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Perceived addiction to smoking and associations with motivation to stop, quit attempts and quitting success: A prospective study of English smokers

Perski, O; Herd, N; West, R; Brown, J; (2019) Perceived addiction to smoking and associations with motivation to stop, quit attempts and quitting success: A prospective study of English smokers. Addictive Behaviors , 90 pp. 306-311. 10.1016/j.addbeh.2018.11.030. Green open access

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Abstract

Aims: Some argue that perceived addiction to smoking (PAS) might undermine motivation to stop. We examined the association of PAS with motivation to stop in a population sample and assessed its association with past and future quit attempts and future quit success. Method: 12,700 smokers in England were surveyed between September 2009–March 2012 as part of the Smoking Toolkit Study. 2796 smokers were followed up after 6 months. PAS was assessed at baseline by a single self-report item. The outcome variables were ratings of motivation to stop and reports of past-year quit attempts at baseline, and quit attempts in the past 6 months and smoking status at follow-up. Baseline covariates were sex, age, social grade and daily cigarette consumption. Results: In adjusted analyses, PAS was positively associated with at least some degree of motivation to stop versus no motivation (ORs = 1.97–2.96, all p's < 0.001). PAS was also positively associated with past-year quit attempts (OR = 1.43, 95% CI = 1.32–1.55, p < 0.001), but not with future quit attempts (OR = 1.17, 95% CI = 0.99–1.39, p = 0.064) or quit success (OR = 1.04, 95% CI = 0.73–1.47, p = 0.83). Conclusion: In smokers in England, perceived addiction to smoking is positively associated with motivation to stop and having recently made a quit attempt but is not clearly associated with future quit attempts or success. These findings provide no grounds for believing that increasing smokers' perceived addiction through promotion of stop-smoking support has undermined motivation to stop.

Type: Article
Title: Perceived addiction to smoking and associations with motivation to stop, quit attempts and quitting success: A prospective study of English smokers
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.addbeh.2018.11.030
Publisher version: https://doi.org/10.1016/j.addbeh.2018.11.030
Language: English
Additional information: This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: Smoking, Tobacco, Quit attempts, Perceived addiction, Disease model of addiction, Motivation to stop
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
URI: https://discovery.ucl.ac.uk/id/eprint/10062377
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