The majority of smokers in the U.S. would like to quit. Despite declines in cigarette use during the past several decades, smoking remains common (21%) among U.S. adults and is the leading preventable cause of death. Tobacco control efforts have greatly reduced smoking prevalence (from 43% in 1964). However, extensive evidence shows that the decline in smoking prevalence has stagnated for the past 10 years. The reasons for this stagnation are unknown. While tobacco control efforts have been very successful, ultimately, these strategies may not reach all smokers. Therefore, the proposed study will examine whether the prevalence of specific factors that impede successful quitting have become more common among smokers over the past two decades. We will also examine potential pathways through which these factors may lead to persistent smoking. The results of this study will lead to a better understanding of the barriers to cessation among remaining smokers, informing the debate over how to lower the prevalence of smoking in the US.

Public Health Relevance

After substantial declines in cigarette smoking among adults in the US over the past several decades, the decline has stagnated and the prevalence of smoking has remained common at approximately 21% for the past decade. The proposed study aims to understand several potential factors which may be contributing to this stagnation. Understanding the reasons behind the stagnation in smoking decline is crucial to the development of effective interventions-whether policy, public health/tobacco control or clinical treatment.

National Institute of Health (NIH)
Research Project (R01)
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Risk, Prevention and Intervention for Addictions Study Section (RPIA)
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Kimmel, Heather L
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Queens College
Schools of Arts and Sciences
United States
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Goodwin, R D; Robinson, M; Sly, P D et al. (2013) Severity and persistence of asthma and mental health: a birth cohort study. Psychol Med 43:1313-22
Goodwin, Renee D; Seeley, John R; Lewinsohn, Peter M (2013) Childhood respiratory symptoms and mental health problems: the role of intergenerational smoking. Pediatr Pulmonol 48:195-201
Goodwin, Renee D; Stein, Dan J (2013) Anxiety disorders and drug dependence: evidence on sequence and specificity among adults. Psychiatry Clin Neurosci 67:167-73
Goodwin, Renee D; Lavoie, Kim L; Lemeshow, Adina R et al. (2012) Depression, anxiety, and COPD: the unexamined role of nicotine dependence. Nicotine Tob Res 14:176-83
Grover, Kristin W; Goodwin, Renee D; Zvolensky, Michael J (2012) Does current versus former smoking play a role in the relationship between anxiety and mood disorders and nicotine dependence? Addict Behav 37:682-5
Grover, Kristin W; Zvolensky, Michael J; Lemeshow, Adina R et al. (2012) Does quitting smoking during pregnancy have a long-term impact on smoking status? Drug Alcohol Depend 123:110-4
Goodwin, Renee D; Wamboldt, Frederick S (2012) Childhood physical abuse and respiratory disease in the community: the role of mental health and cigarette smoking. Nicotine Tob Res 14:91-7
Goodwin, Renee D; Pagura, Jina; Spiwak, Rae et al. (2011) Predictors of persistent nicotine dependence among adults in the United States. Drug Alcohol Depend 118:127-33
Goodwin, Renee D (2011) Is COPD associated with suicide behavior? J Psychiatr Res 45:1269-71
Zvolensky, Michael J; Jenkins, Elizabeth F; Johnson, Kirsten A et al. (2011) Personality disorders and cigarette smoking among adults in the United States. J Psychiatr Res 45:835-41

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