Journal article
Real-World Effectiveness of Smoking Cessation Strategies for Young and Older Adults: Findings From a Nationally Representative Cohort
Nicotine & tobacco research, Vol.22(9), pp.1560-1568
08/24/2020
DOI: 10.1093/ntr/ntz223
PMCID: PMC7443598
PMID: 31807784
Abstract
Abstract Introduction Young adults have high combustible cigarette and e-cigarette use rates, and low utilization of evidence-based smoking cessation strategies compared to older adults. It is unknown whether young adults who try to quit smoking without assistance, with evidence-based strategies, or with e-cigarettes, are equally successful compared to older adults. Aims and Methods This analysis used a population-based sample from the Population Assessment of Tobacco and Health study of young adult (aged 18–24, n = 745) and older adult (aged 25–64, n = 2057) established cigarette smokers at Wave 1 (2013–2014) who reported having made a quit attempt at Wave 2 (2014–2015). Cessation strategies were: behavioral therapy, pharmacotherapy, product substitution, 2+ strategies, and unassisted. Logistic regression estimated associations between cessation strategy and short-term cessation status at Wave 2 (quit, no quit); multinomial logistic regression predicted long-term cessation patterns at Waves 2 and 3 (sustained quit, temporary quit, delayed quit, no quit). Results No cessation strategy (ref: unassisted) significantly predicted short-term cessation. No cessation strategy (ref: unassisted) significantly predicted long-term cessation patterns for young adults. Substitution with e-cigarettes predicted short-term cessation for older daily smokers of ≥5 cigarettes/day (adjusted odds ratio [AOR]: 1.70; 95% confidence interval: 1.08, 2.67) but did not predict long-term cessation patterns. Conclusions Despite differences in cessation strategy use between young and older adult smokers, strategy effectiveness largely did not differ by age group. No strategy examined, including e-cigarettes, was significantly associated with successful cessation for young adults. More work is needed to identify effective interventions that help young adult smokers quit. Implications (1) Neither behavioral support, pharmacotherapy, nor product substitution was associated with short-term cessation for young or older adults compared to quitting unassisted. (2) Neither behavioral support, pharmacotherapy, nor product substitution was associated with longer-term cessation for young or older adults compared to quitting unassisted. (3) Substitution with e-cigarettes predicted short-term cessation for older daily smokers of ≥5 cigarettes/day but was not associated with longer-term cessation.
Details
- Title: Subtitle
- Real-World Effectiveness of Smoking Cessation Strategies for Young and Older Adults: Findings From a Nationally Representative Cohort
- Creators
- Shannon Lea Watkins - Department of Community and Behavioral Health, University of Iowa College of Public Health, Iowa City, IAJohannes Thrul - Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MDWendy Max - Institute for Health & Aging, School of Nursing, University of California San Francisco, San Francisco, CAPamela M Ling - Center for Tobacco Control Research and Education and Division of General Internal Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA
- Resource Type
- Journal article
- Publication Details
- Nicotine & tobacco research, Vol.22(9), pp.1560-1568
- DOI
- 10.1093/ntr/ntz223
- PMID
- 31807784
- PMCID
- PMC7443598
- ISSN
- 1469-994X
- eISSN
- 1469-994X
- Grant note
- DOI: 10.13039/100000054, name: National Cancer Institute, award: T32CA113710-11; name: The California Tobacco Related Disease Research Program, award: TRDRP 25FT-0009; name: The Tobacco Centers of Regulatory Science, award: FDA/NCI NIH 1P50CA180890; name: Dorothy Rice Center for Health Economics
- Language
- English
- Date published
- 08/24/2020
- Academic Unit
- Community and Behavioral Health
- Record Identifier
- 9984214727802771
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