RESEARCH PAPER
Changes in cigarette smoking initiation, cessation, and relapse among U.S. adults: a comparison of two longitudinal samples
 
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1
Operations Research Graduate Program, North Carolina State University, Raleigh, USA
2
Department of Industrial and Systems Engineering, North Carolina State University, Raleigh, USA
3
Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA
4
Schroeder Institute for Tobacco Research & Policy Studies, Truth Initiative, Washington, USA
5
Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA
CORRESPONDING AUTHOR
Kristen Hassmiller Lich   

Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 1105E McGavran-Greenberg HallCB #7411, Chapel Hill, NC 27599-7411, USA
Publish date: 2017-03-14
 
Tob. Induc. Dis. 2017;15(March):17
KEYWORDS
ABSTRACT
Background:
The tobacco epidemic in the U.S. has matured in the past decade. However, due to rapidly changing social policy and commercial environments, tailored prevention and interventions are needed to support further reduction in smoking.

Methods:
Using Tobacco Use Supplement to the Current Population Survey (TUS-CPS) 2002–2003 and 2010–2011 longitudinal cohorts, five smoking states are defined including daily-heavy, daily-light, non-daily, former and non-smoker. We quantified the changes between smoking states for the two longitudinal cohorts, and used a series of multivariable logistic regression models to examine the association of socio-demographic attributes and initial smoking states on smoking initiation, cessation, and relapse between waves within each cohort.

Results:
The prevalence of adult heavy smoking decreased from 9.9% (95% CI: 9.6%, 10.2%) in 2002 to 7.1% (95% CI: 6.9%, 7.4%) in 2010. Non-daily smokers were less likely to quit in the 2010–2011 cohort than the 2002–2003 cohort (37.0% vs. 44.9%). Gender, age group, smoker type, race and marital status exhibit similar patterns in terms of their association to the odds of initiation, cessation and relapse between the two cohorts, while education groups showed some inconsistent results between the two cohorts regarding the odds of cessation.

Conclusions:
Transitions between smoking states are complex and increasingly unstable, requiring a holistic, population-based perspective to understand the stocks and flows that ultimately dictate the public health impact of cigarette smoking behavior. This knowledge helps to identify groups in need of increased tobacco control prevention and intervention efforts.

 
REFERENCES (51)
1.
U.S. Department of health and Human Services. The Health Consequences of Smoking—50 Years of Progress. A Report of the Surgeon General. Atlanta: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2014. http://www.surgeongeneral.gov/.... Accessed 26 Jan 2015.
 
2.
Jamal A, Homa D, O’Connor E, et al. Current Cigarette Smoking Among Adults — United States, 2005–2014. Morb Mortal Wkly Rep. 2015;64(44): 1233–40. http://www.cdc.gov/mmwr/previe.... htm?s_cid=mm6444a2_w. Accessed 25 Apr 2016.
 
3.
Warner KE. The remarkable decrease in cigarette smoking by American youth: Further evidence. Prev Med reports. 2015;2:259–61. doi:10.1016/j. pmedr.2015.04.001.
 
4.
Schane RE, Ling PM, Glantz SA. Health effects of light and intermittent smoking: a review. Circulation. 2010;121(13):1518–22. doi:10.1161/ CIRCULATIONAHA.109.904235.
 
5.
Shiffman S. Light and intermittent smokers: background and perspective. Nicotine Tob Res. 2009;11(2):122–5. doi:10.1093/ntr/ntn020.
 
6.
Center of Disease Control and Prevention. Current Cigarette Smoking Among Adults — United States, 2005–2012. Morb Mortal Wkly Rep. 2014; 63(02):29–34. http://www.cdc.gov/mmwr/previe.... htm?s_cid=mm6302a2_w. Accessed 21 Oct 2014.
 
7.
Lawrence D, Fagan P, Backinger CL, Gibson JT, Hartman A. Cigarette smoking patterns among young adults aged 18-24 years in the United States. Nicotine Tob Res. 2007;9(6):687–97. doi:10.1080/14622200701365319.
 
8.
Asfar T, Arheart KL, Dietz NA, Caban-Martinez AJ, Fleming LE, Lee DJ. Changes in Cigarette Smoking Behavior Among US Young Workers From 2005 to 2010: The Role of Occupation. Nicotine Tob Res. 2016;18(6):1414– 23. doi:10.1093/ntr/ntv240.
 
9.
US Department of Health and Human Services. Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2012. http://www.cdc.gov/tobacco/dat.... Accessed 26 Apr 2016.
 
10.
Richard B, Kathleen S, Leslie K. Public Health Implications of Raising the Minimum Age of Legal Access to Tobacco Products. National Academies Press (US); 2015.
 
11.
Sterling TD, Weinkam JJ. Comparison of smoking-related risk factors among black and white males. Am J Ind Med. 1989;15(3):319–33. http://www.ncbi.nlm.nih.gov/pu.... Accessed 24 Mar 2015.
 
12.
Kandel DB, Kiros G-E, Schaffran C, Hu M-C. Racial/ethnic differences in cigarette smoking initiation and progression to daily smoking: a multilevel analysis. Am J Public Health. 2004;94(1):128–35. http://www.pubmedcentral. nih.gov/articlerender.fcgi?art.... Accessed 24 Mar 2015.
 
13.
Center of Disease Control and Prevention. Quitting Smoking Among Adults —United States, 2001–2010. Morb Mortal Wkly Rep. 2011;1513-1519. http://www.cdc.gov/mmwr/previe.... Accessed 3 Apr 2016.
 
14.
Piasecki TM. Relapse to smoking. Clin Psychol Rev. 2006;26(2):196–215. doi:10.1016/j.cpr.2005.11.007.
 
15.
Messer K, Trinidad DR, Al-Delaimy WK, Pierce JP. Smoking cessation rates in the United States: a comparison of young adult and older smokers. Am J Public Health. 2008;98(2):317–22. doi:10.2105/AJPH.2007.112060.
 
16.
Fu SS, Kodl MM, Joseph AM, et al. Racial/Ethnic disparities in the use of nicotine replacement therapy and quit ratios in lifetime smokers ages 25 to 44 years. Cancer Epidemiol Biomarkers Prev. 2008;17(7):1640–7. doi:10.1158/1055-9965.EPI-07-2726.
 
17.
Royce JM, Hymowitz N, Corbett K, Hartwell TD, Orlandi MA. Smoking cessation factors among African Americans and whites. COMMIT Research Group. Am J Public Health. 1993;83(2):220–6. http://www.pubmedcentral. nih.gov/articlerender.fcgi?art.... Accessed 6 Jan 2015.
 
18.
Hyland A, Li Q, Bauer JE, Giovino GA, Steger C, Cummings KM. Predictors of cessation in a cohort of current and former smokers followed over 13 years. Nicotine Tob Res. 2004;6 Suppl 3:S363–9. http://www.ncbi.nlm.nih.gov/pu.... Accessed 29 Nov 2016.
 
19.
Gilpin E, Cavin SW, Pierce JP. Adult smokers who do not smoke daily. Addiction. 1997;92(4):473–80. http://www.ncbi.nlm.nih.gov/pu.... Accessed 29 Nov 2016.
 
20.
White HR, Bray BC, Fleming CB, Catalano RF. Transitions into and out of light and intermittent smoking during emerging adulthood. Nicotine Tob Res. 2009; 11(2):211–9. http://www.pubmedcentral.nih.g.... Accessed 16 Oct 2014.
 
21.
Fergusson DM, Horwood LJ. Transitions to cigarette smoking during adolescence. Addict Behav. 1995;20(5):627–42. http://www.ncbi.nlm.nih.gov/pu....
 
22.
Mannan HR, Koval JJ. Latent mixed Markov modelling of smoking transitions using Monte Carlo bootstrapping. Stat Methods Med Res. 2003;12(2):125–46. http://www.ncbi.nlm.nih.gov/pu....
 
23.
Mathur C, Stigler MH, Erickson DJ, Perry CL, Forster JL. Transitions in smoking behavior during emerging adulthood: a longitudinal analysis of the effect of home smoking bans. Am J Public Health. 2014;104(4):715–20. http://www.ncbi.nlm.nih.gov/pu....
 
24.
Weinberger AH, Pilver CE, Desai RA, Mazure CM, McKee SA. The relationship of major depressive disorder and gender to changes in smoking for current and former smokers: longitudinal evaluation in the US population. Addiction. 2012;107(10):1847–56. doi:10.1111/j.1360-0443.2012.03889.x.
 
25.
Weinberger AH, Pilver CE, Hoff RA, Mazure CM, McKee SA. Changes in Smoking for Adults with and without Alcohol and Drug Use Disorders:Longitudinal Evaluation in the US Population. Am J Drug Alcohol Abuse. 2013;39(3):186–93. doi:10.3109/00952990.2013.785557.
 
26.
Yeh H-W, Ellerbeck EF, Mahnken JD. Simultaneous evaluation of abstinence and relapse using a Markov chain model in smokers enrolled in a two-year randomized trial. BMC Med Res Methodol. 2012;12:95. http://www. pubmedcentral.nih.gov/articler.... Accessed 15 Oct 2014.
 
27.
Bondy SJ, Victor JC, Diemert LM, et al. Transitions in smoking status over time in a population-based panel study of smokers. Nicotine Tob Res. 2013;15(7):1201–10. doi:10.1093/ntr/nts259.
 
28.
McWhorter WP, Boyd GM, Mattson ME. Predictors of quitting smoking: the NHANES I followup experience. J Clin Epidemiol. 1990;43(12):1399–405. http://www.ncbi.nlm.nih.gov/pu.... Accessed 26 Apr 2016.
 
29.
Weinberger AH, Pilver CE, Mazure CM, McKee SA. Stability of smoking status.
 
30.
in the US population: a longitudinal investigation. Addiction. 2014;109(9):1541–53. doi:10.1111/add.12647.
 
31.
Hassmiller KM, Warner KE, Mendez D, Levy DT, Romano E. Nondaily smokers: who are they? Am J Public Health. 2003;93(8):1321–7. http://www.pubmedcentral.nih.g....
 
32.
Davis WM, Hartman AM GJ. Weighting the Overlap Sample Obtained from Two Tobacco Use Supplements to the Current Population Survey. 2007. http://appliedresearch.cancer.....
 
33.
National Cancer Institute sponsored Tobacco Use Supplement to the Current Population Survey May 2010-2011 Matched Cohort. http://appliedresearch.cancer..... Accessed 26 Aug 2015.
 
34.
National Cancer Institute. TUS-CPS Fact Sheet. 2013. http://appliedresearch.cancer.....
 
35.
Office of Disease Prevention and Health promotion. Tobacco Use Supplement-Current Population Survey | Healthy People 2020. https://www.healthypeople.gov/....
 
36.
Davis WW, Hartman AM, Gibson JT. Trends in Smoking Prevalence by Race based on the Tobacco Use Supplement to the Current Population Survey. https://fcsm.sites.usa.gov/fil.... Accessed 17 Mar 2015.
 
37.
Soulakova JN, Crockett LJ. Unassisted Quitting and Smoking Cessation Methods Used in the United States: Analyses of 2010–2011 Tobacco Use Supplement to the Current Population Survey Data. Nicotine Tob Res. 2016: ntw273. doi:10.1093/ntr/ntw273.
 
38.
Woodward M, Tunstall-Pedoe H. Self-titration of nicotine: evidence from the Scottish heart health study. Addiction. 1993;88(6):821–30. http://www.ncbi. nlm.nih.gov/pubmed/8329973. Accessed 29 Nov 2016.
 
39.
Connolly GN, Alpert HR, Wayne GF, Koh H. Trends in nicotine yield in smoke and its relationship with design characteristics among popular US cigarette brands, 1997-2005. Tob Control. 2007;16(5):e5. doi:10.1136/tc.2006.019695.
 
40.
Land T, Keithly L, Kane K, et al. Recent Increases in Efficiency in Cigarette Nicotine Delivery: Implications for Tobacco Control. Nicotine Tob Res. 2014; 16(6):753–8. doi:10.1093/ntr/ntt219.
 
41.
Center of Disease Control and Prevention. Cigarette smoking among adults —United States, 2007. Morb Mortal Wkly Rep. 2008;57(45):1221–6. http://www.cdc.gov/mmwr/previe.... Accessed 9 Jan 2015.
 
42.
Song AV, Ling PM. Social smoking among young adults: investigation of intentions and attempts to quit. Am J Public Health. 2011;101(7):1291–6. doi:10.2105/AJPH.2010.300012.
 
43.
Broms U, Silventoinen K, Lahelma E, Koskenvuo M, Kaprio J. Smoking cessation by socioeconomic status and marital status: the contribution of smoking behavior and family background. Nicotine Tob Res. 2004;6(3):447– 55. doi:10.1080/14622200410001696637.
 
44.
Lindström M. Social capital, economic conditions, marital status and daily smoking: a population-based study. Public Health. 2010;124(2):71–7. doi:10.1016/j.puhe.2010.01.003.
 
45.
Umberson DJ, Liu H. Marital Status, Marital Transitions, and Smoking Behavior: Gender and Life Course Considerations. 2006. http://paa2006. princeton.edu/abstracts/61546. Accessed 4 Apr 2016.
 
46.
Center of Disease Control and Prevention. Cigarette smoking among adults and trends in smoking cessation — United States, 2008. Morb Mortal Wkly Rep. 2009;58(44):1227–32. http://www.cdc.gov/mmwr/previe.... Accessed 22 Oct 2014.
 
47.
Freedman K, Nelson N, Feldman L. Smoking Initiation Among Young Adults in the United States and Canada, 1998-2010: A Systematic Review. Prev Chronic Dis. 2011;9. doi:10.5888/pcd9.110037.
 
48.
McKee SA, Maciejewski PK, Falba T, Mazure CM. Sex differences in the effects of stressful life events on changes in smoking status. Addiction. 2003;98(6):847–55. http://www.ncbi.nlm.nih.gov/pu.... Accessed 4 Apr 2016.
 
49.
Bandiera FC, Assari S, Livaudais-Toman J, Pérez-Stable EJ. Latino and Black smokers in the Health and Retirement Study are more likely to quit: the role of light smoking. Tob Induc Dis. 2016;14:23. doi:10.1186/s12971-016-0090-y.
 
50.
Augustson EM, Wanke KL, Rogers S, et al. Predictors of sustained smoking cessation: a prospective analysis of chronic smokers from the alphatocopherol Beta-carotene cancer prevention study. Am J Public Health. 2008;98(3):549–55. doi:10.2105/AJPH.2005.084137.
 
51.
Herd N, Borland R, Hyland A. Predictors of smoking relapse by duration of abstinence: findings from the International Tobacco Control (ITC) Four Country Survey. Addiction. 2009;104(12):2088–99. doi:10.1111/j.1360-0443.2009.02732.x.
 
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