NAQC Newsroom: Research

Predictors of Cessation Outcomes among Older Adult Smokers Enrolled in a Proactive Tobacco Quitline

Tuesday, October 25, 2022  
Posted by: Natalia Gromov
Fahey MC, Talcott WG, Robinson LA, Mallawaarachchi I, Klesges RC, Little MA.
Predictors of Cessation Outcomes among Older Adult Smokers Enrolled in a Proactive Tobacco Quitline Intervention.
J Aging Health. 2022;34(6-8):1144-1155. doi:10.1177/08982643221097679

Objectives. To identify predictors of older adults' likelihood of quitting following engagement in a proactive tobacco quit line.
Methods. Older (>60 years) participants ( N = 186) enrolled in a four-session quit line with 8-weeks of nicotine replacement therapy reported demographics, beliefs, and information about tobacco use. Point prevalence abstinence was reported at 3 and 12-months.
Results. In final models, endorsement of quitting to take control of one's life and confidence in quitting were positively associated with 3-month cessation (OR = 1.74, 95% CI = 1.16, 2.62; OR = 1.75, 95% CI = 1.21, 2.52, respectively). At 12 months, stronger endorsement of quitting to take control of one's life and decreased nicotine dependence were associated with higher cessation (OR = 1.51, 95% CI = 1.05, 2.17; OR = 0.84, 95% CI = 0.71,0.99, respectively).
Discussion. For tobacco cessation among older adults, programs should provide additional support to those with higher nicotine dependence, promote quitting self-efficacy, and encourage quitting as means to gain control of life and health.