Evidence map›Paper›PMID 33163706›Full record

ArticleTobacco prevention & cessation2020

Are health conditions and concerns about health effects of smoking predictive of quitting? Findings from the ITC 4CV Survey ( 2016-2018 ).

Lin Li, Ron Borland, K Michael Cummings, Ann McNeill, Bryan W Heckman, Geoffrey T Fong, Richard J O'Connor, Pete Driezen

Abstract read
In one paragraph

Article in Tobacco prevention & cessation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Identifying Key Predictors of Smoking Cessation Success: Text-Based Feature Selection Using a Large Language Model.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
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  11. Cigarette Smoking in Response to COVID-19: Examining Co-Morbid Medical Conditions and Risk Perceptions.International journal of environmental research and public health · 2022
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  12. The Predictive Utility of Valuing the Future for Smoking Cessation: Findings from the ITC 4 Country Surveys.International journal of environmental research and public health · 2022
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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

8 authors.

Lin LiMelbourne Centre for Behaviour Change, School of Psychological Sciences, University of Melbourne, Melbourne, Australia.
Ron BorlandMelbourne Centre for Behaviour Change, School of Psychological Sciences, University of Melbourne, Melbourne, Australia.
K Michael CummingsDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, United States.
Ann McNeillAddiction Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
Bryan W HeckmanDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, United States.
Geoffrey T FongDepartment of Psychology, University of Waterloo, Waterloo, Canada.
Richard J O'ConnorDepartment of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, United States.
Pete DriezenDepartment of Psychology, University of Waterloo, Waterloo, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLimited research has investigated the relationship between multiple health conditions and subsequent quitting activities at the population level. This study examines whether nine health conditions and concerns related to smoking are predictive of quit attempts and success among those who tried.

methodsData came from the International Tobacco Control Four Country Smoking and Vaping Survey conducted in Australia, Canada, England and the US. A total of 3998 daily smokers were surveyed in 2016 and recontacted in 2018. Respondents were asked in 2016 whether they had a medical diagnosis for depression, anxiety, alcohol problems, obesity, chronic pain, diabetes, heart disease, cancer, and chronic lung disease, and whether they had concerns about past/future health effects of smoking. Outcomes were quit attempts and success (having been abstinent for at least one month between surveys).

resultsAcross all four countries, 44.4% of smokers tried to quit between the two survey years, and of these 36.8% were successful. Concerns about past (adjusted odds ratio, AOR=1.66, 95% CI: 1.32-2.08, p<0.001) and future effects of smoking (AOR=2.17, 95% CI: 1.62-2.91, p<0.001) and most health conditions predicted quit attempts, but were mostly unrelated to quit success, with concerns about future effects (AOR=0.59, 95% CI: 0.35-0.99, p<0.05), chronic lung conditions (AOR=0.56, 95% CI: 0.37-0.86, p<0.01) and chronic pain (with a trend) being associated with lower success.

conclusionsHaving a major chronic health condition does, generally, motivate making quit attempts, but in some cases it is associated with failure among those who try. More effective cessation support is required for these high priority groups.

Indexed as

health conditionslongitudinal studyrisk of tobacco usesmoking cessation

Identifiers

PMID33163706
PMCPMC7643583

What OpenQuestion holds

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LicenceCC BY-NC
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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.