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Hardcore smokers: what do we know?

Audrey Darville1, Ellen J Hahn2

  • 1UK HealthCare, USA; University of Kentucky College of Nursing, 450F College of Nursing, Lexington, KY 40536-0232, USA.

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|August 14, 2014
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Summary
This summary is machine-generated.

Identifying "hardcore smokers" is challenging due to inconsistent definitions. Persistent smokers often exhibit higher nicotine dependence, lower socioeconomic status, and psychological comorbidities, requiring tailored cessation interventions.

Keywords:
Hardcore smokersSmoking cessationTobacco dependence

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Area of Science:

  • Public Health
  • Addiction Medicine
  • Behavioral Science

Background:

  • The existence of smokers resistant to cessation is well-documented.
  • Debate exists on whether the proportion of these "hardcore smokers" is increasing.
  • Inconsistent definitions hinder understanding of this population.

Purpose of the Study:

  • To review literature on hardcore smokers.
  • To understand current knowledge and gaps regarding this group.
  • To guide future smoking cessation treatment strategies.

Main Methods:

  • Literature review of research publications.
  • PubMed MESH search conducted.
  • Publications from 1998 to 2012 were analyzed (N=61).

Main Results:

  • Inconsistent definitions of hardcore smoking complicate prevalence estimation.
  • Persistent smokers typically show higher nicotine dependence.
  • Lower socioeconomic status, early smoking initiation, and psychological comorbidities are common.

Conclusions:

  • The "hardcore smoker" label can be limiting.
  • Targeted interventions show promise but require improved access.
  • Preventing early tobacco initiation is crucial for long-term smoking reduction.