Self-initiated gradual smoking reduction among community correction smokers

Smoking remains the leading cause of preventable death in the United States. Many smoking cessation guidelines advise smokers to quit precipitately; however, most quit attempts involve a more gradual cessation. Characteristics of individuals who tend to reduce prior to quitting and the effectiveness...

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Bibliographic Details
Published in:Addictive behaviors 2019-06, Vol.93, p.100-103
Main Authors: Hugley, Mickeah J., Wolford-Clevenger, Caitlin, Sisson, Michelle L., Nguyen, Angela T., Cropsey, Karen L.
Format: Article
Language:English
Subjects:
Cessation
Cigar smoking
Cigarettes
Criminal justice
Drug addiction
Drug therapy
Motivation
Pre-quit
Secondary analysis
Smoking
Smoking cessation
Tobacco use
Transdermal medication
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Summary:Smoking remains the leading cause of preventable death in the United States. Many smoking cessation guidelines advise smokers to quit precipitately; however, most quit attempts involve a more gradual cessation. Characteristics of individuals who tend to reduce prior to quitting and the effectiveness of pre-quit reduction are not well understood. This study examined individual differences and smoking cessation outcomes between individuals who self-initiated gradual reduction in cigarettes per day (CPD) and those who did not reduce prior to quit date. This study is a secondary analysis from a randomized clinical trial of smoking cessation with pharmacotherapy among individuals under community corrections supervision. We compared participants who self-initiated smoking reduction by at least 25% between baseline and the first treatment session (n = 128) to participants who either increased or did not reduce smoking between baseline and the first treatment session (n = 354). African American race, no previous cigar smoking, no previous use of pharmacotherapy for smoking cessation, less withdrawal symptoms at baseline, and older age at first smoking were associated with being a self-initiated gradual reduction in univariate analyses. Individuals who self-initiated gradual reduction also had a had a greater likelihood of achieving at least one quit during the one-year study period as compared to those who did not reduce prior to the intervention. Individuals who self-initiate gradual reduction differ from those who increase or do not change their smoking prior to a quit date. Gradual reduction also increased success in quitting. •Smokers who reduced prior to quitting differed in demographics and smoking behavior.•Individuals who reduced prior to quit date had more success quitting long term.•Reduction prior to quit date may be promising in tailoring future interventions.
ISSN:0306-4603
1873-6327
DOI:10.1016/j.addbeh.2019.01.028