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Systems and Individual Factors Associated With Smoking Status: Evidence From HINTS

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Objectives: To examine the association of health care access/use, trust of physician advice, and depressive symptoms with the ability to sustain smoking cessation. Methods: Data from a nationally representative sample were used to compare current smokers (n=1246), sustained quitters (n=1502), and never smokers (n=3277). Results: Sustained quitters reported fewer depressive symptoms (OR=0.92) and were more likely to have health insurance (OR=1.75) and a usual source of care (OR=1.40) that they had seen within the last year (OR=2.16) and that they were more likely to trust (OR=1.40). Conclusions: Identification of these factors may inform providers' efforts to target and assist in smoking cessation.

Keywords: cigarette smoking; depressive symptoms; health systems factors; sustained quitting

Document Type: Research Article


Affiliations: 1: Cancer Prevention Fellowship Program, Division of Cancer Prevention and Health Communication and Informatics Research Branch, Division of Cancer Control and Population Science, National Cancer Institute, Bethesda, MD 2: Scientific Applications International Corporation, contractor to the Tobacco Control Research Branch, Division of Cancer Control and Population Science, National Cancer Institute, Bethesda, MD

Publication date: July 1, 2005

More about this publication?
  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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