Evidence map›Paper›PMID 25658770›Full record

ArticleAddictive behaviors2015

Does non-smoker identity following quitting predict long-term abstinence? Evidence from a population survey in England.

Ildiko Tombor, Lion Shahab, Jamie Brown, Caitlin Notley, Robert West

Abstract read
In one paragraph

Article in Addictive behaviors, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. I am what I am: A meta-analysis of the association between substance user identities and substance use-related outcomes.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2021
    Pooled it
  2. Positive Psychotherapy for Smoking Cessation Enhanced with Text Messaging: A Randomized Controlled Trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
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  12. Tobacco Denormalization Indicator in the Prevalence of Positive Smoker Identity and Its Associated Factors.International journal of environmental research and public health · 2020
    Article
  13. Observational
  14. Re-Configuring Identity Postpartum and Sustained Abstinence or Relapse to Tobacco Smoking.International journal of environmental research and public health · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ildiko TomborCancer Research UK Health Behaviour Research Centre, University College London, WC1E 6BT, UK. Electronic address: ildiko.tombor.11@ucl.ac.uk.
Lion ShahabCancer Research UK Health Behaviour Research Centre, University College London, WC1E 6BT, UK.
Jamie BrownCancer Research UK Health Behaviour Research Centre, University College London, WC1E 6BT, UK.
Caitlin NotleySchool of Medicine Health Policy and Practice, University of East Anglia, NR4 7TJ, UK.
Robert WestCancer Research UK Health Behaviour Research Centre, University College London, WC1E 6BT, UK.

Funding

Cancer Research UK 14135Cancer Research UK 511357Department of HealthMedical Research Council MR/K023195/1
6 · The paper itself

Abstract

aims'Categorical self-labels' (e.g. thinking of oneself as a smoker or non-smoker) are important aspects of identity that can have a fundamental influence on behaviour. To explore the role identity aspects relating to smoking can play in smoking cessation and relapse, this study assessed the prospective associations between taking on a non-smoker identity following quitting and long-term abstinence.

methodsA representative sample of 574 ex-smokers in England who quit smoking in the past year was followed-up at three (N=179) and six months (N=163). Post-quit identity relating to smoking ('I still think of myself as a smoker' or 'I think of myself as a non-smoker'), and demographic and smoking-related characteristics were assessed at baseline. Self-reported smoking abstinence was assessed at follow-ups.

resultsNon-smoker identity was reported by 80.3% (95%CI 76.8-83.4) of recent ex-smokers. Younger age (p=0.017) and longer abstinence (p<0.001) were independently associated with a post-quit non-smoker identity. After adjusting for covariates, non-smoker identity (p=0.032) and length of abstinence at baseline (p<0.001) were associated with continued abstinence at three month follow-up, and baseline length of abstinence (p=0.003) predicted continued abstinence at six months.

conclusionsThe majority of people who quit smoking recently consider themselves as non-smokers. Younger people and those who have been abstinent for longer are more likely to take on a non-smoker identity. Ex-smokers who make this mental transition following a quit attempt appear more likely to remain abstinent in the medium term than those who still think of themselves as smokers.

Indexed as

Self ConceptSocial IdentificationAdultAge FactorsCohort StudiesEnglandFemaleHumansMaleMiddle AgedProspective StudiesSmokingSmoking CessationSurveys and QuestionnairesTime FactorsYoung AdultEx-smokersRepresentative sampleSmoker identitySmoking cessationSmoking Toolkit Study

Identifiers

PMID25658770
PMCPMC4376294

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.