Impact of Cognitive and Social Factors on Smoking Cessation Attempts among US Adult Muslim Smokers

  • Omar Attarabeen Marshall University
  • Fadi Alkhateeb South College School of Pharmacy
  • Usha Sambamoorthi West Virginia University
  • Kevin Larkin West Virginia University
  • Michael Newton West Virginia University
  • Kimberly Kelly West Virginia University
Keywords: Muslims, Cognitive Factors, Environmental Factors, Quitting Smoking, Religiosity, Acculturation


Background. Muslims in the United States (US) exhibit high rates of cigarette smoking. Guided by the Social Cognitive Theory, the study aimed to investigate the associations between the number of serious cigarette smoking cessation attempts and cognitive as well as environmental factors in adult US Muslim smokers.

Methods. This cross-sectional study was based on a convenience sample of adult (≥ 18 years) US Muslim smokers. After receiving IRB approval, data were collected using an on-line survey. Unadjusted Poisson regression followed by adjusted multivariable Poisson regression analyses were conducted to answer the research question.

Results. One hundred thirty-two smokers completed the questionnaire. Smokers reported more serious cigarette smoking cessation attempts if they 1) had more knowledge about the consequences of cigarette smoking cessation, 2) had more positive attitudes regarding quitting, and 3) reported greater religiosity. Additionally, smokers reported fewer serious cigarette smoking cessation attempts if they 1) were employed, 2) affiliated with Sunnah sect, 3) reported better self-assessed health, 4) reported higher perceived value for quitting, and 5) indicated that using tobacco was not allowed inside the home. Only three smokers reported using both prescription medications and counseling to aid with smoking cessation attempts.

Conclusions. Inadequate utilization of pharmaceutical smoking cessation products and provider professional assistance may exacerbate the problems associated with elevated rates of smoking among US Muslim smokers. Knowledge of the consequences, more positive attitudes, and greater religiosity can be influential constructs in future interventions aimed at encouraging smoking cessation attempts in this population.


Article type: Original Research



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Received 2020-07-15
Accepted 2020-09-04
Published 2020-09-17
Community Engagement