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Reassessing the importance of ‘lost pleasure’ associated with smoking cessation: implications for social welfare and policy
INTRODUCTION: Benefit–cost analyses of tobacco regulations include estimates of the informed choice of smokers to continue smoking. Few studies have focused on subjective feelings associated with continued smoking. This study estimates how smoker discontent and regret relate to risk perceptions and...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6176518/ https://www.ncbi.nlm.nih.gov/pubmed/29183920 http://dx.doi.org/10.1136/tobaccocontrol-2017-053734 |
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author | Pechacek, Terry Frank Nayak, Pratibha Slovic, Paul Weaver, Scott R Huang, Jidong Eriksen, Michael P |
author_facet | Pechacek, Terry Frank Nayak, Pratibha Slovic, Paul Weaver, Scott R Huang, Jidong Eriksen, Michael P |
author_sort | Pechacek, Terry Frank |
collection | PubMed |
description | INTRODUCTION: Benefit–cost analyses of tobacco regulations include estimates of the informed choice of smokers to continue smoking. Few studies have focused on subjective feelings associated with continued smoking. This study estimates how smoker discontent and regret relate to risk perceptions and health concerns. METHODS: We analysed data from a 2015 nationally representative, online survey of 1284 US adult current smokers. Information was collected on regret, intention to quit, perceived addiction, risk perceptions and health concerns. Multivariate logistic regression adjusting for sociodemographics and health status was used to examine factors associated with smoker discontent. RESULTS: More than 80% of current smokers report high (22.5%) or very high (59.8%) discontent due to inability to quit, perceived addiction and regret about having started to smoke. Higher levels of discontent did not vary significantly by sex, age, race/ethnicity, education or income (adjusted odds ratios (AORs) 0.5–1.2). Compared with the smokers expressing low (5.9%) or very low (3.6%) discontent, those expressing higher levels of discontent perceived their health status as fair/poor (AOR=2.3), worried most of the time about lung cancer (AOR=4.6) and felt they were more likely to develop lung cancer in the future (AOR=5.1). CONCLUSION: The proportion of smokers who might be characterised as having a preference to continue smoking are greatly outnumbered by addicted, discontent and concerned smokers who want to quit and regret ever having started to smoke. These discontent smokers could have a substantial net welfare gain if new regulations helped them escape their concerns about the health effects from continuing smoking. |
format | Online Article Text |
id | pubmed-6176518 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-61765182018-10-11 Reassessing the importance of ‘lost pleasure’ associated with smoking cessation: implications for social welfare and policy Pechacek, Terry Frank Nayak, Pratibha Slovic, Paul Weaver, Scott R Huang, Jidong Eriksen, Michael P Tob Control Research Paper INTRODUCTION: Benefit–cost analyses of tobacco regulations include estimates of the informed choice of smokers to continue smoking. Few studies have focused on subjective feelings associated with continued smoking. This study estimates how smoker discontent and regret relate to risk perceptions and health concerns. METHODS: We analysed data from a 2015 nationally representative, online survey of 1284 US adult current smokers. Information was collected on regret, intention to quit, perceived addiction, risk perceptions and health concerns. Multivariate logistic regression adjusting for sociodemographics and health status was used to examine factors associated with smoker discontent. RESULTS: More than 80% of current smokers report high (22.5%) or very high (59.8%) discontent due to inability to quit, perceived addiction and regret about having started to smoke. Higher levels of discontent did not vary significantly by sex, age, race/ethnicity, education or income (adjusted odds ratios (AORs) 0.5–1.2). Compared with the smokers expressing low (5.9%) or very low (3.6%) discontent, those expressing higher levels of discontent perceived their health status as fair/poor (AOR=2.3), worried most of the time about lung cancer (AOR=4.6) and felt they were more likely to develop lung cancer in the future (AOR=5.1). CONCLUSION: The proportion of smokers who might be characterised as having a preference to continue smoking are greatly outnumbered by addicted, discontent and concerned smokers who want to quit and regret ever having started to smoke. These discontent smokers could have a substantial net welfare gain if new regulations helped them escape their concerns about the health effects from continuing smoking. BMJ Publishing Group 2018-10 2017-11-28 /pmc/articles/PMC6176518/ /pubmed/29183920 http://dx.doi.org/10.1136/tobaccocontrol-2017-053734 Text en © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Research Paper Pechacek, Terry Frank Nayak, Pratibha Slovic, Paul Weaver, Scott R Huang, Jidong Eriksen, Michael P Reassessing the importance of ‘lost pleasure’ associated with smoking cessation: implications for social welfare and policy |
title | Reassessing the importance of ‘lost pleasure’ associated with smoking cessation: implications for social welfare and policy |
title_full | Reassessing the importance of ‘lost pleasure’ associated with smoking cessation: implications for social welfare and policy |
title_fullStr | Reassessing the importance of ‘lost pleasure’ associated with smoking cessation: implications for social welfare and policy |
title_full_unstemmed | Reassessing the importance of ‘lost pleasure’ associated with smoking cessation: implications for social welfare and policy |
title_short | Reassessing the importance of ‘lost pleasure’ associated with smoking cessation: implications for social welfare and policy |
title_sort | reassessing the importance of ‘lost pleasure’ associated with smoking cessation: implications for social welfare and policy |
topic | Research Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6176518/ https://www.ncbi.nlm.nih.gov/pubmed/29183920 http://dx.doi.org/10.1136/tobaccocontrol-2017-053734 |
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