Smoking-Cessation Treatment Utilization

The Need for a Consumer Perspective


      In the U.S., almost half of all smokers try to quit each year. Yet two thirds of those who try to quit do so without the benefit of effective treatments that are now available. To optimize the contribution to public health of treatment, a consumer-centered approach is needed. This involves understanding and addressing smokers' needs and concerns regarding treatment, and communicating effectively with smokers about the nature and value of available treatments. Consumer-oriented treatment offerings would also recognize the diversity of smokers and match it with diverse approaches to quitting. Increasing use of treatment is important to increasing quit rates.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to American Journal of Preventive Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Morales L.
        Most Americans consider smoking very harmful; majority blame smokers, rather than tobacco companies, for smokers' health problems.
        July 28 2008
        • CDC
        Cigarette smoking among adults—United States, 2000.
        MMWR Morb Mortal Wkly Rep. 2002; 51: 642-645
        • Shiffman S.
        • Brockwell S.E.
        • Pillitteri J.L.
        • Gitchell J.E.
        Individual differences in adoption of treatment for smoking cessation: demographic and smoking history characteristics.
        Drug Alcohol Depend. 2008; 93: 121-131
        • Hughes J.R.
        • Keely J.
        • Naud S.
        Shape of the relapse curve and long-term abstinence among untreated smokers.
        Addiction. 2004; 99: 29-38
        • Fiore M.C.
        • Jaén C.R.
        • Baker T.B.
        • et al.
        Treating tobacco use and dependence: 2008 update.
        USDHHS, Public Health Service, Rockville MD2008
        • Royal College of Physicians
        Nicotine addiction in Britain.
        The Lavenham Press Ltd, Sudbury, Suffolk, England2000
        • Shiffman S.
        • Brockwell S.E.
        • Pillitteri J.L.
        • Gitchell J.G.
        Use of smoking cessation treatments in the United States.
        Am J Prev Med. 2008; 34: 102-111
        • Backinger C.L.
        • Malarcher A.M.
        The things that get measured are the things that get done.
        Am J Prev Med. 2010; 38: S433-S436
      1. Bobak A. Perceived safety of nicotine replacement products among general practitioners and current smokers in the U.K.: impact on utilization. Paper presentation at the UK National Smoking Cessation Conference, June 9–June 10, 2005, London.

        • Shiffman S.
        • Ferguson S.G.
        • Rohay J.
        • Gitchell J.G.
        Perceived safety and efficacy of nicotine replacement therapies among US smokers and ex-smokers: relationship with use and compliance.
        Addiction. 2008; 103: 1371-1378
        • Dupre D.
        • Niederlaender E.
        • Jougla E.
        • Salem G.
        Mortality in the EU: 1997–1999.
        Eurostat, Luxembourg2004
        • Johnson B.A.
        Update on neuropharmacological treatments for alcoholism: scientific basis and clinical findings.
        Biochem Pharmacol. 2008; 75: 34-56
        • Bansal M.A.
        • Cummings K.M.
        • Hyland A.
        • Giovino G.A.
        Stop-smoking medications: who uses them, who misuses them, and who is misinformed about them?.
        Nicotine Tob Res. 2004; 6: S303-S310
        • Hughes J.R.
        • Callas P.W.
        • Peters E.N.
        Interest in gradual cessation.
        Nicotine Tob Res. 2007; 9: 671-675
        • Shiffman S.
        • Hughes J.R.
        • Ferguson S.G.
        • Pillitteri J.L.
        • Gitchell J.G.
        • Burton S.L.
        Smokers' interest in using nicotine replacement to aid smoking reduction.
        Nicotine Tob Res. 2007; 9: 1177-1182