TY - JOUR
T1 - Beyond quitting
T2 - Predictors of teen smoking cessation, reduction and acceleration following a school-based intervention
AU - Branstetter, Steven A.
AU - Horn, Kimberly
AU - Dino, Geri
AU - Zhang, Jianjun
N1 - Funding Information:
Contributors: Authors Horn and Dino designed and executed the original studies on which the present study was based. Authors Branstetter, Horn and Dino managed literature searches. Author Branstetter wrote the first draft of the manuscript and authors Horn and Dino revised sections and added material as appropriate. Author Branstetter conducted statistical analyses and author Zhang managed databases, merged databases from original sources, and constructed Tables 1 and 2 . Author Branstetter made revisions in response to reviewer comments. This publication was supported by Cooperative Agreement Number U48 DP000052 from the Centers for Disease Control and Prevention. The findings and conclusions in this paper are those of the author(s) and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
PY - 2009/1/1
Y1 - 2009/1/1
N2 - There remains a great need for effective, cost-efficient, and acceptable youth smoking cessation interventions. Unfortunately, only a few interventions have been demonstrated to increase quit rates among youth smokers, and little is known about how elements of cessation interventions and participants' psychosocial characteristics and smoking histories interact to influence program outcomes. Additionally, few studies have examined how these variables lead to complete smoking abstinence, reduction or acceleration over the course of a structured cessation intervention. Data for the present investigation were drawn from a sample of teen smokers (n = 5892) who voluntarily participated in either a controlled study or field study (i.e., no control group) of the American Lung Association's Not On Tobacco (N-O-T) program between 1998 and 2006 in five states. Results suggest that those who reduce smoking (but do not achieve full abstinence) are similar to those who quit on most measures except stage of change. Furthermore, it was found that those who increased smoking were heavier smokers at baseline, more addicted, were more likely to have parents, siblings, and significant others who smoked and reported less confidence in and less motivation for quitting than did those who quit or reduced smoking. Finally, a path model demonstrated how peers, siblings and romantic partners affected tobacco use and cessation outcomes differently for males and females. Implications for interventions are discussed.
AB - There remains a great need for effective, cost-efficient, and acceptable youth smoking cessation interventions. Unfortunately, only a few interventions have been demonstrated to increase quit rates among youth smokers, and little is known about how elements of cessation interventions and participants' psychosocial characteristics and smoking histories interact to influence program outcomes. Additionally, few studies have examined how these variables lead to complete smoking abstinence, reduction or acceleration over the course of a structured cessation intervention. Data for the present investigation were drawn from a sample of teen smokers (n = 5892) who voluntarily participated in either a controlled study or field study (i.e., no control group) of the American Lung Association's Not On Tobacco (N-O-T) program between 1998 and 2006 in five states. Results suggest that those who reduce smoking (but do not achieve full abstinence) are similar to those who quit on most measures except stage of change. Furthermore, it was found that those who increased smoking were heavier smokers at baseline, more addicted, were more likely to have parents, siblings, and significant others who smoked and reported less confidence in and less motivation for quitting than did those who quit or reduced smoking. Finally, a path model demonstrated how peers, siblings and romantic partners affected tobacco use and cessation outcomes differently for males and females. Implications for interventions are discussed.
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U2 - 10.1016/j.drugalcdep.2008.07.011
DO - 10.1016/j.drugalcdep.2008.07.011
M3 - Article
C2 - 18804924
AN - SCOPUS:57149103480
SN - 0376-8716
VL - 99
SP - 160
EP - 168
JO - Drug and alcohol dependence
JF - Drug and alcohol dependence
IS - 1-3
ER -