Aims With growing recognition of stagnant rates of attempted cigarette smoking cessation, the current study examined demographic and psychometric characteristics associated with successful and attempted smoking cessation in a nationally representative sample. This additional understanding may help target tobacco cessation treatments toward sub-groups of smokers in order to increase attempts to quit smoking. Design, setting, and participants Data were used from the 2011 U.S. National Health and Wellness Survey (n = 50,000). Measurements Current smoking status and demographics, health characteristics, comorbidities, and health behaviors. Findings In 2011, 18%, 29%, and 52% of U.S. adults were current, former, or never smokers, respectively. Over one quarter (27%) of current smokers were attempting to quit. Current smokers (vs. others) were significantly more likely to be poorer, non-Hispanic White, less educated, ages 45–64, and uninsured, and they had fewer health-conscious behaviors (e.g., influenza vaccination, exercise). Attempting quitters vs. current smokers were significantly less likely to be non-Hispanic White and more likely to be younger, educated, insured, non-obese, with family history of chronic obstructive pulmonary disease, and they had more health-conscious behaviors. Conclusions Smokers, attempting quitters, and successful quitters differ on characteristics that may be useful for targeting and personalizing interventions aiming to increase cessation attempts, likelihood, and sustainability.
References
[1]
Centers for Disease Control and Prevention (2010) Vital signs: current cigarette smoking among adults aged ≥18 years—United States, 2009. MMWR Morb Mort Wkly Rep 59: 1135–1140.
[2]
Fiore MC, Jaén CR, Baker TB, Bailey WC, Benowitz NL, et al.. (2008). Treating tobacco use and dependence: 2008 update. Clinical practice guideline. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service.
[3]
Fishman A, Khan Z, Thompson E, Curry S (2003) Health care costs among smokers, former smokers, and never smokers in an HMO 2003. Health Serv Res 38: 733–749. doi: 10.1111/1475-6773.00142
[4]
Hauswald M (1989) The cost of smoking: An emergency department analysis. Am J Emerg Med 7: 187–190. doi: 10.1016/0735-6757(89)90136-8
[5]
Bunn W, Stave G, Downs K, Alvir J, Dirani R (2006) Effect of smoking status on productivity loss. J Occup Environ Med 48: 1099–1108. doi: 10.1097/01.jom.0000243406.08419.74
[6]
Centers for Disease Control and Prevention (2011) Quitting smoking among adults—United States, 2001-2010. MMWR Morb Mort Wkly Rep 60: 1513–1519.
[7]
Heikkinen H, Jallinoja P, Saarni SI, Patja K (2008) The impact of smoking on health-related and overall quality of life: a general population survey in Finland. Nicotine Tob Res 10: 1199–1207 doi:10.1080/14622200802163142.
[8]
Centers for Disease Control and Prevention (2012) Current cigarette smoking among adults—United States, 2011. MMWR Morb Mort Wkly Rep 61: 889–894.
[9]
Shiffman S, Brockwell SE, Pillitteri JL, Gitchell JG (2008) Use of smoking-cessation treatments in the United States. Am J Prev Med 34: 102–111. doi: 10.1016/j.amepre.2007.09.033
[10]
Carpenter MJ, Alberg AJ, Gray KM, Saladin ME (2010) Motivating the unmotivated for health behavior change: A randomized trial of cessation induction for smokers. Clin Trials 7: 157–166. doi: 10.1177/1740774510361533
[11]
Carpenter MJ, Hughes JR, Gray KM, Wahlquist AE, Saladin ME, et al. (2011) Nicotine therapy sampling to induce quit attempts among smokers unmotivated to quit: a randomized clinical trial. Arch Internal Med 171: 1901–1907. doi: 10.1001/archinternmed.2011.492
[12]
Jardin BF, Carpenter MJ (2012) Predictors of quit attempts and abstinence among smokers not currently interested in quitting. Nicotine Tob Res 14: 1197–1204. doi: 10.1093/ntr/nts015
[13]
Bolge SC, Doan JF, Kannan H, Baran RW (2009) Association of insomnia with quality of life, work productivity, and activity impairment. Qual Life Res 18: 415–422. doi: 10.1007/s11136-009-9462-6
[14]
DiBonaventura MD, Wagner JS, Yuan Y, L'Italien G, Langley P, et al. (2010) Humanistic and economic impacts of hepatitis C infection in the United States. J Med Econ 13: 709–718. doi: 10.3111/13696998.2010.535576
[15]
Schiller JS, Lucas JW, Ward BW, Peregoy JA (2010) Summary health statistics for U.S. adults: National Health Interview Survey, 2010. National Center for Health Statistics. Vital Health Stat 10: 1–207.
[16]
Davila EP, Zhao W, Byrne M, Webb M, Huang Y, et al. (2009) Correlates of smoking quit attempts: Florida Tobacco Callback Survey, 2007. Tob Induc Dis 5: 10. doi: 10.1186/1617-9625-5-10
[17]
Hickman NJ, Delucchi KL, Prochaska JJ (2010) A population-based examination of cigarette smoking and mental illness in Black Americans. Nicotine Tob Res 12: 1125–1132. doi: 10.1093/ntr/ntq160
[18]
Messer K, Trinidad DR, Al-Delaimy WK, Pierce JP (2008) Smoking cessation rates in the United States: A comparison of young adult and older smokers. Am J Public Health 98: 317–322. doi: 10.2105/ajph.2007.112060
[19]
Scharf D, Shiffman S (2004) Are there gender differences in smoking cessation, with and without bupropion? Pooled- and meta-analyses of clinical trials of Bupropion SR. Addiction 99: 1462–1469. doi: 10.1111/j.1360-0443.2004.00845.x
[20]
Horvitz DG, Thompson DJ (1952) A generalization of sampling without replacement from a finite universe. J Am Stat Assoc 47: 663–685. doi: 10.1080/01621459.1952.10483446
[21]
Rafful C, García-Rodríguez O, Wang S, Secades-Villa R, Martínez-Ortega JM, et al. (2013) Predictors of quit attempts and successful quit attempts in a nationally representative sample of smokers. Addict Behav 38: 1920–1923. doi: 10.1016/j.addbeh.2012.12.019
[22]
Fagan P, Shavers VL, Lawrence D, Gibson JT, O'Connell ME (2007). Employment characteristics and socioeconomic factors associated with disparities in smoking abstinence and former smoking among U.S. workers. J Health Care Poor Underserved 18 (4 Suppl): 52–72.
[23]
Piper ME, Cook JW, Schlam TR, Jorenby DE, Smith SS, et al. (2010) Gender, race, and education differences in abstinence rates among participants in two randomized smoking cessation trials. Nicotine Tob Res 12: 647–657. doi: 10.1093/ntr/ntq067
[24]
Giovino GA (1994) Schooley MW, Zhu BP, Chrismon JH, Tomar SL, et al (1994) Surveillance for selected tobacco-use behaviors—United States, 1900-1994. MMWR Morb Mort Wkly Rep 43: 1–43.
[25]
Hymowitz N, Cummings KM, Hyland A, Lynn WR, Pechacek TF, et al. (1997) Predictors of smoking cessation in a cohort of adult smokers followed for five years. Tob Control 6 Suppl 2S57–62. doi: 10.1136/tc.6.suppl_2.s57
[26]
Rosal MC, Ockene JK, Ma Y, Hebert JR, Ockene IS, et al. (1998) Coronary Artery Smoking Intervention Study (CASIS): 5-year follow-up. Health Psychol 17: 476–478. doi: 10.1037/0278-6133.17.5.476
[27]
Twardella D, Loew M, Rothenbacher D, Stegmaier C, Ziegler H, et al. (2006) The diagnosis of a smoking-related disease is a prominent trigger for smoking cessation in a retrospective cohort study. J Clin Epidemiol 59: 82–89. doi: 10.1016/j.jclinepi.2005.05.003
[28]
Monsó E, Campbell J, Tonnesen P, Gustavsson G, Morera J (2001) Sociodemographic predictors of success in smoking intervention. Tob Control 10: 165–169. doi: 10.1136/tc.10.2.165
[29]
U.S. Department of Health and Human Services (1990). The Health Benefits of Smoking Cessation: A Report of the Surgeon General. Atlanta, GA: National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health.
[30]
U.S. Department of Health and Human Services (2004). The Health Consequences of Smoking: A Report of the Surgeon General. Atlanta, GA: National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health.
[31]
U.S. Department of Health and Human Services (2010). How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-attributable Disease: A Report of the Surgeon General. Atlanta, GA: National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health.
[32]
Flegal KM, Troiano RP, Pamuk ER, Kuczmarski RJ, Campbell SM (1995) The influence of smoking cessation on the prevalence of overweight in the United States. New Engl J Med 333: 1165–1170. doi: 10.1056/nejm199511023331801
[33]
Lasser K, Boyd JW, Woolhandler S, Himmelstein DU, McCormick D, et al. (2000) Smoking and mental illness: A population-based prevalence study. JAMA 284: 2606–2610. doi: 10.1001/jama.284.20.2606
[34]
Pratt LA, Brody DJ (2010) Depression and smoking in the U.S. household population aged 20 and over, 2005–2008. NCHS Data Brief 34: 1–8.
[35]
Augustson EM, Wanke KL, Rogers S, Bergen AW, Chatterjee N, et al. (2008) Predictors of sustained smoking cessation: a prospective analysis of chronic smokers from the Alpha-Tocopherol Beta-Carotene Cancer Prevention Study. Am J Public Health 98: 549–555. doi: 10.2105/ajph.2005.084137
[36]
Kenney BA, Holahan CJ, Holahan CK, Brennan PL, Schutte KK, et al. (2009) Depressive symptoms, drinking problems, and smoking cessation in older smokers. Addict Behav 34: 548–553. doi: 10.1016/j.addbeh.2009.03.020
[37]
DiClemente CC, Prochaska JO, Gibertini M (1985) Self-efficacy and the stages of self-change of smoking. Cognitive Therapy Res 9: 181–200. doi: 10.1007/bf01204849
[38]
Fiore MC, Jaén CR, Baker TB, Bailey WC, Benowitz NL, et al.. (2008). Treating tobacco use and dependence: 2008 update. Clinical practice guideline. Executive summary. Rockville MD: U.S. Department of Health and Human Services. Public Health Service.
[39]
Heatherton TF, Kozlowski LT, Frecker RC, Fagerstr？m KA (1991) The Fagerstr？m Test for Nicotine Dependence: a revision of the Fagerstr？m Tolerance Questionnaire. Br J Addict 86: 1119–1127. doi: 10.1111/j.1360-0443.1991.tb01879.x
[40]
Ramo DE, Hall SM, Prochaska JJ (2011) Reliability and validity of self-reported smoking in an anonymous online survey with young adults. Health Psychol 30: 693–701. doi: 10.1037/a0023443
[41]
Thiele J, McMahon J, Meyer G, Yun KA (2005) An evaluation of the Freedom From Smoking Online cessation program among Wisconsin residents. Wisc Med J 104: 41–44.
[42]
Siegel MB, Tanwar KL, Wood KS (2011) Electronic cigarettes as a smoking-cessation: tool results from an online survey. Am J Prev Med 40: 472–475. doi: 10.1016/j.amepre.2010.12.006
