This study applies a symbolic interaction perspective to the investigation of smoking frequency and a person's desire to quit smoking cigarettes. Data derived from 485 Atlanta area adult smokers provide a diverse, community-based sample of married and single men and women, aged 18 to 70 years old with a range of income, education, and occupational experiences. Multiple regression was used to analyze the data in order to explore the influence of social demographic characteristics, social interaction, subjective assessments of health, self conceptions, and smoker identity on smoking frequency and quitting smoking. Findings include: (1) the relationship with a non-smoker and hiding smoking negatively impacted smoking frequency, while perceiving positive consequences from smoking has a positive effect on smoking frequency; and (2) perceiving positive consequences of smoking was negatively related to the desire to quit smoking, while a negative smoker identity has a positive influence on the desire to quit. Taken as a whole, the symbolic interaction-inspired variables exerted strong and independent effects on both smoking frequency and quitting smoking. Future smoking interventions should focus on meanings and perceived consequences of smoking in general, and on the smoker identity in the development of campaigns to encourage quitting cigarette smoking.Cigarette smoking and its health consequences have become widely acknowledged as the leading cause of preventable death among adults in the United States (Centers for Disease Control and Prevention 2008). After a decade long decline and a recent plateau in smoking prevalence, preliminary data from the National Health Interview Survey (NHIS) show an increase from 19.7% to 20.8% between 200719.7% to 20.8% between and 200819.7% to 20.8% between (CDC 2008. Cigarette smoking in the United States causes serious illness among an estimated 8.6 million people, costs $167 billion in annual health-related losses, kills appropriately 438,000 Americans each year, and results in around 5 million deaths worldwide (Frieden and Blakeman 2005). Media campaigns, smoking restriction legislation and tobacco taxation are among policies implemented as means to reduce cigarette smoking rates. It seems that in addition to these policy efforts to discourage the initiation of smoking, there is a continued need for programs that assist people to cut down or cease smoking. More than half of the Americans who have ever smoked have already quit (Frieden and Blakeman 2005); and a national study found * Address correspondence to: Donald C. Reitzes, Department of Sociology, Georgia State University, P.O. Box 5020, Atlanta, Georgia.An earlier version of this paper was presented at the 2008 annual meetings of the American Sociological Association.
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NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript that 90% of ex-smokers report quitting on their own without formal help (Lichtenstein and Glasgow 1992). On the other hand, many cigarette smokers who attem...