Roll-your-own cigarette use and smoking cessation behaviour: a cross-sectional population study in England

ObjectivesRoll-your-own (RYO) cigarettes have become popular in the UK and reduce the cost of smoking, potentially mitigating the impact of tax increases on quitting. We examined whether RYO cigarette use was associated with reduced motivation to quit smoking, incidence of quit attempts and quit success.DesignCross-sectional survey.SettingEngland.Participants38 590 adults who reported currently smoking or having stopped within the past 12 months.Main outcome measuresMotivation to quit smoking, quit attempt in the last year, motives for quitting and quit success were regressed onto RYO cigarette use, adjusting for sociodemographic variables and level of cigarette addiction. Mediation by weekly spending on smoking was tested.ResultsCompared with manufactured cigarette smokers, RYO smokers had lower odds of high motivation to quit (OR=0.77, 95% CI 0.73 to 0.81) or having made a quit attempt (OR=0.87, 95% CI 0.84 to 0.91). Among those who had attempted to quit smoking, quit success did not differ by cigarette type (OR=1.00, 95% CI 0.89 to 1.12), but RYO smokers were less likely to report cost of smoking as a motive to quit (OR=0.68, 95% CI 0.61 to 0.74). Spending on smoking mediated the association between RYO use and quit attempts (β=−0.02, SE=0.003, 95% CI −0.03 to −0.02).ConclusionsIn England, compared with smokers of manufactured cigarettes, RYO cigarette smokers appear to have lower motivation to quit and lower incidence of quit attempts but similar success of quit attempts. The lower cost of RYO smoking appears to mediate the lower incidence of quit attempts among RYO users.

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Behavioral and Subjective Effects of Reducing Nicotine in Cigarettes: A Cessation Commentary

Nicotine & Tobacco Research ◽

10.1093/ntr/ntz100 ◽

2019 ◽

Vol 21 (Supplement_1) ◽

pp. S19-S21 ◽

Cited By ~ 2

Author(s):

Megan E Piper ◽

David J Drobes ◽

Natalie Walker

Keyword(s):

Subjective Effects ◽

Smoking Behavior ◽

Limited Evidence ◽

Moderate Evidence ◽

Quit Attempt ◽

Quit Smoking ◽

Quit Attempts ◽

Motivation To Quit ◽

Cigarette Dependence ◽

The Impact

Abstract This commentary addresses critical questions regarding the impact of the reduction of nicotine on changes in smoking behavior. There appears to be moderate evidence that use of reduced nicotine cigarettes (RNC) increases the likelihood of making a quit attempt among smokers unmotivated to quit and among smokers motivated to quit who also used nicotine replacement therapy (NRT). There was limited evidence that RNC combined with NRT increased smoking abstinence, regardless of motivation to quit. Several plausible mechanisms via which RNC may influence smoking behavior, including reducing dependence, are reviewed. The moderate evidence that abrupt reduction in nicotine reduces self-reported dependence as well as smoking behavior and likelihood of relapse is also reviewed. The data reviewed here suggest that abrupt switching to, and extended use of, RNC can reduce cigarette dependence and several related constructs, including the ability to quit smoking. The data reviewed in this commentary suggest that abrupt reduction in the level of nicotine in combustible cigarettes could reduce smoking behavior, nicotine dependence, and other related constructs and increase quit attempts and eventual smoking cessation.

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Tobacco/Nicotine Use Among Individuals Using Cannabis for Therapeutic Purposes

10.31234/osf.io/adwcj ◽

2021 ◽

Author(s):

Marc L Steinberg ◽

Rachel L. Rosen ◽

Benjamin Billingsley ◽

Drashya Shah ◽

Michele Bender ◽

...

Keyword(s):

Route Of Administration ◽

Cigarette Use ◽

Psychiatric Condition ◽

Cigarette Smokers ◽

Routes Of Administration ◽

The Past ◽

Quit Smoking ◽

Motivation To Quit ◽

The Relationship ◽

Motivation To Quit Smoking

OBJECTIVE: While the relationship between recreational cannabis and nicotine use is well established, little is known about nicotine use among users of cannabis for therapeutic purposes (CTP). METHOD: Patients attending a medical marijuana dispensary (N = 697; 75.3% White; 60.0% male) completed a survey examining nicotine use, routes of administration of nicotine and cannabis, and CTP qualifying conditions. RESULTS: More than one-third (39.3%) of participants reported current nicotine use. Compared to exclusive cigarette smokers, non-users of nicotine, and e-cigarette users were approximately four times more likely to vape, rather than to smoke, cannabis. Almost a third of those reporting e-cigarette use (30.6%) and more than half (56.7%) of those reporting smoking cigarettes reported stopping for one day or longer in the past year because they were trying to quit. Furthermore, 46.8% of cigarette smokers reported plans to quit smoking in the next six months (but not in the next month) and an additional 31.6% planned to quit in the next month. Having a psychiatric condition was associated with nicotine use and higher motivation to quit smoking. CONCLUSIONS: Users of CTP are more likely to use nicotine products than the general population. Importantly, the route of administration of nicotine products is related to the route of administration of CTP. If aerosolized (vaped) CTP is a less harmful route of administration than smoked CTP, dispensary staff should be aware of this relationship and take this into account when recommending a non-combustible route.

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Effectiveness of a web platform on university students’ motivation to quit smoking

Revista Latino-Americana de Enfermagem ◽

10.1590/1518-8345.3731.3318 ◽

2020 ◽

Vol 28 ◽

Author(s):

Alba María Romero-López ◽

Silvia Portero-de-la-Cruz ◽

Manuel Vaquero-Abellán

Keyword(s):

Information Technologies ◽

Physical Dependence ◽

Cross Sectional ◽

Quit Smoking ◽

Motivation To Quit ◽

High Level ◽

Level Of Motivation ◽

The Impact ◽

Motivation To Quit Smoking ◽

Web Platform

Objective: to know the dependence on nicotine and the motivation to quit smoking in Nursing and Physiotherapy students of a university in the South of Spain, and to evaluate the impact of an intervention based on the use of information technologies on the motivation to quit smoking. Method: a pilot study in two phases: the first being cross-sectional and the second, a before-and-after intervention. The motivation to quit smoking was assessed by means of the Richmond questionnaire, and the dependence on nicotine through the Fagerström questionnaire; additionally, an intervention was performed based on the use of a web platform to increase motivation to quit smoking. Descriptive and inferential statistics were applied. Results: the prevalence in the use of tobacco was 4.33% (n=29). 3.45% of the participants had a high level of dependence; and 6.90%, a high level of motivation. The level of motivation did not change after the intervention (p=0.10). Conclusion: most of the students have low levels of motivation to quit smoking and of physical dependence to nicotine. The level of motivation to quit smoking does not change after performing the intervention.

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Correlation Between The Knowledge On Health Effects Of Smoking And Motivation On Smoking Cessation In Ex-Smokers Of Lung Department Patients, Siloam General Hospital, Lippo Village.

Medicinus ◽

10.19166/med.v8i2.3435 ◽

2021 ◽

Vol 8 (2) ◽

pp. 38

Author(s):

Clarinda Wong ◽

Brian Lucas ◽

Veli Sungono ◽

Andree Kurniawan ◽

Allen Widysanto

Keyword(s):

Smoking Cessation ◽

General Hospital ◽

Health Effects ◽

Cross Sectional Study ◽

Cross Sectional ◽

Quit Smoking ◽

Stop Smoking ◽

Motivation To Quit ◽

Level Of Knowledge ◽

Motivation To Quit Smoking

Introduction: Data from WHO showed that deaths caused by tobacco reaches approximately ± 6 million deaths annually. There are many information about the danger of smoking which spreading from various sources. The level of knowledge about the danger of smoking can be associated with motivation to stop smoking. Therefore, motivation toward smoking cessation arises if someone knows the benefits that can be taken, through an adequate knowledge.Aim: To determine the relationship between the level of knowledge on the health effects of smoking with motivation to stop smoking in ex-smokers of lung department patients at Siloam General Hospital, Lippo Village.Methodology: This is a cross-sectional study, analyzing 138 ex-smokers of Siloam General Hospital’s lung department patients using consecutive sampling techniques.Results: the results showed 73.2% of people have good knowledge about the danger of smoking and 26.8% are not. Then, 58% of people have high motivation to stop smoking and 42% have low motivation. The results of statistical test using Chi Square showed a significant relationship between the level of knowledge and the motivation to quit smoking (OR = 4.293 [95% CI: 1,921-9,594], P<.001). The results of the multivariate logistic regression test showed educational factors (P=0.014), and the frequency of smoking (P=0.007) also influence the motivation to stop smoking.Conclusion : There’s a significant relation between knowledge about the danger of smoking and the motivation to quit smoking.

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Systematic Review of Clinician-Reported Barriers to Provision of Smoking Cessation Interventions in Hospital Inpatient Settings

The Journal of Smoking Cessation ◽

10.1017/jsc.2017.25 ◽

2018 ◽

Vol 13 (4) ◽

pp. 233-243 ◽

Cited By ~ 12

Author(s):

Tom Sharpe ◽

Ali Alsahlanee ◽

Ken D. Ward ◽

Frank Doyle

Keyword(s):

Smoking Cessation ◽

Healthcare Workers ◽

Perceived Barriers ◽

Inpatient Setting ◽

Hospital Inpatient ◽

Cross Sectional ◽

Quit Smoking ◽

Motivation To Quit ◽

Inpatient Settings ◽

Motivation To Quit Smoking

Background: Although the hospital inpatient setting arguably provides an ideal opportunity to engage patients in smoking cessation interventions, this is done infrequently. We therefore aimed to systematically review the perceived barriers to the implementation of smoking cessation interventions in the hospital inpatient setting.Methods: A systematic literature search was conducted specific to hospital-based healthcare workers’ perceived barriers to implementing smoking cessation interventions. Reported barriers were categorised using the capability, opportunity and motivation (COM-B) framework.Results: Eighteen studies were selected for inclusion, which consisted of cross-sectional surveys and interviews. The most commonly identified barrier in capability was lack of knowledge (56% of studies); in Opportunity, it was a lack of time (78%); while in Motivation, a lack of perceived patient motivation to quit smoking (44%). Seventeen other barriers were also endorsed, but less frequently.Conclusion: Healthcare workers report a plethora of barriers to providing smoking cessation interventions in hospital settings, which cover all aspects of the COM-B framework. These impediments need to be addressed in a multidisciplinary approach, at clinical, educational, and administrative levels, to improve intervention provision.

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Effects of electronic cigarette e-liquid flavouring on cigarette craving

Tobacco Control ◽

10.1136/tobaccocontrol-2021-056769 ◽

2021 ◽

pp. tobaccocontrol-2021-056769

Author(s):

Maddy L Dyer ◽

Jasmine N Khouja ◽

Abigail R Jackson ◽

Michelle A Havill ◽

Martin J Dockrell ◽

...

Keyword(s):

Smoking Cessation ◽

Unintended Consequences ◽

Electronic Cigarette ◽

Cigarette Use ◽

Quit Smoking ◽

Motivation To Quit ◽

Cigarette Craving ◽

Secondary Outcomes ◽

Smoking Lapse ◽

Motivation To Quit Smoking

BackgroundE-liquid flavour restrictions may discourage electronic cigarette (e-cigarette) uptake among youth. However, possible unintended consequences may include reduced appeal and effectiveness of e-cigarettes for smoking cessation. Non-tobacco flavours appear to be important for smoking cessation, but how and why are currently unclear.MethodsWe conducted an experimental study in a UK sample of adult daily smokers using an independent groups design (N=84). Participants were randomised to use an e-cigarette with nicotine-containing fruit/sweet-flavoured e-liquid (blackcurrant, strawberry, vanilla, caramel) or unflavoured e-liquid for 1 week. The primary outcomes were average, peak and cue-elicited cigarette craving (the latter was assessed using a cue exposure task). The secondary outcomes were smoking lapse occurrence, enjoyment of the e-cigarette, ease of transitioning from smoking to using an e-cigarette, intentions to continue using an e-cigarette, intentions and motivation to quit smoking, return to smoking, and continuation of e-cigarette use.ResultsE-liquid flavouring did not appear to have an effect on average cigarette craving (b 0.18, 95% CI −0.44 to 0.79, p=0.57), peak cigarette craving (b −0.12, 95% CI −0.59 to 0.35, p=0.62) or cue-elicited cigarette craving (b −0.21, 95% CI −3.86 to 3.43, p=0.91). We did not find evidence of a difference in secondary outcomes.ConclusionsWe did not find evidence to suggest that nicotine-containing fruit/sweet-flavoured and unflavoured e-liquids have different effects on cigarette cravings after 1 week of use. Further research is needed to establish if differences emerge over longer periods of exposure and extend to smoking cessation outcomes.

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The role of fear of COVID-19 in motivation to quit smoking and reductions in cigarette smoking: a preliminary investigation of at-risk cigarette smokers

Cognitive Behaviour Therapy ◽

10.1080/16506073.2021.1877340 ◽

2021 ◽

pp. 1-10

Author(s):

Alexandra K. Gold ◽

Danielle L. Hoyt ◽

Megan Milligan ◽

Michele L. Hiserodt ◽

Jake Samora ◽

...

Keyword(s):

At Risk ◽

Cigarette Smoking ◽

Preliminary Investigation ◽

Cigarette Smokers ◽

Quit Smoking ◽

Motivation To Quit ◽

Motivation To Quit Smoking

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Evaluating the impact of menthol cigarette bans on cessation and smoking behaviours in Canada: longitudinal findings from the Canadian arm of the 2016–2018 ITC Four Country Smoking and Vaping Surveys

Tobacco Control ◽

10.1136/tobaccocontrol-2020-056259 ◽

2021 ◽

pp. tobaccocontrol-2020-056259

Author(s):

Janet Chung-Hall ◽

Geoffrey T Fong ◽

Gang Meng ◽

K Michael Cummings ◽

Andrew Hyland ◽

...

Keyword(s):

First Nations ◽

Smoking Behaviour ◽

Menthol Cigarette ◽

Logistic Regression Models ◽

Quit Attempt ◽

Quit Smoking ◽

Menthol Cigarettes ◽

Quit Attempts ◽

Canadian Provinces ◽

The Impact

ObjectiveTo evaluate the impact of menthol cigarette bans in seven Canadian provinces between 2016 and 2018.MethodsLongitudinal data from the Canadian arm of the 2016 and 2018 ITC Four Country Smoking and Vaping Survey. 1098 non-menthol and 138 menthol smokers were surveyed pre-menthol and post-menthol cigarette bans. Multivariate logistic regression models examined associations between pre-post ban changes in smoking behaviour, including differences between menthol and non-menthol smokers in quit attempts and quitting.ResultsAt follow-up, 59.1% of pre-ban menthol smokers switched to non-menthol cigarettes; 21.5% quit smoking and 19.5% still smoked menthols, primarily purchased from First Nations reserves. Menthol smokers were more likely than non-menthol smokers to make a quit attempt (adjusted OR (aOR)=1.61, 95% CI 1.03 to 2.51), and to remain quit (aOR=2.30, 95% CI 1.06 to 5.01). Menthol smokers did not differ significantly from non-menthol smokers in quit success (aOR=1.72, 95% CI 0.98 to 3.01); however, daily menthol smokers were more likely than daily non-menthol smokers to quit (aOR=2.21, 95% CI 1.15 to 4.24), and daily menthol smokers who quit before the ban were more likely than daily non-menthol smokers to remain quit (aOR=2.81, 95% CI 1.15 to 6.85).ConclusionsAlthough menthol smokers were most likely to switch to non-menthol cigarettes, the menthol ban was also significantly associated with higher rates of quit attempts and quit success among menthol smokers compared with non-menthol smokers, and may have helped to prevent relapse among menthol smokers who had quit smoking before the ban. Results confirm and extend evaluation of Ontario’s menthol ban across provinces covering 83% of the Canadian population.

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Prevalence of Smoking and Impact of Pictorial Health Warning on Quit Attempts Among Youths in Bhaktapur, Nepal

Journal of Global Oncology ◽

10.1200/jgo.18.33400 ◽

2018 ◽

Vol 4 (Supplement 2) ◽

pp. 27s-27s

Author(s):

B. Dhungel ◽

K. Basnet

Keyword(s):

Sampling Technique ◽

Cross Sectional Study ◽

Health Warnings ◽

Cross Sectional ◽

Health Warning ◽

The Past ◽

Quit Attempt ◽

Quit Attempts ◽

Quitting Smoking ◽

The Impact

Background: Nepal for the first time implemented laws regarding the pictorial health warnings in April 2014 regardless of an unsuccessful challenge that was set up by the tobacco industry in 2011. Results from several studies have shown that health warnings on cigarette packages have been helpful in warning smokers as well as nonsmokers regarding the harms of cigarette smoking, encouraging smokers to quit and also preventing nonsmokers from starting to smoke. Aim: The objective of this study was to find the impact of pictorial health warning on quit attempts. Methods: An explanatory cross-sectional study was conducted among youths aged 15-24 years in Suryabinayak-5, Bhaktapur with probability systematic random sampling technique using self-administered questionnaire. Results: Half (50%) of the respondents first tried smoking at the age of 16 or older. Seventeen percent of the respondents smoked cigarettes either occasionally or regularly during the past 30 days. Most of the respondents (91%) have not tried smokeless tobacco products ever in their life. Sixty-seven percent of the respondents had noticed PHW on cigarette packages during the past 30 days. One fourth (21.8%) respondents made an quit attempt due to PHW during the past 12 months and their maximum duration of abstinence during the last quit attempt was more than a week but less than a month. From the study it is found that there is statistically significant association between noticing pictorial health warning and thought about quitting smoking or intention about not starting smoking. Conclusion: Pictorial warnings effectively increased peoples quitting intentions, attempts as well as relinquishing cigarettes. Our findings suggest that implementing 90% pictorial health warnings on cigarette packs in Nepal would discourage smoking.

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