329225
Tobacco patterns of use and predictors of smoking cessation: NHANES 2007-2012
Stephanie Spohr, MA,
School of Public Health, University of North Texas Health Science Center, Fort Worth, TX
Hyo Jung Tak, PhD,
Department of Health Management and Policy, University of North Texas Health Science Center, Fort Worth, TX
background: Tobacco smoking is the leading cause of preventable death and disability in the United States. To affect widespread reductions of tobacco use it is important to understand what factors make a smoker quit. methods: Data were analyzed from the NHANES survey including three cohorts from 2007-2012 (N=8,037). The primary outcome measure was a successful quit status (> 6 months). Adjusted multivariable logistic regression analyses were conducted to examine the association between smoking behaviors and quit status. results: Smokers in the US primarily consisted of Non-Hispanic White (57%) males (60%). Smokers were fairly educated, 70% having at least graduated high school. Smokers with an increasingly longer smoking duration were 43-87% less likely to quit smoking compared to those who reported smoking for <11 years. Adults who started smoking after age 26 were 55% less likely to quit smoking compared to those who started in early adolescence. Compared to those who smoked one cigarette per day those who smoked 5-10 cigarettes per day were 40% less likely to quit while those who smoked one, two, or >three packs per day were increasingly more likely to successfully quit. Smokers with poorer overall current health significantly decreased the odds of successfully quitting. conclusion: Findings indicate shorter smoking duration, earlier age at start, and greater number of cigarettes smoked per day significantly increased the likelihood of successful quitting. Smoking cessation interventions and policies should focus on reducing the length of smoking duration in new smokers, prevent late start smokers from smoking uptake, and target those who smoke less than a pack of cigarettes a day and those with a poorer current health status.
Learning Areas:
Epidemiology
Public health or related research
Social and behavioral sciences
Learning Objectives:
Describe influential individual characteristics and smoking behaviors that predict successful quitting among population level data.
Keyword(s): Epidemiology, Tobacco Use
Presenting author's disclosure statement:Qualified on the content I am responsible for because: I am a PhD student in behavioral and community health studying addictive behaviors and motivational interviewing. I work primarily on a federally funded randomized controlled trial motivating probationers to initiate treatment. My other research focus has been on persuasive technologies. I am studying the use and efficacy of electronic reminders to initiate behavior change in drug involved probationers as well as text message-based interventions for smoking cessation.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.
