Social Disparities in Unaided Quit Attempts Among Daily Current and Former Smokers: Results From the 2010–2011 Tobacco Use Supplement to the Current Population Survey

McCarthy, Molly; Siahpush, Mohammad; Shaikh, Raees A.; Kessler, Asia Sikora; Tibbits, Melissa

doi:10.1093/ntr/ntw007

Cited by 31 publications

(24 citation statements)

References 12 publications

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“…There were relevant differences between those who made pharmacologically unassisted quit attempts and those who used medications, and between those who used varenicline and those who used TNP. Our findings reflect those recently reported by McCarthy and colleagues (2016) in their analysis of the TUS-CPS data, focusing on socioeconomic disparities among those making unassisted quit attempts. Those making unassisted quit attempts were more likely to self-identify as racial/ethnic minority and had lower income than those reporting use of smoking cessation medications.…”

Section: Discussionsupporting

confidence: 91%

Gender differences in the real-world effectiveness of smoking cessation medications: Findings from the 2010–2011 Tobacco Use Supplement to the Current Population Survey

Smith

Weinberger

et al. 2017

Drug and Alcohol Dependence

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Section: Discussionsupporting

confidence: 91%

Gender differences in the real-world effectiveness of smoking cessation medications: Findings from the 2010–2011 Tobacco Use Supplement to the Current Population Survey

Smith

Weinberger

et al. 2017

Drug and Alcohol Dependence

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“…This finding suggests that the administration of free NRT may be received better in the UC setting, but further research to explore the reasons for interest in NRT is warranted. Similar to other research 24 , 28 , 29 , we also found that parents who were Black or more motivated to quit were more receptive to cessation efforts. These findings are clinically relevant to decision-making about NRT.…”

Section: Discussionsupporting

confidence: 89%

Provision of free nicotine replacement therapy to parental smokers in the pediatric emergency setting

Mahabee‐Gittens¹,

Merianos²,

Tabangin³

et al. 2020

Tob. Prev. Cessation

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INTRODUCTION Although the administration of free Nicotine Replacement Therapy (NRT) is effective in helping smokers quit, the feasibility, acceptability and safety of this practice have not been examined in the emergency setting of the pediatric emergency department (PED) or urgent care (UC). We examined the characteristics of parental smokers who were interested and eligible for free NRT during their child’s emergency visit and the uptake, usage, and associated side effects of NRT use. METHODS We analyzed data from 377 parental smokers who were randomized to receive cessation counseling and free NRT as part of an emergency visit-based randomized controlled trial. Parents interested in NRT were screened for medical contraindications; eligible parents were given a 6-week supply of NRT patches or lozenges during their child’s emergency visit and offered another supply 6 weeks later. We conducted Wilcoxon rank-sum tests and chi-squared tests to address our main study objective. RESULTS The majority of parents were female (87.5%), non-Hispanic Black (52.5%), and mean (SD) age was 33.1 (8.2) years. A total of 252 (66.8%) parents were interested in receiving NRT. Compared to uninterested parents, interested parents were more likely to: be older [33.6 (8.2) vs 31.9 (8.2), years]; be non-Hispanic Black (54.0% vs 49.6%); have older children [5.5 (5.0) vs 4.2 (4.6)]; have a higher readiness to quit [7.0 (2.4) vs 5.2 (2.6)]; and have a child being evaluated in UC compared to the PED (72.4% vs 56.5%). A total of 53 (21%) interested parents had >1 NRT contraindications. At 6 weeks, 94 (79.0%) parents reported some ≥NRT usage and 50 (53.2%) requested an additional 6-week supply. There were no serious adverse events and 5 (5.3%) reported minor side effects. CONCLUSIONS Parental smokers in the emergency setting are interested in receiving free NRT, the majority use it, and use is not associated with adverse side effects. The emergency visit may be an optimal time to offer NRT to parental smokers.

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“…In some studies, spontaneous quitters are suggested to have more years of education and higher incomes, to be more likely to have a partner, to have fewer smokers in their social network, and to have a smoking history indicative of a lower level of nicotine addiction [46-48]. These characteristics suggest that self-quitters face fewer barriers for cessation and may have more resources to support their efforts to achieve and maintain abstinence.…”

Section: Discussionmentioning

confidence: 99%

Unaided Smoking Cessation in Healthy Employees

Manis¹,

Tamm²,

Stolz³

2017

Respiration

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Background: According to guidelines, behavioral and pharmacological assistance should be offered to all smokers willing to quit. However, a large proportion of ex-cigarette smokers are self-quitters. Objectives: To identify characteristics of long-term, unaided self-quitters, as compared to recurrent smokers among health care employees. Methods: University hospital employees (n = 5,218) were addressed through a 17-question questionnaire inquiring about past and current smoking behavior. Questions included daily cigarette consumption, pack-years, previous quit attempts, smoking-free period, and utilization of pharmacological therapies and counseling. Results: 2,574 (49.3%) questionnaires were returned. 791 subjects declared to have successfully quit smoking. A complete data set was available for 763 cases. Patients remained smoking free for a mean period of 11.8 ± 9.7 years. The most common smoking cessation method in these subjects was unaided (77.2%), followed by alternative approaches (15.4%), nicotine replacement therapy (4.5%), counseling (1.7%), and bupropion (1.2%). Smoking cessation was achieved with 1 attempt in 53% of the cases, 2 in 19%, 3 in 13%, and more than 3 attempts in 15%, respectively. On average, 2.4 ± 3.02 attempts led to successful smoking cessation. After 2 or more unsuccessful attempts, the odds ratio for a further unsuccessful smoking cessation was 2.58 (95% CI 1.94–3.45). Conclusion: The majority of the ex-smokers quitted smoking without any behavioral or pharmacological support. The chance to successfully quit smoking without any help in a first or second attempt is considerably high. The risk for smoking recurrence after 2 ineffective quit attempts is markedly increased (OR 2.58).

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Social Disparities in Unaided Quit Attempts Among Daily Current and Former Smokers: Results From the 2010–2011 Tobacco Use Supplement to the Current Population Survey

Cited by 31 publications

References 12 publications

Gender differences in the real-world effectiveness of smoking cessation medications: Findings from the 2010–2011 Tobacco Use Supplement to the Current Population Survey

Gender differences in the real-world effectiveness of smoking cessation medications: Findings from the 2010–2011 Tobacco Use Supplement to the Current Population Survey

Provision of free nicotine replacement therapy to parental smokers in the pediatric emergency setting

Unaided Smoking Cessation in Healthy Employees

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