A qualitative study exploring cues and other motivators among a racially diverse sample of light and intermittent smokers
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2020-03
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<jats:title>Abstract</jats:title><jats:sec id="S1834261219000239_sec_a1" sec-type="intro"><jats:title>Introduction</jats:title><jats:p>Light and intermittent smokers (LITS) represent almost 50% of all current smokers. Research is needed to understand smoking motives among adult light smokers.</jats:p></jats:sec><jats:sec id="S1834261219000239_sec_a2" sec-type="other"><jats:title>Aims</jats:title><jats:p>To explore smoking cues and motivators among a racially diverse sample of adult LITS (≤10 CPD). In addition, we explored differences between native (always smoked ≤10), and converted (former heavier) LITS.</jats:p></jats:sec><jats:sec id="S1834261219000239_sec_a3" sec-type="methods"><jats:title>Methods</jats:title><jats:p>We used purposive sampling to recruit participants who were native and converted LITS and to include equal numbers of African Americans, Whites and Latinos. We coded and analyzed transcripts using a stage approach to identify themes.</jats:p></jats:sec><jats:sec id="S1834261219000239_sec_a4" sec-type="results"><jats:title>Results</jats:title><jats:p>Four main themes emerged that may be unique to light smokers and suggests potential strategies for intervention: (1) smoking in response to cues and control, (2) identifying as a smoker, (3) concern about health consequences, and (4) other priorities influencing smoking. There were some differences among smoking cues and motivators by race and ethnicity, and differences between native and converted LITS.</jats:p></jats:sec><jats:sec id="S1834261219000239_sec_a5" sec-type="conclusions"><jats:title>Conclusions</jats:title><jats:p>Overall, LITS reported drivers of smoking that were unrelated to symptoms of nicotine withdrawal. Even when experiencing salient cues, our LITS cohort expressed the ability to assert control over smoking by abstaining when situational contexts made smoking inconvenient.</jats:p></jats:sec>
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Fish, Laura J, Jason A Oliver, Devon Noonan, James M Davis and Kathryn I Pollak (2020). A qualitative study exploring cues and other motivators among a racially diverse sample of light and intermittent smokers. Journal of Smoking Cessation, 15(1). pp. 29–34. 10.1017/jsc.2019.23 Retrieved from https://hdl.handle.net/10161/34787.
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Scholars@Duke
Laura Jane Fish
James Davis
Dr. James Davis is a practicing physician of Internal Medicine, and serves as the Medical Director for Duke Center for Smoking Cessation, Director of the Duke Smoking Cessation Program and Co-Director of the Duke-UNC Tobacco Treatment Specialist Credentialing Program. His research focuses on development of new pharmaceutical treatments for smoking cessation. He is principal investigator on several trials including a study on “adaptive” smoking cessation and several trials on new medications for smoking cessation. The new medications leverage more novel neurobiological mechanisms - NMDA receptor antagonism, nicotinic receptor antagonism, which impact addiction-based learning and cue response. Additionally, Dr. Davis serves as co-investigator on trials on lung cancer screening, e-cigarettes, minor nicotine alkaloids, imaging trials, lung function trials and others. Dr. Davis leads the Duke Smoke-Free Policy Initiative, is co-author on a national tobacco dependence treatment guideline, and provides training in tobacco dependence treatment for the Duke School of Medicine, Duke Internal Medicine, Family Practice and Psychiatry residency programs.
Kathryn IIonka Pollak
Dr. Pollak is a social psychologist who designs and tests behavioral interventions to promote smoking cessation, reduce health disparities, and improve clinician-patient communication. She also is one of the Multiple Principal Investigators of the Palliative Care Research Cooperative that supports multi-site palliative care trials. Finally, Dr. Pollak serves as a Communication Coach where she teaches clinicians effective communication techniques.
Area of expertise: Health Behavior
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