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Which measures of cigarette dependence are predictors of smoking cessation during pregnancy? Analysis of data from a randomized controlled trial

Riaz, Muhammad; Lewis, Sarah; Coleman, Tim; Aveyard, Paul; West, Robert; Naughton, Felix; Ussher, Michael

Authors

Muhammad Riaz

TIM COLEMAN tim.coleman@nottingham.ac.uk
Professor of Primary Care

Paul Aveyard

Robert West

Felix Naughton

Michael Ussher



Abstract

Aims: To examine the ability of different common measures of cigarette dependence to predict smoking cessation during pregnancy.

Design: Secondary analysis of data from a parallel-group randomized controlled trial of physical activity for smoking cessation. The outcomes were biochemically validated smoking abstinence at 4 weeks post-quit and end-of-pregnancy.

Setting: Women identified as smokers in antenatal clinics in 13 hospital trusts predominantly in southern England, who were recruited to a smoking cessation trial.

Participants: Of 789 pregnant smokers recruited, 784 were included in the analysis.

Measurements: Using random-effect logistic regression models, we analysed the effects of baseline measures of cigarette dependence, including numbers of cigarettes smoked daily, Fagerström Test of Cigarette Dependence (FTCD) score, the two FTCD subscales of Heaviness of Smoking Index (HSI) and non-Heaviness of Smoking Index (non-HSI), expired carbon monoxide (CO) level and urges to smoke (strength and frequency) on smoking cessation. Associations were adjusted for significant socio-demographic/health behaviour predictors and trial variables, and area under the receiver operating characteristic (ROC) curve was used to determine the predictive ability of the model for each measure of dependence.

Findings: All the dependence variables predicted abstinence at 4 weeks and end-of-pregnancy. At 4 weeks, the adjusted odds ratio (OR) (95% confidence interval) for a unit standard deviation increase in FTCD was 0.59 (0.47–0.74), expired CO = 0.54 (0.41–0.71), number of cigarettes smoked per day 0.65 (0.51–0.84) and frequency of urges to smoke 0.79 (0.63–0.98); at end-of-pregnancy they were: 0.60 (0.45–0.81), 0.55 (0.37–0.80), 0.70 (0.49–0.98) and 0.69 (0.51–0.94), respectively. HSI and non-HSI exhibited similar results to the full FTCD.

Conclusions: Four common measures of dependence, including number of cigarettes smoked per day, scores for Fagerström Test of Cigarette Dependence and frequency of urges and level of expired CO, all predicted smoking abstinence in the short term during pregnancy and at end-of-pregnancy with very similar predictive validity.

Citation

Riaz, M., Lewis, S., Coleman, T., Aveyard, P., West, R., Naughton, F., & Ussher, M. (in press). Which measures of cigarette dependence are predictors of smoking cessation during pregnancy? Analysis of data from a randomized controlled trial. Addiction, 111(9), https://doi.org/10.1111/add.13395

Journal Article Type Article
Acceptance Date Mar 14, 2016
Online Publication Date May 6, 2016
Deposit Date Aug 23, 2016
Publicly Available Date Aug 23, 2016
Journal Addiction
Print ISSN 0965-2140
Electronic ISSN 1360-0443
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 111
Issue 9
DOI https://doi.org/10.1111/add.13395
Keywords Cigarette Dependence Measures, Physical Activity, Predictors, Pregnancy, Randomised Control Trail, Secondary analysis, Smoking Cessation
Public URL http://eprints.nottingham.ac.uk/id/eprint/35869
Publisher URL http://onlinelibrary.wiley.com/doi/10.1111/add.13395/abstract?system
Related Public URLs http://dx.doi.org/10.1111/add.13395
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc-nd/4.0

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc-nd/4.0





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