Evidence map›Paper›PMID 29958136›Full record

ArticleAddictive behaviors2018

Who are the smokers who never plan to quit and what do they think about the risks of using tobacco products?

Lucy Popova, Ban Majeed, Daniel Owusu, Claire Adams Spears, David L Ashley

Abstract read
In one paragraph

Article in Addictive behaviors, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–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

20 citing papers in PubMed.

  1. Article
  2. E-Liquid Flavor Availability Significantly Affects Cigarette and E-Liquid Purchasing in an Experimental Marketplace Simulating a Low Nicotine Product Standard.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Review
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  9. An approach to persons who are not willing to engage in behavioural change.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024
    Review
  10. Article
  11. Article
  12. "I'm Bored and I'm Stressed": A Qualitative Study of Exclusive Smokers, ENDS Users, and Transitioning Smokers or ENDS Users in the Time of COVID-19.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Article
  13. Short- and Long-Term Cigarette and Tobacco Abstinence Among Daily and Nondaily Older Smokers.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022
    Article
  14. Article
  15. Article
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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.

Lucy PopovaSchool of Public Health, Georgia State University, P.O. Box 3995, Atlanta, Georgia 30302, USA. Electronic address: lpopova1@gsu.edu.
Ban MajeedDepartment of Population Health Sciences, Medical College of Georgia, 1120 15th Street, Augusta, Georgia 30912, USA.
Daniel OwusuSchool of Public Health, Georgia State University, P.O. Box 3995, Atlanta, Georgia 30302, USA.
Claire Adams SpearsSchool of Public Health, Georgia State University, P.O. Box 3995, Atlanta, Georgia 30302, USA.
David L AshleySchool of Public Health, Georgia State University, P.O. Box 3995, Atlanta, Georgia 30302, USA.

Funding

The Science of Decision Making: Connecting People and PolicyP50DA036128 · NIDA · GEORGIA STATE UNIVERSITY · PI ERIKSEN, MICHAEL PAUL · 2013 to 2018
$19.4M
Communicating harm of new tobacco productsR00CA187460 · NCI · GEORGIA STATE UNIVERSITY · PI POPOVA, LYUDMILA · 2016 to 2018
$738k
NCI NIH HHS R00 CA187460NIDA NIH HHS P50 DA036128
6 · The paper itself

Abstract

introductionSmoking cigarettes is the most harmful way to use tobacco. Smokers who do not plan to quit present a particular challenge in reducing the morbidity and mortality from tobacco use. Switching to a lower harm product might encourage them to end their use of combusted cigarettes. This study aimed to better understand smokers who do not intend to quit (including their demographic and worldviews as indicators of their social, cultural, and political dispositions) and their perceived risks of cigarettes and possible lower-risk products such as e-cigarettes.

methodsParticipants were 2572 current smokers. Data were pooled from 2015 and 2016 cross-sectional surveys of national probability samples of U.S. adults and analyzed with multivariable logistic regressions.

resultsSmokers who never plan to quit comprise 14.3% of current U.S. smokers and are more likely to be older (24.2% among 65+ years old vs. 9.8% among 18-24) and less likely to have ever used e-cigarettes. A one-unit increase in hierarchical worldview (measured on a 1-6 scale) was associated with a 20% increase in the odds of never planning to quit. Those who denied that cigarettes cause disease or death (aORs between 1.6 and 2.0) or were uncertain (aORs: 2.5-2.7) were more likely to never plan to quit compared to those who agreed. They did not view risks of e-cigarettes substantially different compared to smokers who plan to quit.

conclusionOne in seven U.S. smokers never plans to quit and might benefit from interventions which reflect their hierarchical worldviews and increase their risk perceptions of combustible cigarettes.

Indexed as

Attitude to HealthIntentionAdolescentAdultAgedCigarette SmokingCross-Sectional StudiesFemaleHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisPerceptionRiskSmokers

Identifiers

PMID29958136
PMCPMC6109416

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

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.