Article

Factors Associated With Quitting Smoking at a Tobacco Dependence Treatment Clinic

Tobacco Dependence Program (TDP), University of Medicine and Dentistry of New Jersey (UMDNJ) School of Public Health (SPH), New Brunswick, NJ 08901, USA.
American journal of health behavior (Impact Factor: 1.31). 07/2006; 30(4):400-12. DOI: 10.5555/ajhb.2006.30.4.400
Source: PubMed

ABSTRACT To identify factors associated with successful quitting at a free tobacco treatment clinic.
A cohort study of the first 1021 patients who made a quit attempt. Baseline and treatment variables were recorded, and logistic regression was used to identify factors associated with abstinence at 4-week and 6-month follow-up.
Three hundred twenty (31.3%) patients reported tobacco abstinence at 6 months. Several markers of low socioeconomic status and high nicotine dependence were predictive of poorer smoking cessation outcomes. Compliance with evidence-based treatment was associated with improved treatment outcome, as was older age and having more than 2 children.
Efforts should be made to enhance treatment compliance among smokers with indicators of high nicotine dependence and low socioeconomic status.

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    • "Comparing racial differences in smoking characteristics, African Americans tend to exhibit characteristics that might favor smoking cessation, including smoking fewer cigarettes per day (e.g., Foulds et al., 2006), initiating smoking at older ages (e.g., Cropsey et al., 2009), and taking fewer puffs per cigarette (e.g., Clark, Gautam, & Gerson, 1996). However, the majority of African Americans smoke mentholated cigarettes, (Stahre, Okuyemi, Joseph, & Fu, 2010; Trinidad, Pérez-Stable, "
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    ABSTRACT: Racial and gender disparities for smoking cessation might be accounted for by differences in expectancies for tobacco interventions, but few studies have investigated such differences or their relationships with motivation to quit and abstinence self-efficacy. In this cross-sectional study, 673 smokers (African American n = 443, 65.8%; women n = 222, 33.0%) under criminal justice supervision enrolled in a clinical smoking cessation trial in which all received bupropion and half received counseling. All participants completed pretreatment measures of expectancies for different tobacco interventions, motivation to quit, and abstinence self-efficacy. The indirect effects of race and gender on motivation to quit and abstinence self-efficacy through expectancies for different tobacco interventions were evaluated. African Americans' stronger expectancies that behavioral interventions would be effective accounted for their greater motivation to quit and abstinence self-efficacy. Women's stronger expectancies for the effectiveness of pharmacotherapy accounted for their greater motivation to quit, whereas their stronger expectancies for the effectiveness of behavioral treatments accounted for their greater abstinence self-efficacy. Findings point to the mediating role of expectancies for treatment effectiveness and suggest the importance of exploring expectancies among African Americans and women as a way to augment motivation and self-efficacy.
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    • "Based on analyses that controlled for variables statistically 1 In the 2006/07 administration of TUS-CPS, detailed information on prior smoking habits was collected from former smokers who had quit smoking up to five years prior to the survey; for the 2010/11 administration, information on prior smoking habits was collected for those who had quit smoking up to three years prior to the survey. significantly correlated with abstinence, Foulds et al. (2006) presented evidence for a trend towards lower abstinence among menthol versus non-menthol cigarette smokers at 4-weeks and 26-weeks follow-up; however, differences between menthol and non-menthol cigarette smokers were not statistically significant. Gandhi et al. (2009) reported statistically significantly lower odds of quitting at 4-weeks and 6-months follow-up among African– American menthol versus non-menthol cigarette smokers; no differences were indicated among White menthol versus nonmenthol smokers, with inconsistent findings among Latino smokers . "
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    Regulatory Toxicology and Pharmacology 07/2014; 70(1). DOI:10.1016/j.yrtph.2014.06.018 · 2.14 Impact Factor
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    • "Sleep disturbance prior to quitting smoking and during nicotine withdrawal predicts smoking cessation failure (Augustson et al., 2008; Boutou et al., 2008). Likewise, awakening during the night to smoke, a potential marker of nicotine dependence, also increases the risk for smoking relapse (Bover, Foulds, Steinberg, Richardson, & Marcella, 2008; Foulds et al., 2006; Scharf et al., 2008). Preliminary research suggests that smokers who report both awakening at night to smoke and sleep disturbance are less successful at quitting smoking (Peters et al., 2011). "
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