"Everyone is Allowed One Sin in Life": A Qualitative Study on the Perceptions towards Smoking and Smoking Cessation in University Students

In the UK, cigarette use is most prevalent among individuals aged 18–34 years, and it is a time when young people, particularly university students move from smoking occasionally to smoking regularly. This study aimed to explore students' perceptions of smoking and its cessation. This study employed a descriptive qualitative method that used in-depth interviews to collect data from study participants, and 20 students from Anglia Ruskin University were recruited using purposive sampling. Interviews were conducted with a semi-structured, open-ended questionnaire. Thematic analysis of data revealed four main themes, including: influences and triggers for initiating smoking behaviour, perceived benefits and justification for smoking, university intervention for smoking cessation support, and participants' views on programs for quitting smoking. The result shows that family expectations, stress, social acceptability, and peer influence were the key triggers for initiating smoking behaviour among students. There were various myths held by smoking students to minimise the health risks of smoking, such as the belief that physical activity counters the harmful effects of smoking. In line with existing research on prevention and treatment initiatives for smoking among college students, participants supported the enforcement of smoking bans in school environment, provision of free or affordable replacement therapies and implementation of smoke-free educational campaigns. This study emphasizes the complexity of smoking behaviour and the need for comprehensive strategies to deal with the difficulties young adults face when starting, maintaining, and quitting smoking. Policymakers and health educators should develop targeted strategies to lower smoking rates and encourage healthier lifestyles among university students.