Use of tobacco cessation treatments among young adult smokers: 2005 National Health Interview Survey.

OBJECTIVES We compared use of smoking cessation treatments and factors associated with treatment use among young adult smokers and other adult smokers. METHODS We used data from the 2005 National Health Interview Survey core and cancer control supplement. The sample consisted of 6511 current smokers, of whom 759 were aged 18-24 years. Our analyses were weighted to account for differential sampling probabilities and nonresponse rates. We compared continuous measures using the t test; logistic regression was used to obtain odds ratios and confidence intervals. Multiple logistic regression was used to identify correlates of treatment use. RESULTS Behavioral treatment use was infrequent among all smokers (4%-5%). Young adult smokers were less likely than other smokers to use pharmacotherapy (18% vs 32%). Correlates of pharmacotherapy use for young adult smokers were receiving advice from a health care provider, heavier smoking, and higher educational attainment. Compared with other smokers, young adult smokers were less likely to have received advice to quit from a health care provider (49% vs 60%). CONCLUSIONS Evidence-based tobacco cessation treatments are underused by young adult smokers.

[1]  Michael C. Fiore,et al.  Methods used to quit smoking in the United States. Do cessation programs help , 1990 .

[2]  Barbara A Leonard,et al.  Use and effectiveness of tobacco telephone counseling and nicotine therapy in Maine. , 2005, American journal of preventive medicine.

[3]  A. Jemal,et al.  Under-use of smoking-cessation treatments: results from the National Health Interview Survey, 2000. , 2005, American journal of preventive medicine.

[4]  C. Husten Smoking cessation in young adults. , 2007, American journal of public health.

[5]  H. White,et al.  Predictors of smoking cessation from adolescence into young adulthood. , 2001, Addictive behaviors.

[6]  E. Wagner,et al.  Participation in a smoking cessation program: a population-based perspective. , 1990, American journal of preventive medicine.

[7]  C. Husten,et al.  Cigarette smoking among adults--United States, 2006. , 2007, MMWR. Morbidity and mortality weekly report.

[8]  J. Lucas,et al.  Physical and mental health characteristics of U.S.- and foreign-born adults: United States, 1998-2003. , 2006, Advance data.

[9]  D. Hatsukami,et al.  Attitudes and knowledge about nicotine and nicotine replacement therapy. , 2006, Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco.

[10]  R. Luepker,et al.  Patterns of self-initiated smoking cessation among young adults. , 1990, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[11]  L. Hourani,et al.  Results from the 2008 National Survey on Drug Use and Health: National Findings , 2007 .

[12]  Gary L. Kreps,et al.  Trust and sources of health information: the impact of the Internet and its implications for health care providers: findings from the first Health Information National Trends Survey. , 2005, Archives of internal medicine.

[13]  T. Perneger,et al.  Attitudes toward nicotine replacement therapy in smokers and ex‐smokers in the general public , 2001, Clinical pharmacology and therapeutics.

[14]  A. Geiger,et al.  Telephone counseling increases cessation rates among young adult smokers. , 2004, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[15]  P. Fagan,et al.  Adolescent and young adult tobacco prevention and cessation: current status and future directions , 2003, Tobacco control.

[16]  E. Gilpin,et al.  Physician advice to quit smoking , 1993, Journal of General Internal Medicine.

[17]  P. Lantz,et al.  Smoking on the rise among young adults: implications for research and policy , 2003, Tobacco control.

[18]  Maansi A Bansal,et al.  Stop-smoking medications: who uses them, who misuses them, and who is misinformed about them? , 2004, Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco.