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Rakover A, Allagbé I, Airagnes G, Limosin F, Le Faou AL. [Smoking cessation services during "Mois sans tabac": Smokers' profile and effectiveness]. Rev Mal Respir 2021; 38:443-454. [PMID: 33994042 DOI: 10.1016/j.rmr.2021.02.072] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2021] [Accepted: 02/24/2021] [Indexed: 11/19/2022]
Abstract
INTRODUCTION In November 2016, France implemented "Mois sans tabac", with the objective of promoting smoking cessation in November for at least one month. This study consisted of: (1) the description of the characteristics of smokers registered in the French cessation database during November 2014-2015 compared to November 2016-2017; (2) the comparison of abstinence factors between the two periods. METHODS We used data from CDTnet with 4659 registered adults' smokers who came for a first visit in November from 2014 to 2017 and were followed up at least one month. Our endpoint was 1 month-validated abstinence among the 1943 smokers followed up. We performed descriptive analyses of smokers, and predictors of abstinence were determined using a logistic regression model. RESULTS A 6.9% significant increase of first visits was observed during "Mois sans tabac" versus before Mois sans tabac (P<0.001). Furthermore, more women (56.3% vs. 52.2%) as well as more light smokers (28.7% vs. 23.7%) sought help between these two periods. Finally, in 2016-2017, more smokers consulted by personal initiative than were hospital-referred (45.8% vs. 36.3%) in comparison with 2014-2015. Nevertheless, there was no significant difference of cessation rate between the 2014-2015 group (44.6%) and the 2016-2017 group (45.6%). In multivariate logistic regression, being a light smoker was the only factor that increased the chances of abstinence in 2016-2017 compared to 2014-2015 (OR: 1.68 [1.03-2.75]). CONCLUSION It seems important to refer smokers to cessation services during Mois sans tabac to reach high rates of abstinence.
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Affiliation(s)
- A Rakover
- Interne de santé publique, Centre ambulatoire d'addictologie, HEGP, AP-HP centre, Université de Paris, Hôpital européen Georges-Pompidou, 20, rue Leblanc, 75908 Paris cedex 15, France.
| | - I Allagbé
- Département de psychiatrie et d'addictologie, AP-HP centre, Université de Paris, Paris, France; Physiopathologie et épidémiologie cérébro-cardiovasculaires, PEC2, EA 7460 UFR sciences de santé, université de Bourgogne et Franche-Comté, Dijon, France
| | - G Airagnes
- Département de psychiatrie et d'addictologie, AP-HP centre, Université de Paris, Paris, France; Inserm, UMS 011 - Cohortes épidémiologiques en population, Villejuif, France
| | - F Limosin
- Département de psychiatrie et d'addictologie, AP-HP centre, Université de Paris, Paris, France; Inserm, U - 894 Centre de psychiatrie et neurosciences, Paris, France
| | - A-L Le Faou
- Département de psychiatrie et d'addictologie, AP-HP centre, Université de Paris, Paris, France; Fédération hospitalo-universitaire, Network of research in substance use disorder, Paris, France
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Drehmer JE, Luo M, Nabi-Burza E, Walters BH, Winickoff JP. Smoking Cessation Treatment for Parents Who Are Light or Very Light Smokers in the Pediatric Setting. Acad Pediatr 2021; 21:646-653. [PMID: 33035731 PMCID: PMC8024405 DOI: 10.1016/j.acap.2020.10.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2020] [Revised: 09/05/2020] [Accepted: 10/03/2020] [Indexed: 10/23/2022]
Abstract
BACKGROUND The percentage of US smokers who smoke <10 cigarettes per day has increased, yet it is not known how often light parental smokers are offered and accept cessation assistance in pediatric offices. METHODS A secondary analysis of parent interview data collected April to October 2017 at 10 pediatric practices participating in a cluster-randomized controlled trial of the Clinical Effort Against Secondhand Smoke Exposure (CEASE) intervention. RESULTS Forty percent of 725 usual care control (UCC) group smokers smoked lightly (<10 cigarettes per day); of these 58% smoked very lightly (<5 per day). Compared to heavier smokers in UCC practices, light and very light smokers in UCC practices were more likely to have made a recent quit attempt (P < .001), yet less likely to have used cessation medication (P = .001). In intervention practices, compared to heavier smokers, light (P = .04) and very light (P < .01) smokers were less likely to be asked if they smoke and very light smokers were less likely to be advised to quit (P = .02) and to receive a nicotine replacement therapy (NRT) prescription (P < .01). However, light smokers (P < .001), very light smokers (P < .001), and light smokers who use e-cigarettes (P = .01) were more likely to receive assistance (NRT or quitline enrollment) in intervention versus UCC practices. CONCLUSIONS The CEASE intervention increased assistance to light and very light smokers, yet heavier smokers received more assistance than light smokers. Improving cessation interventions for light and very light smokers is warranted.
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Affiliation(s)
- Jeremy E. Drehmer
- Massachusetts General Hospital, Division of General Academic Pediatrics, Boston, MA, United States,Massachusetts General Hospital, Tobacco Research and Treatment Center, Boston, MA, United States
| | - Man Luo
- Massachusetts General Hospital, Division of General Academic Pediatrics, Boston, MA, United States,Massachusetts General Hospital, Tobacco Research and Treatment Center, Boston, MA, United States
| | - Emara Nabi-Burza
- Massachusetts General Hospital, Division of General Academic Pediatrics, Boston, MA, United States,Massachusetts General Hospital, Tobacco Research and Treatment Center, Boston, MA, United States
| | - Bethany Hipple Walters
- Massachusetts General Hospital, Division of General Academic Pediatrics, Boston, MA, United States,Massachusetts General Hospital, Tobacco Research and Treatment Center, Boston, MA, United States
| | - Jonathan P. Winickoff
- Massachusetts General Hospital, Division of General Academic Pediatrics, Boston, MA, United States,Massachusetts General Hospital, Tobacco Research and Treatment Center, Boston, MA, United States,Harvard Medical School, Boston, MA, United States
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Pánková A, Králíková E, Štepánková L, Zvolska K, Bortlícek Z, Bláha M, Clark MM, Schroeder DR, Croghan IT. Weight Concerns Associated With Delay in Quit Date But Not Treatment Outcomes: A Czech Republic Experience. Nicotine Tob Res 2018; 20:89-94. [PMID: 27729514 DOI: 10.1093/ntr/ntw276] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2016] [Accepted: 10/10/2016] [Indexed: 12/13/2022]
Abstract
Background Weight concerns are prevalent in smokers and may reduce the success rate of quitting. This concept has been primarily studied on US populations and it is unknown how weight concerns may differ cross-culturally. This study examined the role of weight concern in European smokers wishing to stop smoking. Methods A sample of 593 smokers (299 men and 294 women, mean age 38 years) utilizing the Centre for Tobacco-Dependent in Prague, Czech Republic, between 2010 and 2013 were studied. Weight concerns were assessed at baseline prior to treatment by evidence-based stop smoking methods. Abstinence was evaluated at 12 months post baseline. Results Approximately 34% of all patients (204/593) were classified as weight concerned (by indicating on the Weight Concern Scale that they would return to smoking after any weight gain) at the time they sought treatment. Among all men, 19.4% (58/299) were weight concerned and among all women, 49.7% (146/294) were weight concerned. Among females, weight-concerned smokers were of similar weight, but younger (p < .001), and had been smoking cigarettes for fewer years (p = .002) compared with those without weight concerns, whereas the male weight-concerned smokers were significantly (p = .030) heavier than those without weight concerns. Although the presence of weight concern was associated with a delay in setting a quit date (log-rank test p = .019), it was not associated with abstinence at one year. Conclusion The quit success rate of weight-concerned smokers in Czech Republic did not differ from those without weight concern when utilizing an individualized smoking cessation treatment program. Individually tailored tobacco dependence treatment could help to prevent weight concern from affecting successful quitting. Implications This study adds the new cross-cultural aspect of post-cessation weight concern. Weight concern has been studied primarily on US populations and our sample consists of European sample of smokers. Additionally, we have found that the presence of weight concern lead to delay in setting a quit date, but the success rate of those weight concerned did not differ from those without weight concern. Thus, it is possible, that this individualized evidence-based tobacco treatment program was able to prevent weight concern impact towards successful quitting.
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Affiliation(s)
- Alexandra Pánková
- Centre for Tobacco-Dependent, 3rd Internal Department - Department of Endocrinology and Metabolism, First Faculty of Medicine and the General University Hospital, Charles University, Prague, Czech Republic.,Institute of Hygiene and Epidemiology, First Faculty of Medicine and the General University Hospital, Charles University, Prague, Czech Republic
| | - Eva Králíková
- Centre for Tobacco-Dependent, 3rd Internal Department - Department of Endocrinology and Metabolism, First Faculty of Medicine and the General University Hospital, Charles University, Prague, Czech Republic.,Institute of Hygiene and Epidemiology, First Faculty of Medicine and the General University Hospital, Charles University, Prague, Czech Republic
| | - Lenka Štepánková
- Centre for Tobacco-Dependent, 3rd Internal Department - Department of Endocrinology and Metabolism, First Faculty of Medicine and the General University Hospital, Charles University, Prague, Czech Republic
| | - Kamila Zvolska
- Centre for Tobacco-Dependent, 3rd Internal Department - Department of Endocrinology and Metabolism, First Faculty of Medicine and the General University Hospital, Charles University, Prague, Czech Republic
| | - Zbynek Bortlícek
- Institute of Biostatistics and Analyses, Medical Faculty, Masaryk University, Brno, Czech Republic
| | - Milan Bláha
- Institute of Biostatistics and Analyses, Medical Faculty, Masaryk University, Brno, Czech Republic
| | - Matthew M Clark
- Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN
| | - Darrell R Schroeder
- Division of Biomedical Statistics and Informatics, Department of Health Sciences Research, Mayo Clinic, Rochester, MN
| | - Ivana T Croghan
- Nicotine Dependence Center, Clinical Research Office and Clinical Trial Unit, Department of Medicine, Mayo Clinic, Rochester, MN
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Postcessation weight gain concern as a barrier to smoking cessation: Assessment considerations and future directions. Addict Behav 2018; 76:250-257. [PMID: 28865363 DOI: 10.1016/j.addbeh.2017.08.022] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2017] [Revised: 08/01/2017] [Accepted: 08/21/2017] [Indexed: 12/19/2022]
Abstract
PURPOSE Concern about postcessation weight gain may be one potential barrier to quitting smoking. In this 'mini-review' of recent literature, we summarize findings on the relationship between postcessation weight gain concern and smoking cessation, and evaluate varied use of postcessation weight gain concern assessments and potential moderators of the postcessation weight gain concern-cessation association. METHODS We conducted a search using the terms "smoking" OR "smoking cessation" AND "weight concern" for articles published between January 1, 2011 and December 31, 2016. We identified 17 studies assessing postcessation weight gain concern, seven of which evaluated the postcessation weight gain concern-cessation association. RESULTS The relationship between postcessation weight gain concern and smoking cessation was mixed. Recent studies varied in their assessments of postcessation weight gain concern, many of which were not validated and assessed correlates of this construct. Studies varied in their adjustment of demographic (e.g., sex), smoking-specific (e.g., smoking level), and weight-specific (e.g., body mass index) variables. CONCLUSIONS The use of non-validated assessments and variability in testing covariates/moderators may contribute to conflicting results regarding the postcessation weight gain concern-cessation relationship. We recommend validating an assessment of postcessation weight gain concern, maintaining vigilance in testing and reporting covariates/moderators, and investigating trajectories of this construct over time and by smoking status to inform future assessment and intervention efforts.
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Gordon JS, Armin J, D Hingle M, Giacobbi P, Cunningham JK, Johnson T, Abbate K, Howe CL, Roe DJ. Development and evaluation of the See Me Smoke-Free multi-behavioral mHealth app for women smokers. Transl Behav Med 2017; 7:172-184. [PMID: 28155107 PMCID: PMC5526811 DOI: 10.1007/s13142-017-0463-7] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
Abstract
Women face particular challenges when quitting smoking, especially those with weight concerns. A multi-behavioral smoking cessation intervention addressing these concerns and incorporating guided imagery may assist women to engage in healthy lifestyle behaviors. An mHealth app can easily disseminate such an intervention. The goals of this pilot study were to develop and test the feasibility and potential of the See Me Smoke-Free™ mHealth app to address smoking, diet, and physical activity among women smokers. We used pragmatic, direct-to-consumer methods to develop and test program content, functionality, and the user interface and conduct a pre-/post-test, 90-day pilot study. We enrolled 151 participants. Attrition was 52%, leaving 73 participants. At 90 days, 47% of participants reported 7-day abstinence and significant increases in physical activity and fruit consumption. Recruitment methods worked well, but similar to other mHealth studies, we experienced high attrition. This study suggests that a guided imagery mHealth app has the potential to address multiple behaviors. Future research should consider different methods to improve retention and assess efficacy.
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Affiliation(s)
- Judith S Gordon
- Department of Family and Community Medicine, College of Medicine, University of Arizona, Tucson, AZ, USA.
| | - Julie Armin
- Department of Family and Community Medicine, College of Medicine, University of Arizona, Tucson, AZ, USA
| | - Melanie D Hingle
- Department of Nutritional Sciences, College of Agriculture and Life Sciences, University of Arizona, Tucson, AZ, USA
| | - Peter Giacobbi
- College of Physical Activity and Sports Sciences, University of West Virginia, Morgantown, WV, USA
| | - James K Cunningham
- Department of Family and Community Medicine, College of Medicine, University of Arizona, Tucson, AZ, USA
| | - Thienne Johnson
- Departments of Computer Science and Electrical and Computer Engineering, University of Arizona, Tucson, AZ, USA
| | | | - Carol L Howe
- Department of Family and Community Medicine, College of Medicine, University of Arizona, Tucson, AZ, USA
| | - Denise J Roe
- Department of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA
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Association of Weight Perception, Race and Readiness to Quit Smoking amongst a Cohort of Workers. J Smok Cessat 2016. [DOI: 10.1017/jsc.2016.26] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
Introduction: Weight concerns may inhibit smoking quit attempts and may be more influential amongst African-Americans who are more likely to be overweight.Aims: To assess if weight perception is associated with readiness to quit and whether this relationship is modified by race.Methods: We used data from a cohort of current smokers undergoing routine health examinations. Based on differences between ideal and measured BMI, participants’ weight perceptions were classified as within, somewhat above, or far above ideal weight. Logistic regression analysis was used to evaluate adjusted associations of weight perception and race with readiness to quit.Results: Of 2,831 current smokers, 23% were obese and 38% overweight. Amongst white smokers, those who perceived being far above ideal weight were more likely to be ready to quit (OR: 1.45, 95% CI: 1.03–2.03), but this association was not observed for African-American smokers who perceived themselves to be somewhat or far above their ideal weight (OR: 0.35, 95% CI: 0.10–1.24 and OR: 0.36, 95% CI: 0.11–1.19, respectively).Conclusions: Perception of being overweight is associated with increased readiness to quit amongst white but not African-American smokers. Smoking cessation programmes may need to culturally tailor interventions based on smokers’ weight perceptions.
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Betts KS, Williams GM, Najman JM, Alati R. Generational changes in tobacco use by young women: a cross-generational analysis of mother-daughter dyads. Drug Alcohol Rev 2014; 33:540-7. [PMID: 25091802 DOI: 10.1111/dar.12169] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2014] [Accepted: 05/06/2014] [Indexed: 11/29/2022]
Abstract
INTRODUCTION AND AIMS Cross-generational evidence is needed to confirm the decline in young female smoking and to identify factors that impede cessation despite two decades of government intervention. DESIGN AND METHODS Data are from the Mater University Study of Pregnancy, a cross-generational pre-birth cohort study beginning in 1981 in Australia. The sample comprised of 993 mother-daughter dyads, for which mothers were aged 18 ≤ 25 at the baseline measurement and their daughters were between the same ages when assessed 21 years later. We used multinomial logistic regression for clustered data to assess associations between four levels of cross-generationally measured mothers and daughters smoking in early adulthood, and assessed the role of education and depressive symptoms. RESULTS The rate of smoking had declined substantially in the daughters' generation, with mothers having 5.77 (95% confidence interval 4.24, 8.09) and 2.04 (95% confidence interval 1.60, 2.64) times the odds of smoking at heavy and moderate levels, respectively. Smoking across the two cohorts was found to interact with education and depressive symptoms, such that daughters who did not complete secondary school or who had depressive symptoms were at greater risk of smoking than their mothers were 20 years earlier. DISCUSSION AND CONCLUSIONS Over two generations of mothers and daughters, smoking prevalence and smoking intensity has declined, largely in line with findings from national surveys. The remaining smoking has concentrated heavily among those who did not complete secondary education, and there is evidence that increases in light smoking among the daughters may be related to depression.
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Affiliation(s)
- Kim S Betts
- School of Population Health, University of Queensland, Brisbane, Australia
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Jasek JP, Johns M, Mbamalu I, Auer K, Kilgore EA, Kansagra SM. One cigarette is one too many: evaluating a light smoker-targeted media campaign. Tob Control 2014; 24:362-8. [PMID: 24610054 DOI: 10.1136/tobaccocontrol-2013-051348] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2013] [Accepted: 02/01/2014] [Indexed: 11/03/2022]
Abstract
BACKGROUND Light smokers represent an increasing share of adult smokers in various parts of the world including New York City (NYC). Since 2007, the NYC Department of Health and Mental Hygiene has aired hard-hitting antitobacco media campaigns paired with time-limited nicotine replacement therapy (NRT) giveaways. We evaluated an original antitobacco media campaign, developed to increase awareness of smoking risks and encourage cessation service use among light smokers in NYC. METHODS We compared cessation service request volume during the campaign to historical periods without ads targeting light smokers. We used a cross-sectional online panel survey to assess the ad's perceived effectiveness and its impact on learning something new, quit intentions and concern for smoking-related health risks among non-daily, light daily and heavy daily smokers. RESULTS The proportion of light smokers among smokers requesting cessation services increased 50% (from 13% to 20%) relative to previous time-limited NRT giveaways. Compared to heavy daily smokers, non-daily (aOR: 1.95, p<0.05) and light daily (aOR: 2.27, p<0.05) smokers were more likely to express increased concern about smoking-related health risks after viewing the ad. Perceived effectiveness of the ad did not differ by smoker type. CONCLUSIONS This study provides evidence that light smokers were receptive to a targeted antitobacco message encouraging use of cessation services. The campaign appears to have been particularly effective in increasing smoking-related health concerns in this group. The lack of difference in perceived ad effectiveness by smoker type suggests the potential to develop such ads without sacrificing broad impact.
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Affiliation(s)
- John P Jasek
- New York City Department of Health and Mental Hygiene, Bureau of Chronic Disease Prevention and Tobacco Control, Long Island City, New York, USA
| | - Michael Johns
- New York City Department of Health and Mental Hygiene, Bureau of Chronic Disease Prevention and Tobacco Control, Long Island City, New York, USA
| | - Ijeoma Mbamalu
- New York City Department of Health and Mental Hygiene, Bureau of Chronic Disease Prevention and Tobacco Control, Long Island City, New York, USA
| | - Kari Auer
- New York City Department of Health and Mental Hygiene, Bureau of Chronic Disease Prevention and Tobacco Control, Long Island City, New York, USA
| | - Elizabeth A Kilgore
- New York City Department of Health and Mental Hygiene, Bureau of Chronic Disease Prevention and Tobacco Control, Long Island City, New York, USA
| | - Susan M Kansagra
- New York City Department of Health and Mental Hygiene, Bureau of Chronic Disease Prevention and Tobacco Control, Long Island City, New York, USA
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