Annals of Behavioral Medicine

, Volume 17, Issue 4, pp 331–338

Does smoking cessation improve health-related quality-of-life?


  • Anita L. Stewart
    • School of NursingUniversity of California, San Francisco
  • Abby C. King
    • School of NursingUniversity of California, San Francisco
    • Stanford Medical School
  • Joel D. Killen
    • Stanford Medical School
  • Philip L. Ritter
    • Stanford Medical School
Empirical Research

DOI: 10.1007/BF02888598

Cite this article as:
Stewart, A.L., King, A.C., Killen, J.D. et al. ann. behav. med. (1995) 17: 331. doi:10.1007/BF02888598


This article examines whether smokers who enrolled in a community-based smoking cessation program and were successful in quitting for a six-month period had better health-related quality-of-life at six months relative to those who relapsed. An observational, longitudinal design was used; the sample included 350 participants 18–65 years of age. Health-related quality-of-life was measured using a broad array of indicators of physical and mental health. Six-month outcomes were compared between successful quitters and relapsers using analysis of covariance. Those who quit for six months had better psychological well-being, cognitivefunctioning, energy/fatigue, sleep adequacy, selfesteem, sense of mastery, and worse role functioning at six months than those who continued to smoke (p values > .05). No differences were observed in physical and social functioning, pain, or current health perceptions. There were no significant differences at enrollment in health-relatedquality-of-life between those who quit subsequently and those who relapsed, thus quality-of-life measures did not predict smoking status. We conclude that smokers who quit can possibly anticipate improvements in a range of mental health outcomes within six months, which could become an additional incentive to quit. Subsequent smoking cessation studies should include health-related quality-of-life measures to determine the generalizability of these findings.

Copyright information

© The Society of Behavioral Medicine 1995