Mary E Andrews1, Melanie Sabado2, Kelvin Choi2. 1. Division of Intramural Research, National Institute of Minority Health and Health Disparities, 9000 Rockville Pike, Building 3 5W05, Bethesda, MD 20892, United States. Electronic address: mary.andrews@nih.gov. 2. Division of Intramural Research, National Institute of Minority Health and Health Disparities, 9000 Rockville Pike, Building 3 5W05, Bethesda, MD 20892, United States.
Abstract
INTRODUCTION: The precontemplation stage of smoking cessation refers to having no intention to quit smoking in the next six months. We aimed to estimate the prevalence of and characteristics associated with the precontemplation stage of smoking cessation among U.S. young adult smokers to inform the development of targeted interventions. METHODS: We analyzed data in 2017 from the 2013-2014 National Adult Tobacco Survey. Young adult (18-29 years old) daily and non-daily smokers were included (n = 1809). We applied weighted multiple logistic regression models to examine the associations between demographics, tobacco use behaviors, exposure to pro- and anti-tobacco messages, and the precontemplation stage of smoking cessation. RESULTS: 59.0% of U.S. young adult smokers are in the precontemplation stage of smoking cessation. Unemployment was positively associated with being in the precontemplation stage of smoking cessation (AOR = 1.42 95% CI = 1.05, 1.91). Smoking every day (vs. some days), more cigarettes smoked per day, using roll-your-own cigarettes (vs. manufactured cigarettes only), currently smoking cigars, and signing up for promotional offers were positively associated with being in the precontemplation stage of smoking cessation (p < 0.05). Non-Hispanic Black was negatively associated with precontemplation stage (AOR = 0.40, 95% CI = 0.27, 0.59). Not smoking after viewing a health warning on a cigarette pack was negatively associated with the precontemplation stage of smoking cessation (AOR = 0.36, 95% CI = 0.25, 0.51). CONCLUSIONS: Many U.S. young adult smokers classify as being in the precontemplation stage of smoking cessation. Interventions to motivate these smokers to quit smoking with considerations of their specific characteristics (e.g., being unemployed) are warranted.
INTRODUCTION: The precontemplation stage of smoking cessation refers to having no intention to quit smoking in the next six months. We aimed to estimate the prevalence of and characteristics associated with the precontemplation stage of smoking cessation among U.S. young adult smokers to inform the development of targeted interventions. METHODS: We analyzed data in 2017 from the 2013-2014 National Adult Tobacco Survey. Young adult (18-29 years old) daily and non-daily smokers were included (n = 1809). We applied weighted multiple logistic regression models to examine the associations between demographics, tobacco use behaviors, exposure to pro- and anti-tobacco messages, and the precontemplation stage of smoking cessation. RESULTS: 59.0% of U.S. young adult smokers are in the precontemplation stage of smoking cessation. Unemployment was positively associated with being in the precontemplation stage of smoking cessation (AOR = 1.42 95% CI = 1.05, 1.91). Smoking every day (vs. some days), more cigarettes smoked per day, using roll-your-own cigarettes (vs. manufactured cigarettes only), currently smoking cigars, and signing up for promotional offers were positively associated with being in the precontemplation stage of smoking cessation (p < 0.05). Non-Hispanic Black was negatively associated with precontemplation stage (AOR = 0.40, 95% CI = 0.27, 0.59). Not smoking after viewing a health warning on a cigarette pack was negatively associated with the precontemplation stage of smoking cessation (AOR = 0.36, 95% CI = 0.25, 0.51). CONCLUSIONS: Many U.S. young adult smokers classify as being in the precontemplation stage of smoking cessation. Interventions to motivate these smokers to quit smoking with considerations of their specific characteristics (e.g., being unemployed) are warranted.
Authors: Scott D Halpern; Benjamin French; Dylan S Small; Kathryn Saulsgiver; Michael O Harhay; Janet Audrain-McGovern; George Loewenstein; Troyen A Brennan; David A Asch; Kevin G Volpp Journal: N Engl J Med Date: 2015-05-13 Impact factor: 91.245
Authors: Allison Lee; Angela A Chang; Joanne Chen Lyu; Pamela M Ling; Stephanie L Hsia Journal: Int J Environ Res Public Health Date: 2022-06-14 Impact factor: 4.614
Authors: Joan S Tucker; William G Shadel; Rachana Seelam; Daniela Golinelli; Daniel Siconolfi Journal: Drug Alcohol Depend Date: 2019-10-18 Impact factor: 4.492
Authors: Haleem A Brown; Rachel D Roberts; Tzuan A Chen; Michael S Businelle; Ezemenari M Obasi; Darla E Kendzor; Lorraine R Reitzel Journal: Int J Environ Res Public Health Date: 2022-03-18 Impact factor: 3.390