ArticleBMJ open2023
Motivation to stop smoking in the German population between 2016 - 2021 and associated factors: results from a repeated cross-sectional representative population survey (German Study on Tobacco Use, DEBRA study).
Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 10 citations in OpenAlex.
- Gender-Specific Trends and Determinants of Daily Smoking in Latvia (2009-2019): A Population-Based Cross-Sectional Study.Medicina (Kaunas, Lithuania) · 2026Article
- Appetitive responses toward smoking-related stimuli in abstinence-motivated, non-deprived individuals with chronic tobacco dependence: A multi-methodological investigation.Addiction (Abingdon, England) · 2026Article
- The potential of smoke-free products to reduce harm for smokers: what does the toxicological evidence say?Internal and emergency medicine · 2025Article
- Deficits in general and smoking-specific response inhibition in the Go/No-Go task in individuals who smoke: A cross-sectional analysis.Addiction (Abingdon, England) · 2025Article
- "Smoke-Free in May": Results of a Public Participation Program on Nicotine Product Abstinence.Deutsches Arzteblatt international · 2025Article
- A Survey of Current Tobacco and Nicotine Product Users to Identify Barriers to Quitting Smoking in Germany.Cureus · 2025Article
- Evaluating the longitudinal effectiveness of a smoking cessation counselling course based on the 5A model for medical students in family medicine placement.GMS journal for medical education · 2025Article
- In Reply.Deutsches Arzteblatt international · 2024Article
- Hypnotherapy compared to cognitive-behavioral therapy for smoking cessation in a randomized controlled trial.Frontiers in psychology · 2024Article
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Authors and funding
5 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe aimed to describe population trends in motivation to stop smoking between 2016 and 2021 in Germany. Furthermore, the aim was to estimate to what extent higher ratings on the validated German version of the Motivation To Stop Scale (MTSS) are associated with sociodemographics, nicotine dependence, past quit attempts, and use of e-cigarettes and tobacco product alternatives.
methodsWe used data from the German Study on Tobacco Use: an ongoing repeated cross-sectional face-to-face household survey collecting representative data of the German population every other month since 2016. We analysed data from 18 969 adult current smokers with multivariable ordinal regression and described MTSS scores between 2016 and 2021 (scores 1-7=lowest to highest level of motivation).
resultsThe mean MTSS score was 2.04 (SD=1.37) and showed a slight downward trend over time. Younger age, higher level of education, fewer cigarettes per day, more time spent with urges to smoke, a recent quit attempt, no previous waterpipe use and current or past e-cigarette use were associated with higher MTSS scores. The largest effect estimates were observed for at least one quit attempt 0-6 months ago versus no attempt in the past year (OR=7.54; 95% CI 6.78 to 8.40), at least one quit attempt 7-12 months ago versus no attempt in the past year (OR=4.00; 95% CI 3.59 to 4.45) and for current versus never use of e-cigarettes (OR=1.71; 95% CI 1.48 to 1.99).
conclusionsRecent quit attempts and current use of e-cigarettes were associated with higher motivation to stop smoking in the German population. Actions to boost the general motivation to stop smoking are required.
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