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Moderators of real-world effectiveness of smoking cessation aids: a population study

Jackson, S; Kotz, D; West, R; Brown, J; (2019) Moderators of real-world effectiveness of smoking cessation aids: a population study. Addiction , 114 (9) pp. 1627-1638. 10.1111/add.14656. Green open access

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Abstract

Background/Aims: Understanding whether and how far smokers’ characteristics influence the effectiveness of treatment may be important for tailoring recommendations on cessation aids to those most likely to help the user achieve abstinence. This study aimed to estimate the effectiveness of commonly-used smoking cessation aids and test whether their effectiveness differs according to cigarette addiction, socioeconomic status, age, or sex. Design: Correlational design using cross-sectional survey data collected monthly between 2006 and 2018. Setting: England. Participants: 18,929 adults (aged ≥16y, 52.0% female) who had smoked within the previous 12 months and had made at least one quit attempt during that period. Measurements: The outcome was self-reported abstinence from quit date to survey. Independent variables were self-reported use during the most recent quit attempt of: prescription nicotine replacement therapy (NRT), NRT over-the-counter, varenicline, bupropion, e-cigarettes, face-to-face behavioural support, telephone support, written self-help materials, websites, and hypnotherapy. Moderators were cigarette addiction, social grade, age, and sex. Findings: After adjustment for covariates and use of other cessation aids, users of e-cigarettes (OR=1.95, 95%CI:1.69-2.24) and varenicline (OR=1.82, 95%CI:1.51-2.21) had significantly higher odds of reporting abstinence than those who did not report use of these cessation aids. Use of prescription NRT was associated with increased abstinence in older (≥45y) (OR=1.58, 95%CI:1.25-2.00) but not younger (<45y) smokers (OR=1.09, 95%CI:0.85-1.42). Use of websites was associated with increased abstinence in smokers from lower (OR=2.20, 95%CI:1.22-3.98) but not higher social grades (OR=0.74, 95%CI:0.40-1.38). There was little evidence of benefits of using other cessation aids. Conclusions: Use of e-cigarettes and varenicline are associated with higher abstinence rates following a quit attempt in England. Use of prescription of NRT was also associated with higher abstinence rates but only in older smokers, and use of websites only in smokers from lower SES.

Type: Article
Title: Moderators of real-world effectiveness of smoking cessation aids: a population study
Open access status: An open access version is available from UCL Discovery
DOI: 10.1111/add.14656
Publisher version: https://doi.org/10.1111/add.14656
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: smoking cessation; cessation aids; real-world effectiveness; varenicline; bupropion; nicotine replacement therapy; behavioural support; e-cigarettes.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10073534
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