Introduction
Cigarette smoking remains more common among individuals with depression. This study
investigates whether cigarette quit ratios and cigarette use prevalence have changed
differentially by depression status during the past decade.
Methods
National Survey on Drug Use and Health data (2005–2017) were analyzed in 2019. Respondents
aged ≥12 years were included in analyses of smoking prevalence (n=728,691) and respondents aged ≥26 years were included in analyses of quit ratio (n=131,412). Time trends in smoking prevalence (current, daily, and nondaily) and quit
ratio (former/lifetime smokers) were estimated, stratified by past-year depression.
Adjusted analyses controlled for demographics.
Results
Smoking prevalence was consistently higher among those with depression than those
without depression. From 2005 to 2017, nondaily smoking did not significantly change
among individuals with depression (9.25% to 9.40%; AOR=0.995, 95% CI=0.986, 1.005),
whereas it decreased from 7.02% to 5.85% among those without depression (AOR=0.986,
95% CI=0.981, 0.990). By contrast, daily smoking declined among individuals with (25.21%
to 15.11%; AOR=0.953, 95% CI=0.945, 0.962) and without depression (14.94% to 9.76%;
AOR=0.970, 95% CI=0.967, 0.973). The quit ratio increased among individuals with (28.61%
to 39.75%; AOR=1.036, 95% CI=1.021, 1.052) and without depression (47.65% to 53.09%;
AOR=1.013, 95% CI=1.009, 1.017), yet quit ratios were consistently lower for those
with depression than those without depression.
Conclusions
Quit ratios are increasing and smoking prevalence is decreasing overall, yet disparities
by depression status remain significant. Disparities in quit ratio may be one contributing
factor to the elevated prevalence of smoking among those with depression. Innovative
tobacco control approaches for people with depression appear long overdue.
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Article info
Publication history
Published online: March 07, 2020
Identification
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© 2020 Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine.
