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Published on: August 6, 2013
Tobacco dependence among intermittent smokers
Saul Shiffman1, Stuart G Ferguson, Michael S Dunbar
1Department of Psychology, University of Pittsburgh, 130 N. Bellefield Avenue, Suite 510, Pittsburgh, PA 15213, USA. shiffman@pitt.edu
Daily smokers show higher nicotine dependence than intermittent smokers. Among intermittent smokers, those who previously smoked daily exhibit greater dependence than those who never smoked daily.
Area of Science:
- Tobacco control research
- Addiction science
- Behavioral psychology
Background:
- Intermittent smokers (ITS) represent a growing population of tobacco users.
- Understanding nicotine dependence severity among ITS is crucial for targeted interventions.
- Previous research has not fully elucidated variations in dependence within the ITS group.
Purpose of the Study:
- To compare nicotine dependence levels between daily smokers (DS) and intermittent smokers (ITS).
- To investigate differences in dependence severity between never-daily ITS (NITS) and converted ITS (CITS).
- To explore the relationship between dependence severity and smoking behavior within the ITS group.
Main Methods:
- Utilized questionnaires including the Fagerström Test of Nicotine Dependence (FTND), Nicotine Dependence Syndrome Scale (NDSS), Wisconsin Inventory of Smoking Dependence Motives (WISDM), and Hooked on Nicotine Checklist (HONC).
- Employed Ecological Momentary Assessment (EMA) for real-time recording of smoking behavior over three weeks.
- Applied logistic and least squares regression to analyze differences and associations in dependence and smoking patterns.
Main Results:
- Daily smokers (DS) exhibited significantly higher nicotine dependence than intermittent smokers (ITS) across multiple measures (FTND, NDSS, WISDM).
- Converted ITS (CITS) demonstrated greater dependence than never-daily ITS (NITS).
- Within the ITS group, dependence severity correlated with smoking frequency and duration of abstinence.
Conclusions:
- The study confirms higher dependence in DS compared to ITS, and in CITS compared to NITS.
- Nicotine dependence is present in ITS, with significant variability suggesting dependence can emerge with infrequent smoking.
- Further research is needed to understand the implications for ITS' progression to daily smoking and cessation success.
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