If at first you don't succeed: characterization of smokers with late smoking abstinence onset.

TitleIf at first you don't succeed: characterization of smokers with late smoking abstinence onset.
Publication TypeJournal Article
Year of Publication2015
AuthorsLeyro, TM, Hendricks, PS, Hall, SM
JournalAddict Behav
Volume45
Pagination34-8
Date Published2015 Jun
ISSN1873-6327
KeywordsAdult, Bupropion, Cognitive Therapy, Dopamine Uptake Inhibitors, Female, Hispanic Americans, Humans, Logistic Models, Male, Marijuana Smoking, Marital Status, Middle Aged, Prospective Studies, Recurrence, Severity of Illness Index, Smoking, Smoking Cessation, Time Factors, Tobacco Use Cessation Products, Tobacco Use Disorder, Treatment Outcome
Abstract

INTRODUCTION: Most cigarette smoking cessation research has aimed to clarify characteristics associated with initial and sustained abstinence, with less attention paid to predictors of gaining abstinence following an initial failure.

METHODS: The current investigation explored pre-treatment demographic, smoking, and psychiatric characteristics related to gaining abstinence among smokers who failed to attain initial abstinence. Participants were 809 individuals enrolled in extended, 52-week, smoking cessation interventions. Of these, 287 (62.4%) failed to achieve initial abstinence. Gaining abstinence following initial abstinence failure was defined as achieving seven-day point prevalent abstinence at any post-initial abstinence assessment.

RESULTS: Those who gained abstinence (Gainers) were more likely to have a live-in partner (χ(2)(1, N=283)=3.8, p=.05, Cramér's V=.12), identify as Hispanic (χ(2)(1, N=281)=7.8, p<.01, Cramér's V=.17), evidence lower baseline expired breath carbon monoxide (F(1, 284)=5.7, p=.02, η(2)=.02), report less cigarette dependence (F(1, 278)=7.1, p<.01, η(2)=.03), and report past week cannabis use (χ(2)(1, N=284)=5.6, p=.02, Cramér's V=.14). A logistic regression model suggested that having a live-in partner (OR=5.14, 95% CI=1.09-3.02, p=.02) and identifying as Hispanic (OR=4.93, 95% CI=1.20-18.77, p=.03) increased the odds of gaining abstinence.

DISCUSSION: Having a live-in partner, Hispanic status, greater cigarette dependence, and recent cannabis use were associated with gaining abstinence. These findings provide insight into an understudied area, contributing an initial framework toward understanding gaining abstinence following initial failure.

DOI10.1016/j.addbeh.2015.01.024
Alternate JournalAddict Behav
PubMed ID25637886
PubMed Central IDPMC4454339
Grant ListK05 DA016752 / DA / NIDA NIH HHS / United States
K05DA016752 / DA / NIDA NIH HHS / United States
L30 DA036181 / DA / NIDA NIH HHS / United States
P50 DA009253 / DA / NIDA NIH HHS / United States
P50 DA09253 / DA / NIDA NIH HHS / United States
R01 DA002538 / DA / NIDA NIH HHS / United States
R01 DA02538 / DA / NIDA NIH HHS / United States
R34DA03936 / DA / NIDA NIH HHS / United States
T32 DA007250 / DA / NIDA NIH HHS / United States
T32DA007250 / DA / NIDA NIH HHS / United States