Maintenance of Smoking Cessation in Korean Single Mothers
Abstract Background: Single mothers in South Korea are vulnerable to developing smoking habits, due to many difficulties and limitations; however, they have often been overlooked by smoking cessation support services. Therefore, this study aimed to investigate the demographic and smoking-related characteristics of single mothers registered with the Seeking Smoking Cessation Services Program in Seoul, South Korea, to identify factors associated with smoking cessation maintenance at 4, 6, 12, and 24 weeks after the they initially quit smoking.Methods: The participants were 77 single mothers registered at the Seeking Smoking Cessation Services Program. Data were included from a three-year span (January 2017 to December 2019). Smoking cessation counseling, motivational enhancement, and self-exploration counseling were provided for six months. The participants were evaluated on their smoking cessation status at 4, 6, 12, and 24 weeks.Results: Most participants were aged 22 years or younger. The rates of smoking cessation maintenance were 58.4%, 39%, 28%, and 18% at 4, 6, 12, and 24 weeks, respectively. The rate of smoking cessation maintenance increased as the number of counseling sessions attended increased. Smoking cessation maintenance was also significantly associated with pregnancy status, exhaled carbon monoxide level, and drinking. Conclusion: A counseling program to effectively promote smoking cessation and enhance motivation to maintain smoking cessation should be developed and provided to single mothers. Smoking cessation counselors have an important role as sources of support for those who want to quit smoking, and should aim to reduce the rate of smoking among single mothers by providing them with consistent counseling.