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Cumulative vulnerabilities and smoking abstinence: A test from a randomized clinical trial. | LitMetric

AI Article Synopsis

  • Smoking cessation (quitting smoking) can be harder for people with certain challenges, like mental health issues or tough life situations.
  • A study looked at different factors that might make it harder for smokers to quit by analyzing information from 267 adult smokers taking part in a quitting program.
  • The results showed that smokers with more challenges had a tougher time staying smoke-free, which suggests that understanding these challenges could help improve quitting programs.

Article Abstract

Smoking cessation is often associated with socioeconomic and intrapersonal vulnerabilities such as psychopathology. Yet, most research that focuses on predicting smoking cessation outcomes tends focus on a small number of possible vulnerabilities. In a secondary data analysis, we developed and empirically evaluated a comprehensive, cumulative vulnerability risk composite reflecting psychologically based transdiagnostic processes, social determinants of health, and psychopathology. Participants were adult smokers who responded to study advertisements (e.g., flyers, newspaper ads, radio announcements) for an in-person delivered 4-session smoking cessation trial (N = 267; 47% female; M = 39.4, SD = 13.8). Results indicated that the decline in point prevalence abstinence (PPA) from quit week to 6-month post-quit was statistically significant (p < .001). There were statistically significant effects of cumulative risk score on the intercept (p < .001) and slope (p = .01). These findings were evident in unadjusted and adjusted (controlling for sex, treatment condition, and nicotine dependence) models. The present results indicate smokers with greater cumulative vulnerability demonstrated poorer smoking cessation outcomes. There may be clinical advantages to better understanding cumulative vulnerability among treatment-seeking smokers and other smoking populations to enhance the impact of public health efforts to reduce smoking.

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Source
http://dx.doi.org/10.1016/j.brat.2023.104272DOI Listing

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