The Open Epidemiology Journal




ISSN: 1874-2971 ― Volume 8, 2019

Pathways to Smoking and Snus Use Cessation - Is Spontaneous Quitting Underrated?


The Open Epidemiology Journal, 2010, 3: 20-23

Mats Toftgard, Hans Gilljam, Tanja Tomson

Karolinska Institutet, Department of Public Health Sciences, Division of Applied Public Health, P.O. Box 17070, SE-104 62 Stockholm, Sweden.

Electronic publication date 20/4/2010
[DOI: 10.2174/1874297101003010020]

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Abstract:

Aim: To investigate to what extent smokers and snus users in Sweden consider and plan their quit attempts in advance, and to assess if spontaneity is associated with success. Methods: A sample of 5999 Swedish men and women between 16 and 80 years were interviewed via telephone about current and former smoking and snus use and their latest quit attempts. Results: Among 2272 ex-smokers and current smokers who had ever made a serious quit attempt 48% reported to not having planned their latest attempt in advance. Furthermore, 40% reported to not even having considered giving up smoking before they actually made the attempt. Of 809 former and current snus users 48% did not plan, and 44% did not consider quitting in advance. Smokers and ex-smokers were more likely to remain smoke-free for at least six months if the attempt was unplanned (sex and age adjusted OR=2.6; 95% CI=1.7-3.8). When dividing the smoking quit attempts into considered versus not considered the advantage of the spontaneous attempts remained (adjusted OR=1.9; CI=1.3-2.9). The corresponding analyses of snus use quitting showed similar advantages for the unplanned and the not considered quit attempts. Conclusions: In Sweden, a considerable proportion of the attempts to quit smoking, as well as to quit using snus, are made without prior consideration or planning. Spontaneous quit attempts appear to have a greater chance of long-term success than those preceded by consideration or planning.


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