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Received: 21 Nov, 2015 Accepted: 25 Jan, 2016 Background and Aims: Cigarette smokers are a vulnerable population because they are exposed to various diseases and the  morbidity and mortality rates among them are high. Smoking prevalence is relatively high in Iran, and nursing researchers by  qualitative approaches could play a key role in reducing it. This study aimed to identify the smoking patterns in adults by qualitative approach. Materials and Methods: The present study was done as a qualitative approach by using conventional content analysis method. Thirty people participated in the study and were evaluated by using techniques including: individual interview, scenario, responding to primary and supplementary questionnaire, responding to cigarette sellers’ questionnaire, and group discussion. To achieve the trustworthiness data we noticed 4 dimensions included: credibility, dependability, confirmability and transferability. Results: Finding of this study summarized in 5 main categories and 15 subcategories. The pattern of cigarette lightening with 3 subcategories including: dependency to cigarette smoking, observation of cigarette smoking, and conditional behavior. The pattern of provision of cigarette with 3 subcategories including: how to buy cigarette, purchase priority of cigarette, and cigarette smokers’ behavior in the case of not having a cigarette. The pattern of cigarette smoking with 3 subcategories including: do not bother others, unwanted bother of others, and bullying of cigarette smoker. The pattern of cigarette exchanging with 4 subcategories including: requesting of a cigarette, responding to cigarette requesting , offering of cigarette to others, and responding to cigarette offer . Finally, the pattern of increasing the number of cigarette  with 2 subcategories including: causes of cigarette increasing and the result of cigarette increasing. Conclusion: Without identifying the patterns of cigarette smoking, engagment of health team with cigarette smokers will not be correct and the smokers have a defensive behavior against to the personnel of health team. Understanding the cigarette smokers and his/him behaviors as a client including: “how they prepare cigarette and exchange?” “Why they lighten a cigarette?” “What is the benefits of cigarette to smokers?” “A cigarette smoker what manifest behavior when he/she has not a cigarette?” and “Why do smokers with their cigarette smoking cause offense to others?” extremely helpful to establish a proper relationship between the nursing staff and smoker and this relationship can be a platform to educate smokers and quit smoking.

Keywords: Smoking, cigarette, Tobacco use, Qualitative research, Iran.

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