Spontaneous Smoking Cessation in Parents

Author:

Nabi-Burza Emara12ORCID,Wasserman Richard3ORCID,Drehmer Jeremy E.12ORCID,Walters Bethany Hipple12ORCID,Luo Mandy1ORCID,Ossip Deborah4ORCID,Winickoff Jonathan P.125ORCID

Affiliation:

1. General Academic Pediatrics, Massachusetts General Hospital for Children, Boston, MA, USA

2. Tobacco Research and Treatment Center, Massachusetts General Hospital, Boston, MA, USA

3. Pediatrics, Larner College of Medicine, University of Vermont, Burlington, VT, USA

4. University of Rochester, Rochester, NY, USA

5. Richmond Center, American Academy of Pediatrics, Itasca, IL, USA

Abstract

Purpose. To determine the percentage of parents who report quitting spontaneously and examine the factors associated with these quits. Methods. As part of a cluster randomized control trial addressing parental smoking in a pediatric outpatient setting, 12-month follow-up survey data were collected from parents who had self-identified as smokers when exiting from 10 control practices. Parents were considered to have made a spontaneous quit if they reported not smoking a cigarette, even a puff, in the last 7 days and chose the statement “I did not plan the quit in advance; I just did it” when describing how their quit attempt started. Results. Of the 981 smoking parents enrolled at baseline, 710 (72%) completed the 12-month follow-up. Of these, 123 (17%) reported quitting, of whom 50 (41%) reported quitting spontaneously. In multivariable analysis, parents who reported smoking on some days vs. every day (OR 3.06 (95% CI 1.42, 6.62)) and that nobody had smoked in their home/car vs. someone had smoked in these settings in the past 3 months (OR 2.19 (95% CI 1.06, 4.54)) were more likely to quit spontaneously. Conclusions. This study shows that, of parents who quit smoking, a substantial percentage report quitting spontaneously and that intermittent smoking and smoke-free home/car policies are associated with reports of quitting spontaneously. Promoting smoke-free home/car policies, especially when parents are not willing to make a plan to quit smoking, might increase the likelihood that parents decide to quit without advance planning. Pediatric healthcare providers are uniquely positioned to use the child’s visit to motivate parents to quit smoking and eliminate their child’s exposure to tobacco smoke, regardless of the frequency of smoking or a readiness to plan a quit attempt. Clinical Trial Registration. This trial is registered with NCT01882348.

Funder

American Academy of Pediatrics

Publisher

Hindawi Limited

Subject

Psychiatry and Mental health

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1. Predictors of quitting smoking behavior: evidence from Pakistan;Environmental Science and Pollution Research;2024-04-15

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