Reassessing the importance of ‘lost pleasure’ associated with smoking cessation: implications for social welfare and policy

Pechacek, Terry F.; Nayak, Pratibha; Slovic, Paul; Weaver, Scott R.; Huang, Jidong; Eriksen, Michael P.

doi:10.1136/tobaccocontrol-2017-053734

Cited by 17 publications

(8 citation statements)

References 56 publications

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“…Among older adults, smoking cessation remains a critical focus of cancer prevention, and our study suggests that there is ample room to improve smoking cessation behaviors in this population. We found few significant differences in smoking cessation behaviors by socio-demographic and health characteristics, consistent with a recent study that found that most persons who smoked, regardless of age or other characteristics, considered themselves to be addicted to cigarettes and wish to quit (Pechacek et al, 2017). These results suggest that all older adults may benefit from efforts to increase successful smoking cessation.…”

Section: Discussionsupporting

confidence: 91%

Smoking cessation behaviors among older U.S. adults

Henley

Asman

Momin

et al. 2019

Preventive Medicine Reports

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Smoking cessation is a critical component of cancer prevention among older adults (age ≥ 65 years). Understanding smoking cessation behaviors among older adults can inform clinical and community efforts to increase successful cessation. We provide current, national prevalence estimates for smoking cessation behaviors among older adults, including interest in quitting, quitting attempts, quitting successes, receiving advice to quit from a healthcare provider, and use of evidence-based tobacco cessation treatments. The 2015 National Health Interview Survey and Cancer Control Supplement were used to estimate cigarette smoking status and cessation behaviors among older US adults across selected socio-demographic and health characteristics. We found that four in five older adults who had ever smoked cigarettes had quit and more than half who currently smoked were interested in quitting but fewer than half made a past-year quit attempt. Two-thirds of older adults said that a healthcare provider advised them to quit smoking, but just over one-third who tried to quit used evidence-based tobacco cessation treatments and only one in 20 successfully quit in the past year. Prevalence estimates for smoking cessation behaviors were similar across most characteristics. Our study demonstrates that few older adults, across most levels of characteristics examined, successfully quit smoking, underscoring the importance of assisting smoking cessation efforts. Healthcare providers can help older adults quit smoking by offering or referring evidence-based cessation treatments. States and communities can implement population-based interventions including tobacco price increases, comprehensive smoke-free policies, high-impact tobacco education media campaigns, and barrier-free access to evidence-based tobacco cessation counseling and medications.

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Section: Discussionsupporting

confidence: 91%

Smoking cessation behaviors among older U.S. adults

Henley

Asman

Momin

et al. 2019

Preventive Medicine Reports

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“…While delaying healthcare is common among the LTU, smokers are more likely to delay healthcare when needed due to cost and are significantly more likely to be unable to obtain a needed prescription. This is concerning, because studies consistently find that health care providers who offer aid in the form of advice, counseling, and prescriptions are important for successful smoking cessation [ 10 , 15 , 26 ]. Smokers who receive healthcare provider assistance including prescription aids for smoking cessation in addition to smoking cessation counseling have the greatest success in quitting [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, if the level of under-reporting was similar between smokers and non-smokers, our estimated coefficients would not be biased for this specific reason. Further, high validity with reporting smoking status has been found in surveys [ 26 ]. Second, participants were asked if they regularly smoked or used tobacco products of any kind.…”

Section: Discussionmentioning

confidence: 99%

Healthcare Utilization and Smoking among South Carolina’s Long-Term Uninsured

2022

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Cigarette smoking and tobacco-related health conditions have continued to rise among persons of low social economic status. This study explored the association between healthcare utilization and smoking among the long-term uninsured (LTU). The sample consisted of South Carolina residents who had been without healthcare insurance for at least 24 months. Multivariable logistic regression was used to estimate differences in the likelihood of delaying healthcare due to cost and/or not filling a needed prescription between smokers and non-smokers. Among LTU, smoking was a significant predictor of delaying healthcare at the 10% level (AOR = 1.36, 95% CI = 0.99–1.86); the sensitivity analysis strengthened this association at the 5% level (AOR = 1.43, 95% CI = 1.06–1.93). Smoking was a significant predictor of not filling needed prescriptions (AOR = 1.44, 95% CI = 1.06–1.96). While neglected healthcare utilization was common among the LTU, this problem was more severe among smokers. The wider gap in access to healthcare services among the LTU, especially LTU who smoke, warrants further attention from the research community and policy makers.

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“…Most do not understand the impact on the smoking experience of reducing nicotine by 95%. Those who regret ever starting to smoke and have tried repeatedly to stop smoking 28 are likely to have a positive view of a product that is no longer addictive or one which they will be more easily able to quit. This may encourage them to continue to smoke VLNCs until they are ready to make their next quit attempt, expecting that they are more in control and will be more successful the next time.…”

Section: Discussionmentioning

confidence: 99%

Effects of Framing Nicotine Reduction in Cigarettes on Anticipated Tobacco Product Use Intentions and Risk Perceptions Among US Adult Smokers

Popova

Owusu

Nyman

et al. 2019

Nicotine &Amp; Tobacco Research

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IntroductionIn 2017, the US Food and Drug Administration (FDA) proposed lowering the amount of nicotine in combusted cigarettes to minimally addictive levels. If used, to encourage cessation and maximize the benefits of this action, the FDA needs to determine the most effective way to communicate to the public the practical impact of this nicotine tobacco product standard.MethodsData were collected in 2018 from a nationally representative, online probability sample of 1198 adult smokers (aged ≥18 years old) in the United States. Smokers were randomly assigned one of five versions of the question regarding what they would most likely do if nicotine in cigarettes was reduced (nicotine levels were reduced by 95%; the government reduced nicotine levels by 95%; cigarettes were no longer addictive; cigarettes no longer relieved cravings; cigarettes were changed so that you would be able to quit more easily). Effects of framing on anticipated tobacco use intentions and perceived risk of very low nicotine cigarettes (VLNCs) were evaluated with multinomial logistic regressions.ResultsFraming the nicotine tobacco product standard as cigarettes no longer relieved cravings resulted in the highest proportion of smokers reporting they intend to quit in response to this standard (43.9%), lowest proportions reporting anticipated intentions to continue using combusted tobacco products (45.3%), and lowest proportion believing that VLNCs are less harmful than regular cigarettes (26%).ConclusionsDifferent frames of nicotine reduction in cigarettes differentially affected smokers’ anticipated tobacco use intentions and perceived risk of VLNCs. Presenting reduction as making cigarettes unable to relieve cravings might be particularly effective at motivating cessation.

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Reassessing the importance of ‘lost pleasure’ associated with smoking cessation: implications for social welfare and policy

Cited by 17 publications

References 56 publications

Smoking cessation behaviors among older U.S. adults

Smoking cessation behaviors among older U.S. adults

Healthcare Utilization and Smoking among South Carolina’s Long-Term Uninsured

Effects of Framing Nicotine Reduction in Cigarettes on Anticipated Tobacco Product Use Intentions and Risk Perceptions Among US Adult Smokers

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