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Perceived Addiction as a Predictor of Smoking Cessation Among Occasional Smokers

Published online by Cambridge University Press:  21 January 2016

Michael Chaiton ,
Joanna E. Cohen ,
Sue J. Bondy ,
Peter Selby ,
K. Stephen Brown ,
Roberta Ferrence  and
John M. Garcia
Michael Chaiton*
Affiliation:
Dalla Lana School of Public Health, University of Toronto, Ontario, Canada
Joanna E. Cohen
Affiliation:
Johns Hopkins Bloomberg School of Public Health, Maryland, USA
Sue J. Bondy
Affiliation:
Dalla Lana School of Public Health, University of Toronto, Ontario, Canada
Peter Selby
Affiliation:
Dalla Lana School of Public Health, University of Toronto, Ontario, Canada Centre for Addiction and Mental Health, Ontario, Canada
K. Stephen Brown
Affiliation:
Propel Centre for Population Health Impact, University of Waterloo, Ontario, Canada
Roberta Ferrence
Affiliation:
Dalla Lana School of Public Health, University of Toronto, Ontario, Canada
John M. Garcia
Affiliation:
School of Public Health and Health Systems, University of Waterloo, Ontario, Canada
*
Address for correspondence: Michael Chaiton, Ontario Tobacco Research Unit, T530, 155 College St, Toronto, Ontario M5T 3S7, Canada. Email: [email protected]
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Abstract

Introduction: Common short screening measures of dependence that use number of cigarettes per day may not be appropriate for use in populations of occasional smokers.

Aims: In this study, we investigate whether perceived addiction (PA) predicts quit attempts and successful cessation among occasional smokers.

Methods: Current occasional smokers (18+) in the Ontario Tobacco Survey (OTS) longitudinal cohort study followed up every six months for up to three years. Respondents rated their self-perceived level of addiction (very vs. somewhat or not very addicted). Generalised Estimating Equation models and proportional hazard models were used to test the predictive ability of PA.

Results/Findings: Occasional smokers with very high PA had a higher likelihood of reporting a quit attempt (RR: 2.49; 95% CI: 1.88, 3.30) after adjusting for demographics. Given an incident quit attempt, occasional smokers who reported being very addicted were 2.93 times more likely to relapse (95%: 2.01, 4.28). The effect of PA was independent of other predictors of smoking behaviour.

Conclusions: For some, occasional smokers, smoking cessation is a difficult process that may require significant support. Asking occasional smokers about PA is an effective way to predict likely success in quitting smokers that may be easily assessed in population based, as well as in community and clinical, settings.

Type
Original Articles
Information
Journal of Smoking Cessation , Volume 12 , Issue 3 , September 2017 , pp. 165 - 172
Copyright
Copyright © The Author(s) 2016 

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