessation Intervention Internal migrants Factories China |
title | Factors influencing the implementation of a pilot smoking cessation intervention among migrant workers in Chinese factories: a qualitative study |
title_full | Factors influencing the implementation of a pilot smoking cessation intervention among migrant workers in Chinese factories: a qualitative study |
title_fullStr | Factors influencing the implementation of a pilot smoking cessation intervention among migrant workers in Chinese factories: a qualitative study |
title_full_unstemmed | Factors influencing the implementation of a pilot smoking cessation intervention among migrant workers in Chinese factories: a qualitative study |
title_short | Factors influencing the implementation of a pilot smoking cessation intervention among migrant workers in Chinese factories: a qualitative study |
title_sort | factors influencing the implementation of a pilot smoking cessation intervention among migrant workers in chinese factories a qualitative study |
topic | Smoking cessation Intervention Internal migrants Factories China |
url | http://link.springer.com/article/10.1186/s12889-019-7223-1 |
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