Does a failed quit attempt reduce cigarette consumption following resumption of smoking? The effects of time and quit attempts on the longitudinal analysis of self‐reported cigarette smoking intensity

Abstract We report cessation behaviors, reasons for use of EC and HTP and association of their use with quit attempts and smoking intensity using Romania Global Adult Tobacco Survey 2018. Weighted estimates of EC and HTP by cigarette smoking (CS) status were assessed. ‘Quit attempts’, ‘intention to quit’, reasons for lack of intention to quit among current CS and reasons for current use of EC and HTP were estimated. Association of ‘ever use’ of EC and HTP with cigarette smoking intensity and quit attempts was explored using binary logistic regression. Of the total 4571 surveyed, 1243 (27.3%) were current CS, 300 (24.4%) made quit attempt in the past 12 months. Only 38 (12.5%) and 26 (8.6%) had used EC and HTP as an aid to quit. Among current CS, 512 (41.2%) had no intention to quit. Reasons for this were, ‘enjoy smoking’ (86.1%), ‘reduce stress’ (65.9%) and ‘staying alert’ (46.3%). Awareness and use of EC and HTP was significantly higher among current CS. ‘Dual use’ of EC and HTP with CS was manifolds higher than stand-alone use. Reasons for current use of EC and HTP were ‘enjoyment’, and ‘use in places where smoking was prohibited’.

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Heterogeneity in Past Year Cigarette Smoking Quit Attempts among Latinos

Journal of Environmental and Public Health ◽

10.1155/2012/378165 ◽

2012 ◽

Vol 2012 ◽

pp. 1-9 ◽

Cited By ~ 4

Author(s):

Daniel A. Gundersen ◽

Sandra E. Echeverria ◽

M. Jane Lewis ◽

Gary A. Giovino ◽

Pamela Ohman-Strickland ◽

...

Keyword(s):

Cigarette Smoking ◽

Language Proficiency ◽

English Language ◽

Generational Status ◽

Immigrant Generation ◽

The Past ◽

Quit Attempt ◽

Second Generation Immigrants ◽

Quit Attempts ◽

Racial Ethnic

Objective. Examine the association between English language proficiency (ELP) and immigrant generation and having made a cigarette smoking quit attempt in the past 12 months among Latinos. Examine if gender moderates the association between acculturation and quit attempts.Methods. Latino past year smokers from the 2003 and 2006/07 Tobacco Use Supplement to the Current Population Survey were analyzed. Logistic regression was used to examine the association between quit attempt and ELP and immigrant generation, controlling for demographics and smoking characteristics.Results. Latinos with poor ELP were more likely to have made a quit attempt compared to those with good ELP (adjusted odds ratio , confidence interval [CI]: 1.02–1.46) after controlling for demographic and smoking characteristics. First (, CI: 1.02–1.43) and second generation immigrants (, CI: 1.12–1.64) were more likely than third generation immigrants to have made a quit attempt in the past 12 months.Conclusion. Quit behaviors are shaped by differences in language ability and generational status among Latinos. This underscores the need to disaggregate Latinos beyond racial/ethnic categories to identify subgroup differences relevant for smoking and smoking cessation behaviors in this population.

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Variations in Cigarette Smoking and Quit Attempts by Health Insurance Among US Adults in 41 States and 2 Jurisdictions, 2014

Public Health Reports ◽

10.1177/0033354917753120 ◽

2018 ◽

Vol 133 (2) ◽

pp. 191-199 ◽

Cited By ~ 5

Author(s):

Shillpa Naavaal ◽

Ann Malarcher ◽

Xin Xu ◽

Lei Zhang ◽

Stephen Babb

Keyword(s):

Health Insurance ◽

Cigarette Smoking ◽

Black People ◽

Private Insurance ◽

State Level ◽

The State ◽

Behavioral Risk ◽

Quit Attempt ◽

Quit Attempts ◽

The Impact

Objectives: Information on the impact of health insurance on smoking and quit attempts at the state level is limited. We examined the state-specific prevalence of cigarette smoking and past-year quit attempts among adults aged 18-64 by health insurance and other individual- and state-level factors. Methods: We used data from 41 states, the District of Columbia, and Puerto Rico, the jurisdictions that administered the Health Care Access module of the 2014 Behavioral Risk Factor Surveillance System. Data on quit attempts included current smokers with a past-year quit attempt and former smokers who quit during the past year. Results: Overall, smoking prevalence ranged from 14.6% among those with private insurance to 34.7% among Medicaid enrollees, and past-year quit-attempt prevalence ranged from 66.4% among the uninsured to 71.5% among Medicaid enrollees. By insurance group, differences in the prevalence of state-specific past-year quit attempts ranged from 15 to 26 percentage points. Regardless of insurance type, people who were non-Hispanic white and had lower education levels were less likely to attempt quitting than were Hispanic people, non-Hispanic black people, and adults with more than a high school education. Conclusions: We found disparities in smoking and quit attempts by insurance status and state. Opportunities exist to increase access to cessation treatments through comprehensive state tobacco control programs and improved cessation insurance coverage, coupled with promotion of covered cessation treatments.

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Is dual use of nicotine products and cigarettes associated with smoking reduction and cessation behaviours? A prospective study in England

BMJ Open ◽

10.1136/bmjopen-2019-036055 ◽

2020 ◽

Vol 10 (3) ◽

pp. e036055 ◽

Cited By ~ 1

Author(s):

Sarah E Jackson ◽

Emma Farrow ◽

Jamie Brown ◽

Lion Shahab

Keyword(s):

Cigarette Consumption ◽

Evidence Based ◽

Smoking Reduction ◽

Dual Use ◽

Over The Counter ◽

Factors Associated ◽

Quit Attempt ◽

Quit Attempts ◽

A Prospective Study

ObjectivesTo investigate associations of dual use of e-cigarettes and cigarettes with subsequent quitting activity (smoking reduction, quit attempts and use of evidence-based cessation aids). To overcome potential confounding by factors associated with use of pharmacological support, we selected dual use of over-the-counter nicotine replacement therapy (OTC NRT) and cigarettes as a behavioural control.DesignProspective cohort study with 6-month follow-up.SettingEngland, 2014–2016.Participants413 current smokers participating in the Smoking Toolkit Study, a representative survey of adults in England, who reported current use of e-cigarettes or OTC NRT and provided data at 6-month follow-up.Main outcome measuresThe exposure was dual use of e-cigarettes or OTC NRT at baseline. Outcomes were change in cigarette consumption, quit attempts and use of evidence-based cessation aids during quit attempts over 6-month follow-up. Relevant sociodemographic and smoking characteristics were included as covariates.ResultsAfter adjustment for covariates, dual e-cigarette users smoked two fewer cigarettes per day at follow-up than at baseline compared with dual OTC NRT users (B=2.01, 95% CI −3.62; −0.39, p=0.015). While dual e-cigarette users had 18% lower odds than dual OTC NRT users to make a quit attempt at follow-up (risk ratio (RR) 0.82, 95% CI 0.67 to 1.00, p=0.049), the groups did not differ in use of cessation aids (RR 1.06, 95% CI 0.93 to 1.21, p=0.388).ConclusionsDual use of e-cigarettes is associated with a greater reduction in cigarette consumption than dual use of OTC NRT. It may discourage a small proportion of users from making a quit attempt compared with dual OTC NRT use but it does not appear to undermine use of evidence-based cessation aids.

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Effects of menthol use and transitions in use on short-term and long-term cessation from cigarettes among US smokers

Tobacco Control ◽

10.1136/tobaccocontrol-2021-056596 ◽

2021 ◽

pp. tobaccocontrol-2021-056596

Author(s):

Eric C Leas ◽

Tarik Benmarhnia ◽

David R Strong ◽

John P Pierce

Keyword(s):

Cigarette Smoking ◽

Lower Probability ◽

Short Term ◽

Demographic Groups ◽

Adjusted Risk ◽

Quit Attempt ◽

Quit Smoking ◽

Quit Attempts ◽

Risk Ratios

ObjectivesTo estimate the effect of menthol use and transitions in use (switching to or from menthol) on short-term and long-term cessation from cigarette smoking and whether this differed across demographic groups (age, sex, race).MethodsWe compared the probability of 30+ day and 12-month abstinence from cigarette smoking by menthol use status using two cohorts of US adult cigarette smokers who attempted to quit smoking in the Population Assessment of Tobacco and Health (wave 1 to wave 3 and wave 2 to wave 4; n=5759), inverse probability of treatment weighting and adjusted risk ratios (aRRs).ResultsUsing menthol (vs non-menthol) prior to a quit attempt decreased the probability of 30+ day abstinence by 28% (aRR=0.78; 95% CI 0.67 to 0.91) and the probability of 12-month abstinence by 53% (aRR=0.65; 95% CI 0.47 to 0.88). Additionally, switching from menthol (vs maintaining menthol use) increased the probability of 30+ day abstinence by 58% (aRR=1.58; 95% CI 1.00 to 2.50) and the probability of 12-month abstinence by 97% (aRR=1.86; 95% CI 0.92 to 3.74). Switching to menthol (vs maintaining non-menthol use) was associated with a lower probability of 30+ day (aRR=0.70; 95% CI 0.42 to 1.16) and 12-month abstinence (aRR=0.64; 95% CI 0.30 to 1.36), but these associations were imprecise. The effects of menthol use on impaired quitting were slightly larger for non-Hispanic Black smokers, but not different for other demographic groups.ConclusionThese results demonstrate that menthol impaired menthol smokers’ attempts to quit smoking but switching from menthol improved success. This suggests that removing menthol may improve menthol smokers’ success during quit attempts.

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Subtle right ventricular dysfunction in asymptomatic chronic heavy cigarette smokers: a speckle tracking case-control study

The Egyptian Heart Journal ◽

10.1186/s43044-021-00151-y ◽

2021 ◽

Vol 73 (1) ◽

Author(s):

Mohammad Iqbal Janhangeer ◽

Ghada Youssef ◽

Weal El Naggar ◽

Dalia El Remisy

Keyword(s):

Cigarette Smoking ◽

Right Ventricular ◽

Ventricular Function ◽

Right Ventricular Function ◽

Speckle Tracking ◽

Longitudinal Strain ◽

Global Longitudinal Strain ◽

Cigarette Consumption ◽

Cigarette Smokers ◽

The Right

Abstract Background Chronic heavy cigarette smoking can affect the right ventriclular function. The standard echocardiography may not show early right ventricular functional changes, and a more sensitive measure is needed. The aim of this work was to evaluate the subtle subclinical effects of chronic heavy cigarette smoking on the right ventricular function. The study included 55 healthy asymptomatic chronic heavy cigarette smokers (smoking history of at least 5 pack-years and a daily cigarette consumption of at least 1 pack) and 35 healthy non-smoking control subjects. Patients underwent a full clinical assessment and a conventional as well as a 2D-speckle tracking transthoracic echocardiography of the right ventricle and data was compared between the 2 groups. Results The mean age was 32.9 ± 7.2 years in smokers and 30.9 ± 7.9 years in non-smokers (p = 0.227). The 2 groups showed comparable conventional right ventricular systolic and diastolic functions. Smokers showed a significantly lower (less negative) right ventricular global longitudinal strain (− 19.0 ± 3.2% vs. − 24.5 ± 3.5%, p < 0.001). Patients with a higher daily cigarette consumption showed a poorer right ventricular global longitudinal strain (p = 0.014). Conclusion Chronic heavy cigarette smoking can adversely affect the right ventricular function, a finding that can be easily missed by conventional echocardiography and can be better detected by the right ventricular speckle tracking.

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Facebook Chat Application to Prompt and Assist Smoking Cessation Among Spanish-Speaking Young Adults in South Texas

Health Promotion Practice ◽

10.1177/15248399211026263 ◽

2021 ◽

pp. 152483992110262

Author(s):

Patricia Chalela ◽

Alfred L. McAlister ◽

David Akopian ◽

Edgar Munoz ◽

Cliff Despres ◽

...

Keyword(s):

Social Media ◽

Smoking Cessation ◽

Young Adults ◽

South Texas ◽

Spanish Speaking ◽

Quit Attempt ◽

Quit Attempts ◽

Facebook Advertising

Given how smart phones, internet services, and social media have shown great potential for assisting smoking cessation, we constructed a Facebook chat application based on our previous work with SMS texting services. This report summarizes findings from 2,364 Spanish-speaking young adults recruited through Facebook advertising in South Texas during the 2020 New Year holiday season. Among these service users, 926 (39%) were ready to make a quit attempt, and 26 (3.1%) of those users reported that they were tobacco free 1 month later. There were no responses to a chat question survey 72 days after the dates selected for quitting. Although more research with longer follow up is needed, these findings show that social media chat applications may be helpful for at least prompting quit attempts and short-term cessation among young adult Spanish-speaking smokers. There is no evidence of an impact on long-term cessation, and more research is clearly needed.

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JUUL E-Cigarette Quit Attempts and Cessation Perceptions in College Student JUUL E-Cigarette Users

American Journal of Health Promotion ◽

10.1177/0890117120982408 ◽

2020 ◽

pp. 089011712098240

Author(s):

Kim Pulvers ◽

John B. Correa ◽

Paul Krebs ◽

Omar El Shahawy ◽

Crystal Marez ◽

...

Keyword(s):

College Student ◽

Undergraduate Students ◽

Online Survey ◽

Self Report ◽

Cross Sectional ◽

Quit Attempt ◽

Lower Confidence ◽

Perceived Difficulty ◽

Quit Attempts ◽

History Of

Purpose: This study describes the frequency of JUUL e-cigarette (referred to as JUUL) quit attempts and identifies characteristics associated with confidence in quitting and perceived difficulty quitting JUUL. Design: Cross-sectional study from a self-administered online survey. Setting: Two public southern California universities. Participants: A total of 1,001 undergraduate students completed the survey from February to May 2019. Measures: Self-report measures about JUUL included use, history of quit attempts, time to first use, perceived difficulty with cessation/reduction, and confidence in quitting. Analysis: Binary logistic regressions were used to identify demographic and tobacco-related behavioral correlates of JUUL cessation-related perceptions and behaviors. Results: Nearly half of ever-JUUL users (47.8%) reported a JUUL quit attempt. Adjusting for demographic factors and other tobacco product use, shorter time to first JUUL use after waking was associated with lower confidence in quitting JUUL (aOR = 0.02, 0.00-0.13) and greater perceived difficulty in quitting JUUL (aOR = 8.08, 2.15-30.35). Previous JUUL quit attempt history was also associated with greater odds of perceived difficulty quitting JUUL (aOR = 5.97, 1.74-20.53). Conclusions: History of JUUL quit attempts among college students was common. Those who had previously tried quitting were more likely to perceive difficulty with cessation. Time to first JUUL use, a marker of dependence, was linked with greater perceived cessation difficulty and lower confidence in quitting. These findings suggest that there is a need for cessation and relapse prevention support for college student JUUL users.

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Effects of Cigarette Smoking Intensity on the Mucociliary Clearance of Active Smokers

Respiration ◽

10.1159/000348398 ◽

2013 ◽

Vol 86 (6) ◽

pp. 479-485 ◽

Cited By ~ 15

Author(s):

Rafaella Fagundes Xavier ◽

Dionei Ramos ◽

Juliana Tiyaki Ito ◽

Fernanda Maria Machado Rodrigues ◽

Giovana Navarro Bertolini ◽

...

Keyword(s):

Cigarette Smoking ◽

Mucociliary Clearance ◽

Smoking Intensity

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Efficacy of providing free nicotine replacement chewing gum to induce quit attempts in tobacco users- A prospective observational study

International Journal of Oral Health Dentistry ◽

10.18231/j.ijohd.2021.052 ◽

2021 ◽

Vol 7 (4) ◽

pp. 265-270

Author(s):

Rohini Sharma ◽

Umashankar G K ◽

Shuhaib Rahman ◽

Somanath Patil

Keyword(s):

Carbon Monoxide ◽

Observational Study ◽

Quantitative Detection ◽

Chewing Gum ◽

Nicotine Replacement ◽

Safety Issues ◽

Quit Attempt ◽

Quit Attempts ◽

The Mean ◽

The Difference

To assess the effectiveness of providing free NRT to tobacco users in increasing quit attempts and to assess the perception of adherence, side effects and safety issues related to the usage in increasing quit attempt. A observational study was conducted to motivate tobacco users to have a quit attempt with a nicotine replacement sample among patients visiting out-patient department of a dental college. Baseline evaluation (demographic), Modified Fagerstrom test for Nicotine Dependence (MFTND) to assess nicotine addiction level, “breath analyzer” for the quantitative detection of levels of carbon monoxide were assessed. A free NRT sample was given. Telephonic follow up was done at an interval of 2 weeks, 1 month to assess the reduction in the mean MFTND score and to assess the perception of using NRT sample. All data was entered and analysed in SPSS for Windows version 22. Among the 40 subjects 80% were in the age group of 30-50 years and were males. The levels of carbon monoxide using breath analyser showed 80% of the subjects as heavy and chain smokers. Out of 40 subjects, 29 (72.5%) subjects were having high dependence calculated using MFTND which reduced to 2(5%) after using nicotine chewing gum. The mean and standard deviation of pre MFTND was 7.97±2.35 and for post MFTND it was 5.57±2.14 and the difference was highly significant (p< 0.005).: The results of this study confirm the efficacy of providing free nicotine replacement sample a novel strategy in motivating tobacco users to induce quit attempt.

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