Compensation predicts smoking cessation failure
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Compensation is a potential result of decreasing the available nicotine and tar dose in cigarettes. There is little published data linking compensation with cessation.
We sought to examine whether compensation in response to restricted cigarette yield is associated with difficulty quitting smoking.
Questionnaires and blood samples were collected from 174 smokers interested in quitting smoking as part of a larger smoking cessation study. Participants were instructed to use a filter designed to remove 50 % of tar and nicotine from the cigarette but otherwise smoke normally. Participants returned after 3 days of using the filter for follow-up data collection.
Nicotine levels and cigarettes per day decreased after use of the filter. Baseline nicotine and change in nicotine pre/post filter use, but not cigarettes per day or change in cigarettes per day were associated with smoking abstinence at 30 days.
Smokers who demonstrate sensitivity to the biological or behavioral consequences of decreased nicotine content in tobacco smoke have greater difficulty quitting. These findings suggest the need for personalized cessation treatment linked to behavioral compensation.
KeywordsSmoking cessation Nicotine Compensation
- Abrams DB, Orleans CT, Niaura RS, Goldstein MG, Prochaska JO, Velicer W (1996) Integrating individual and public health perspectives for treatment of tobacco dependence under managed health care: a combined stepped-care and matching model. Ann Behav Med 18(4):290–304. doi:10.1007/BF02895291 PubMedCrossRefGoogle Scholar
- Institute of Medicine (2007) Ending the tobacco problem: a blueprint for the nation. National Academies Press, Washington, DCGoogle Scholar
- SAS Institute Inc (2012) JMP, version 9 [Computer Software]. SAS Institute Inc., CaryGoogle Scholar