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)
National Institute on Drug Abuse (NIDA)
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, Renee D; Cheslack-Postava, Keely; Nelson, Deborah B et al. (2017) Smoking during pregnancy in the United States, 2005-2014: The role of depression. Drug Alcohol Depend 179:159-166
Goodwin, Renee D; Wall, Melanie M; Garey, Lorra et al. (2017) Depression among current, former, and never smokers from 2005 to 2013: The hidden role of disparities in depression in the ongoing tobacco epidemic. Drug Alcohol Depend 173:191-199
Weinberger, Andrea H; Gbedemah, Misato; Goodwin, Renee D (2017) Cigarette smoking quit rates among adults with and without alcohol use disorders and heavy alcohol use, 2002-2015: A representative sample of the United States population. Drug Alcohol Depend 180:204-207
Weinberger, Andrea H; Platt, Jonathan; Goodwin, Renee D (2016) Is cannabis use associated with an increased risk of onset and persistence of alcohol use disorders? A three-year prospective study among adults in the United States. Drug Alcohol Depend 161:363-7
Weinberger, Andrea H; Funk, Allison P; Goodwin, Renee D (2016) A review of epidemiologic research on smoking behavior among persons with alcohol and illicit substance use disorders. Prev Med 92:148-159
Weinberger, Andrea H; Platt, Jonathan M; Shuter, Jonathan et al. (2016) Gender differences in self-reported withdrawal symptoms and reducing or quitting smoking three years later: A prospective, longitudinal examination of U.S. adults. Drug Alcohol Depend 165:253-9
Grinberg, Alice; Goodwin, Renee D (2016) Prevalence and correlates of hookah use: a nationally representative sample of US adults ages 18-40 years old. Am J Drug Alcohol Abuse 42:567-576
Weinberger, Andrea H; Platt, Jonathan; Jiang, Bianca et al. (2015) Cigarette Smoking and Risk of Alcohol Use Relapse Among Adults in Recovery from Alcohol Use Disorders. Alcohol Clin Exp Res 39:1989-96
Zvolensky, Michael J; Taha, Farah; Bono, Amanda et al. (2015) Big five personality factors and cigarette smoking: a 10-year study among US adults. J Psychiatr Res 63:91-6
Zvolensky, Michael J; Bakhshaie, Jafar; Sheffer, Christine et al. (2015) Major depressive disorder and smoking relapse among adults in the United States: a 10-year, prospective investigation. Psychiatry Res 226:73-7

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