Mapping factors and measures that can help stop smoking among Arab men in Israel: A Concept Mapping study: Nihaya Daoud

Nihaya Daoud, D Zaid, R Weinstein, F Ghattas, A Khatib, H Geva-Hespil, Itamar Grotto

Research output: Contribution to journalMeeting Abstract


Minority men have higher smoking rates and smoking cessation interventions are less effective among them. In Israel, the prevalence of smoking among Arab men is nearly double that of Jewish men. However, there is a lack of knowledge regarding the various methods that could aid in smoking cessation. We have used the Concept Mapping (CM) which combines qualitative and quantitative methods and graphically represents the ideas of participants regarding a focal question. The CM involves four steps: Brainstorming; Sorting, Rating, and, Mapping (creating a multi-dimensional map following hierarchical cluster analysis using the Concept Systems software).
To identify factors that could help smoking cessation as per the opinions of Arab men smokers themselves, generated by the CM method.
The study consisted of male Arab smokers (current or former) ages 18-64. Brainstorming phase included 127 participants in 12 groups. They were recruited using a snowball method. At the brainstorming phase the participants were asked to answer the focal question: The percentage of Arab men who smoke is relatively high. In the context of this group, we are interested in hearing what you believe to be the best way that could help them stop smoking. A total of 202 male Arab smokers took part in sorting and rating phases. They rated the ideas that were generated in the brainstorming phase by importance and classified the ideas into groups and labeled them with names. In the mapping phase, the findings of the sorting and rating were rendered into maps using the Concept Systems software. Participants then expressed their opinions of the maps.


The Brainstorming phase yielded 477 ideas on smoking cessation that were condensed into 58 statements. The sorting phase yielded 11 clusters of smoking cessation measures which were ranked by importance from highest to lowest: Raising awareness to smoking hazards; the father’s authority and role; primary care physicians role; law enforcement to prevent smoking; the psychological factor; improving the role of HMOs; multi-sectoral activity; a change in government policy towards Arab society; encouraging activities for smoking prevention and cessation; Arab society role in enforcement and prevention; and raising prices.
The CM results can inform policies for smoking cessation in minority men.
Original languageAmerican English
JournalEuropean Journal of Public Health
Issue number2
StatePublished - 24 Oct 2014


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