Positive smoker identity as a barrier to quitting smoking: findings from a national survey of smokers in England.

Abstract:

BACKGROUND:It has been proposed that positive smoker identity may be an important factor undermining smoking cessation but very little research exists on this. This study tested the hypothesis that a simple measure of positive smoker identity would predict quit attempts over and above other known predictors in a population sample. More tentatively it explored whether this measure would also predict quit success. METHODS:A representative sample of adult smokers in England (n=9456) was included at baseline and 2099 were followed-up at six months. Demographic and smoking characteristics, a single item measure of positive smoker identity (endorsing the statement: 'I like being a smoker'), measures of smoking-related attitudes, quit attempts and quit success were included. RESULTS:A total of 18.3% (95% CI=17.5-19.2) of smokers reported a positive smoker identity. Adjusting for all other predictors, those with a positive smoker identity were more likely to be older (p<0.001), male (p=0.013), more nicotine dependent (p<0.001), have lower motivation to stop (p<0.001), have not made a quit attempt in the past year (p=0.025), enjoy smoking (p<0.001), and consider themselves to be addicted (p<0.001). Having a positive smoker identity independently predicted failure to make a quit attempt at six months (p=0.007). The independent association with quit success was similar in magnitude but did not reach statistical significance (p=0.053). CONCLUSIONS:Only a minority of smokers in England have a positive smoker identity. However, where it is present it may be an important barrier to quitting smoking and merits further study.

journal_name

Drug Alcohol Depend

authors

Tombor I,Shahab L,Brown J,West R

doi

10.1016/j.drugalcdep.2013.09.001

subject

Has Abstract

pub_date

2013-12-01 00:00:00

pages

740-5

issue

2

eissn

0376-8716

issn

1879-0046

pii

S0376-8716(13)00358-X

journal_volume

133

pub_type

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