Long-Term Smoking Relapse: A Study Using the British Household Panel Survey

Hawkins, James; Hollingworth, William; Campbell, Rona

doi:10.1093/ntr/ntq175

Cited by 80 publications

(77 citation statements)

References 30 publications

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“…Other strategies could also be encouraged, including eliciting social support for quitting, asking others not to smoke around them, and possibly helping them build connections with other smokers who want to quit or ex-smokers from their community through smoking cessation clinics. Unfortunately, the effectiveness of these interventions may depend on the ability of former smokers to avoid other smokers in the long-term (Hawkins, Hollingworth, & Campbell, 2010; Macy, Seo, Chassin, Presson, & Sherman, 2007; Wiltshire et al, 2003). …”

Section: Discussionmentioning

confidence: 99%

The relation between number of smoking friends, and quit intentions, attempts, and success: Findings from the International Tobacco Control (ITC) Four Country Survey.

Hitchman

Fong

Zanna

et al. 2014

Psychology of Addictive Behaviors

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Smokers who inhabit social contexts with a greater number of smokers may be exposed to more positive norms towards smoking and more cues to smoke. This study examines the relation between number of smoking friends and changes in number of smoking friends, and smoking cessation outcomes. Data were drawn from Wave 1 (2002) and Wave 2 (2003) of the International Tobacco Control (ITC) Project Four Country Survey, a longitudinal cohort survey of nationally representative samples of adult smokers in Australia, Canada, United Kingdom, and United States (N=6,321). Smokers with fewer smoking friends at Wave 1 were more likely to intend to quit at Wave 1 and were more likely to succeed in their attempts to quit at Wave 2. Compared to smokers who experienced no change in their number of smoking friends, smokers who lost smoking friends were more likely to intend to quit at Wave 2, attempt to quit between Wave 1 and Wave 2, and succeed in their quit attempts at Wave 2. Smokers who inhabit social contexts with a greater number of smokers may be less likely to successfully quit. Quitting may be particularly unlikely among smokers who do not experience a loss in the number of smokers in their social context.

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Section: Discussionmentioning

confidence: 99%

The relation between number of smoking friends, and quit intentions, attempts, and success: Findings from the International Tobacco Control (ITC) Four Country Survey.

Hitchman

Fong

Zanna

et al. 2014

Psychology of Addictive Behaviors

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“…We found the spontaneous cessation rate of smokers to be 4.3% per year, 28 the relapse rate among quitters to be 15.0% in the first year after a sustained one-year quit 31 and diminishing in subsequent years. 30–33 We assumed a relapse rate that was 150% higher, as former smokers with psychiatric illness are more likely to relapse than other smokers.…”

Section: Methodsmentioning

confidence: 67%

Cost-Effectiveness of Smoking Cessation Treatment Initiated During Psychiatric Hospitalization

Wong¹,

Jeffers²,

Hall³

et al. 2015

J. Clin. Psychiatry

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Objective We examined the cost-effectiveness of smoking cessation treatment for psychiatric inpatients. Method Smokers, regardless of intention to quit, were recruited during psychiatric hospitalization and randomized to receive stage-based smoking cessation services or usual aftercare. Smoking cessation services, quality of life, and biochemically-verified abstinence from cigarettes were assessed during 18-months of follow-up. Trial findings were combined with literature on changes in smoking status and the age and gender adjusted effect of smoking on health care cost, mortality, and quality of life in a Markov model of cost-effectiveness during a lifetime horizon. Results Among 223 smokers randomized between 2006 and 2008, the mean cost of smoking cessation services was $189 in the experimental treatment group and $37 in the usual care condition (p < 0.001). At the end of follow-up, 18.75% of the experimental group was abstinent from cigarettes, compared to 6.80% abstinence in the usual care group (p <0.05). The model projected that the intervention added $43 in lifetime cost and generated 0.101 additional Quality Adjusted Life Years (QALYs), an incremental cost-effectiveness ratio of $428 per QALY. Probabilistic sensitivity analysis found the experimental intervention was cost-effective against the acceptance criteria of $50,000/QALY in 99.0% of the replicates. Conclusions A cessation intervention for smokers identified in psychiatric hospitalization did not result in higher mental health care costs in the short-run and was highly cost-effective over the long-term. The stage-based intervention was a feasible and cost-effective way of addressing the high smoking prevalence in persons with serious mental illness.

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“…In a study conducted in England, where observations lasted for 13 years, the restart rate for people who were unemployed was significantly higher (19). The average age of participants in the research group of the study conducted in England was lower.…”

Section: Discussionmentioning

confidence: 88%

Smoking cessation and the effect of nicotine dependence onrelapse rate in İzmir, Turkey

Pekel¹,

Ergör²,

Günay³

et al. 2015

Turk J Med Sci

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Background/aim: Smoking is the leading preventable cause of death in the world. There is growing evidence of the need for communitybased programs on smoking cessation. The main purpose of this study is to establish the rate of smoking cessation and restarting in 1 year at the Balçova Smoking Cessation Center. Materials and methods:This is a prospective study with a study group of 359 individuals who quit smoking at the Balçova Smoking Cessation Center for at least 4 weeks between October 2009 and April 2010. The outcomes of the study were 1-year cessation rate and relapse rate. Individuals who reported restarting and/or had CO measurements above 6 ppm were accepted as quitters who had relapsed. Results:The 1-year rate of smoking cessation was 30.1% for the study group. Of the subjects who quit smoking, 50.1% started smoking again during the 1-year follow-up. Relapse rate was also higher in nicotine addicts. Pharmacological treatment was associated with increased success rates in smoking cessation. Conclusion:Nicotine dependency was shown to be associated with lower rates of smoking cessation and higher rates of relapse. Therefore, it is important to begin smoking cessation attempts before individuals become serious addicts.

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Long-Term Smoking Relapse: A Study Using the British Household Panel Survey

Cited by 80 publications

References 30 publications

The relation between number of smoking friends, and quit intentions, attempts, and success: Findings from the International Tobacco Control (ITC) Four Country Survey.

The relation between number of smoking friends, and quit intentions, attempts, and success: Findings from the International Tobacco Control (ITC) Four Country Survey.

Cost-Effectiveness of Smoking Cessation Treatment Initiated During Psychiatric Hospitalization

Smoking cessation and the effect of nicotine dependence onrelapse rate in İzmir, Turkey

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