Skip to main content Accessibility help

Current Trends and Impact of Smoking Cessation Interventions for Adult Smokers in Low and Middle Income Countries: A Systematic Literature Review

  • Olusegun Owotomo (a1)


Objective: This study aims to systematically review the existing literature on the current developments and impact of smoking cessation interventions targeted toward adult smokers in low and middle income countries (LMICs).

Methods: Major databases were searched with the following selection criteria: (1) studies based on empirical findings that demonstrate the impact of smoking cessation interventions in LMICs; (2) studies conducted in or focused on LMICs; (3) studies targeted at the adult smoking population; (4) studies focused on smoking cessation component of tobacco control; (5) studies that reported on the capacity for smoking cessation intervention and current developments in LMICs; (6) published in peer review journals between 2003 and April, 2013; (7) studies written or transcribed in English.

Results: A total of 23 articles (23 studies) were included in the review. Six studies assessed the effectiveness and cost-effectiveness of smoking cessation intervention types in some LMICs. Four studies explored the reach, adoption and institutionalisation of cessation interventions. Six studies assessed physicians’ capacity to provide cessation interventions, and seven studies provided insights on current developments.

Conclusion: Smoking cessation interventions are not readily available and affordable in LMICs. Extensive research is needed to determine the most cost-effective and culturally appropriate smoking cessation interventions for adult smokers in LMICs.


Corresponding author

Address for correspondence: Department of Health Promotion and Community Health Sciences, Texas A&M Health Science Center School of Public Health, College Station, Texas, USA.


Hide All
Ali, A. Y., Safwat, T., Onyemelukwe, G., Otaibi, M. A., Amir, A. A., Nawas, Y. N., Aouina, H., & Bolliger, C. T. (2012). Smoking prevention and cessation in Africa and Middle-East region: A consensus draft guideline for healthcare providers- executive summary. Respiration, 2012 (83), 423432.
Bitton, A. & Eyal, N. (2011). Too poor to treat? The complex ethics of cost-effective tobacco policy in the developing world. Public Health Ethics, 4 (2), 109120.
Chapman, S. & Mackenzie, R. (2012). Can it be ethical to apply limited resources in low-income countries to ineffective low-reach smoking cessation strategies? A reply to Bitton and Eyal. Public Health Ethics, 5 (1) 2937.
Dozier, A. M., Ossip-Klein, D. J., Diaz, S., Chin, N. P., Sierra, E., Quinones, Z., . . . Armstrong, L. (2006). Tobacco use in the Dominican Republic: Understanding the culture first. Tobacco Control, 15 (Suppl), i3036. Doi:10.1136/tc.2005.014852.
Gilbert, A. R., Pinget, C., Bovet, P., Cornuz, J., Shamlaye, C., & Paccaud, F. (2004). The cost effectiveness of pharmacological smoking cessation therapies in developing countries: a case study in the Seychelles. Tobacco Control, 2004 (13), 190195.
Glasgow, R. E., McKay, H. G., Piette, J. D., & Reynolds, K. D. (2001). The RE-AIM framework for evaluating intervention: what can it tell us about approaches to chronic illness management? Patient Education and Counseling, 44 (22), 119127.
Gong, J., Zhang, Z., Zhu, Z., Wan, J., Yang, N., Li, F., Sun, H., & Chen, X. (2012). Cigarette smoking and anti-smoking counseling practices among physicians in Wuhan, China. Health Education, 112 (4), 319332.
Joshi, U., Modi, B., & Yadav, S. (2010). A study on prevalence of chewing form of tobacco and existing quitting patterns in urban population of Jamnagar, Gujarat. Indian Journal of Community Medicine, 35 (1), 105108.
Heydari, G., Talischi, F., Mojgani, N., Masjedi, M. R., Algouhmani, H., Lando, H. A., & Ahmady, A. E. (2012). Status and cost of smoking cessation in countries of East Mediterranean region. East Mediterranean Health Journal, 18 (11).
Higashi, H. & Barendregt, J. J. (2011). Cost-effectiveness of tobacco control policies in Vietnam: the case of personal smoking cessation support. Addiction, (107), 658670.
Jeremias, E., Chatkin, J. M., Chatkin, G., Seibert, J., Martins, M., & Wagner, M. (2012). Smoking cessation in older adults. The International Journal of Tuberculosis and Lung Disease, 16 (2), 273278.
Lee, A., Siddiqi, K., Khan, M. A., Ahmed, M., Shafiq-Ur-Rehman, M., Shams, N., & Nazir, A. E. (2010). Local determinants of tobacco use in Pakistan and the importance of context. Journal of Smoking Cessation, 5 (02), 145150.
Li, H. Z., Sun, H., Liu, Z., Zhang, Y., & Cheng, Q. (2007). Cigarette smoking and anti-smoking counselling: dilemmas of Chinese physicians. Health Education, 107 (2), 192207.
McRobbie, H., Raw, M., & Chan, S. (2013). Research priorities for article 14- demand reduction measures concerning tobacco dependence and cessation. Nicotine & Tobacco Research, 15 (4), 805816.
Merill, R., Harmon, T., & Gagon, H. (2009). Physician-based tobacco smoking cessation counseling in Belgrade, Serbia. International Electronic Journal of Health Education, 2009 (12), 4858.
Muller, F. & Wehbe, L. (2008). Smoking and smoking cessation in Latin America: a review of current situation and available treatments. International Journal of COPD, 3 (2), 283293.
Nichter, M., Nichter, M., Muramoto, M., & Project Quit Tobacco International, (2010). Project Quit Tobacco International: Laying the groundwork for tobacco cessation in low-and middle-income countries. Asia-Pacific Journal of Public Health, 22 (3), 181S188S.
Ontario Medical Advisory Secretariat. (2010). Population-based smoking cessation strategies: A summary of a select group of evidence-based reviews. Ontario Health Technology Assessment Series, 10 (1), 2027.
Panda, R. & Jena, P. K. (2013). Examining physicians’ preparedness for tobacco cessation services in India: Findings from primary care public health facilities in two Indian States. Australasian Medical Journal, 6 (2), 115121.
Pine-Abata, H., McNeill, A., Murray, R., Bitton, A., Rigotti, N., & Raw, M. (2012). A survey of tobacco dependence treatment services in 121 countries. Addiction, doi:10.1111/add.12172.
Raw, M., McNeill, A., & Murray, R. (2010). Case studies of tobacco dependence treatment in Brazil, England, India, South Africa and Uruguay. Addiction, (105), 1721–1728.
Srivastava, S., Malhotra, S., Harries, A. D., Lal, P., Arora, M. (2013). Correlates of tobacco quit attempts and cessation in the adult population of India: Secondary analysis of Global Adult Tobacco Survey, 2009–2010. BMC Public Health, 13, 263. doi:10.1186/1471-2458-13-263.
The World Bank, (2013). Country and lending groups. Retrieved from website:
Vanphanom, S. A., Morrow, M., Phengsavanh, A., Hansana, V., Phommachanh, S., & Tomson, T. (2011). Smoking among Lao medical doctors: challenges and opportunities for tobacco control. Tobacco Control, 2012 (20), 144150.
Ward, K.D., Asfar, T., Al Ali, R., Rastam, S., Vander Weg, M.W., Eissenberg, T., & Maziak, W. (2012). Randomized trial of the effectiveness of combined behavioral/pharmacological smoking cessation treatment in Syrian primary care clinics. Addiction, (108), 394–403.
World Health Organization (WHO), (2005). WHO Framework Convention on Tobacco Control. Retrieved from website:
Zhou, J., Abdullah, A. S., Pun, V. C., Huang, D., Lu, S., & Luo, S. (2010). Smoking status and cessation counseling practices among physicians, Guangxi, China, 2007. Preventing Chronic Disease, 7 (1), 110.
Zhu, W. H., Yang, L., Jiang, C. Q., Deng, L. Z., Lam, T. H., Zhang, J. Y., & Chan, S. C. (2009). Characteristics of smokers and predictors of quitting in a smoking cessation clinic in Guangzhou, China. Journal of Public Health, 32 (2), 267276.


Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed