This dataset presents an in-depth qualitative case study documenting the smoking cessation journey of an adult male residing in a peri-urban township near Mandalay, Myanmar. The case is part of a broader exploration into culturally sensitive public health practices and is featured in Chapter 2 of the Principles of Modern Medicine and Health Science. It serves as a practical example of how behavior change theories—specifically the Health Belief Model (HBM)—can be effectively applied within a localized, culturally specific setting.
The subject grew up in a community where smoking was deeply embedded in social norms and cultural rituals. Tobacco use was often perceived as a symbol of masculinity and maturity, commonly shared during communal events such as tea shop conversations and religious festivals. Initially, the subject had low risk perception regarding the health consequences of smoking. Chronic illnesses like cancer or cardiovascular disease were seen as distant threats or ascribed to karma rather than linked to smoking behavior.
A turning point occurred when a community health fair introduced new, emotionally impactful information. Through visual displays, survivor testimonials, and interactive booths, the subject was exposed to real-life stories from local residents suffering from smoking-related diseases. These experiences served as strong cues to action, triggering a shift in perceived susceptibility and severity of health risks. The individual began to personally identify with the dangers and felt a new sense of urgency to change.
Following this, the subject sought medical support at a local charity clinic, where a routine screening revealed high blood pressure—a previously unknown condition. Health workers used clear, culturally relevant analogies to explain how smoking impacts the body. This education increased his awareness of the benefits of quitting and reduced misinformation that had previously served as a barrier to behavior change.
The cessation process included enrollment in a structured program offering nicotine replacement therapy (NRT), ongoing peer support, and educational materials in the local language. Weekly group sessions provided emotional reinforcement and normalized the struggle of quitting, while also fostering a growing sense of self-efficacy. Continued encouragement came through personal counseling, follow-up phone calls, and public recognition of progress in local community ceremonies, which also helped shift community norms.
This dataset contributes to a growing body of literature emphasizing the value of integrating biomedical understanding with local cultural contexts. It demonstrates how sustainable behavior change can emerge through a combination of personal motivation, social reinforcement, and community-based health education. The case is a useful resource for public health professionals, educators, researchers, and policymakers interested in applying behavioral science in culturally diverse environments.
(2025-05-26)
