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Applying a Social-Ecological Framework to Factors Related to Nicotine Replacement Therapy for Adolescent Smoking
Jessica L King1, Julie W Merten2, Tzu-Jung Wong1
11 Department of Behavioral Sciences and Community Health, College of Public Health and Health Professions, University of Florida, Gainesville, FL, USA.
Objective:
This systematic review synthesizes factors related to nicotine replacement therapy (NRT) use among adolescents seeking to quit smoking, using the social-ecological model as a guiding framework.
Data Source:
Searches of PubMED, ProQuest, EBSCOhost, and ERIC were conducted in July 2016.
Study Inclusion And Exclusion Criteria:
Original studies of cigarette smokers younger than 18 years that discussed NRT were included.
Data Extraction:
Two reviewers individually extracted study purpose, sample, design, and results.
Data Synthesis:
Factors were categorized by social-ecological model level and summarized.
Results:
A total of 103 907 articles were identified during initial search. After narrowing to peer-reviewed articles in English and eliminating reviews and adult-only studies, we reviewed 51 articles. These 51 articles identified factors from studies at each level of the social-ecological model: intrapersonal ( k = 20), interpersonal ( k = 2), organizational ( k = 7), community ( k = 11), and public policy ( k = 14).
Conclusion:
Findings provide insight into the applicability of NRT for adolescent smoking cessation, and factors by social-ecological model level highlight areas for additional research. Future adolescent NRT studies should assess factors at the interpersonal, organizational, and community levels, as well as the interactions between levels.
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