TY - JOUR
T1 - Changes in cigarette smoking initiation, cessation, and relapse among U.S. adults
T2 - A comparison of two longitudinal samples
AU - Yi, Zinan
AU - Mayorga, Maria E.
AU - Hassmiller Lich, Kristen
AU - Pearson, Jennifer L.
N1 - Funding Information:
The research presented in this paper is that of the authors and does not reflect the official policy of the NIH or NSF. Jennifer Pearson is supported by two grants from NIDA (1R21DA036472-01 and 1K01DA037950-01) and by internal funds from Truth Initiative. Maria Mayorga and Zinan Yi are supported in part by the National Science Foundation (CMMI 1433602) and by North Carolina State University.
Publisher Copyright:
© 2017 The Author(s).
PY - 2017/3/14
Y1 - 2017/3/14
N2 - Background: The tobacco epidemic in the U.S. has matured in the past decade. However, due to rapidly changing social policy and commercial environments, tailored prevention and interventions are needed to support further reduction in smoking. Methods: Using Tobacco Use Supplement to the Current Population Survey (TUS-CPS) 2002-2003 and 2010-2011 longitudinal cohorts, five smoking states are defined including daily-heavy, daily-light, non-daily, former and non-smoker. We quantified the changes between smoking states for the two longitudinal cohorts, and used a series of multivariable logistic regression models to examine the association of socio-demographic attributes and initial smoking states on smoking initiation, cessation, and relapse between waves within each cohort. Results: The prevalence of adult heavy smoking decreased from 9.9% (95% CI: 9.6%, 10.2%) in 2002 to 7.1% (95% CI: 6.9%, 7.4%) in 2010. Non-daily smokers were less likely to quit in the 2010-2011 cohort than the 2002-2003 cohort (37.0% vs. 44.9%). Gender, age group, smoker type, race and marital status exhibit similar patterns in terms of their association to the odds of initiation, cessation and relapse between the two cohorts, while education groups showed some inconsistent results between the two cohorts regarding the odds of cessation. Conclusions: Transitions between smoking states are complex and increasingly unstable, requiring a holistic, population-based perspective to understand the stocks and flows that ultimately dictate the public health impact of cigarette smoking behavior. This knowledge helps to identify groups in need of increased tobacco control prevention and intervention efforts.
AB - Background: The tobacco epidemic in the U.S. has matured in the past decade. However, due to rapidly changing social policy and commercial environments, tailored prevention and interventions are needed to support further reduction in smoking. Methods: Using Tobacco Use Supplement to the Current Population Survey (TUS-CPS) 2002-2003 and 2010-2011 longitudinal cohorts, five smoking states are defined including daily-heavy, daily-light, non-daily, former and non-smoker. We quantified the changes between smoking states for the two longitudinal cohorts, and used a series of multivariable logistic regression models to examine the association of socio-demographic attributes and initial smoking states on smoking initiation, cessation, and relapse between waves within each cohort. Results: The prevalence of adult heavy smoking decreased from 9.9% (95% CI: 9.6%, 10.2%) in 2002 to 7.1% (95% CI: 6.9%, 7.4%) in 2010. Non-daily smokers were less likely to quit in the 2010-2011 cohort than the 2002-2003 cohort (37.0% vs. 44.9%). Gender, age group, smoker type, race and marital status exhibit similar patterns in terms of their association to the odds of initiation, cessation and relapse between the two cohorts, while education groups showed some inconsistent results between the two cohorts regarding the odds of cessation. Conclusions: Transitions between smoking states are complex and increasingly unstable, requiring a holistic, population-based perspective to understand the stocks and flows that ultimately dictate the public health impact of cigarette smoking behavior. This knowledge helps to identify groups in need of increased tobacco control prevention and intervention efforts.
KW - Cessation
KW - Cigarette
KW - Initiation
KW - Relapse
KW - Smoking
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U2 - 10.1186/s12971-017-0121-3
DO - 10.1186/s12971-017-0121-3
M3 - Article
C2 - 28316562
AN - SCOPUS:85015762256
SN - 1617-9625
VL - 15
JO - Tobacco Induced Diseases
JF - Tobacco Induced Diseases
IS - 1
M1 - 17
ER -