Enjoyment of smoking and urges to smoke as predictors of attempts and success of attempts to stop smoking: A longitudinal study

被引:64
作者
Fidler, Jennifer A. [1 ]
West, Robert [1 ]
机构
[1] UCL, Dept Epidemiol & Publ Hlth, Hlth Behav Res Ctr, London WC1E 6BT, England
关键词
Smoking cessation; Tobacco use disorder; Behaviour addictive; Health behaviour; Longitudinal studies; TOBACCO CONTROL POLICIES; GENERAL-POPULATION; QUIT SMOKING; CESSATION; NICOTINE;
D O I
10.1016/j.drugalcdep.2010.10.009
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Background: 'Enjoyment' and 'addiction' have been proposed as opposing reasons why people continue to smoke despite the manifest dangers. This study examined the roles of these as barriers to smoking cessation. Methods: 2257 smokers taking part in a national household survey completed postal-follow-up questionnaires 6 months later. Enjoyment of smoking was measured at baseline as was strength of urges to smoke during a normal smoking day as a subjective marker of addiction. Smoking status, quit attempts and quit success were assessed at follow-up. Data on age, sex, social grade and method of cessation support used were also collected. Associations between baseline measures and smoking outcomes were assessed using logistic regression. Results: Only enjoyment of smoking predicted whether a quit attempt was made (OR = 0.70, p < 0.001, 95% CI = 0.62-0.78) and only strength of urges to smoke predicted whether a quit attempt was successful (OR = 0.70, p < 0.001, 95% CI = 0.57-0.87). This pattern of results remained when controlling for sociodemographic factors and method of support used. Conclusions: Both enjoyment of smoking and strength of urges to smoke are important in the smoking cessation process, but in different ways. Interventions to promote cessation need to address both in order to maximise the rate of quit attempts and their chances of success. (C) 2010 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:30 / 34
页数:5
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