Tombor Ildiko, Shahab Lion, Brown Jamie, Notley Caitlin, West Robert
Cancer Research UK Health Behaviour Research Centre, University College London, WC1E 6BT, UK.
Cancer Research UK Health Behaviour Research Centre, University College London, WC1E 6BT, UK.
Addict Behav. 2015 Jun;45:99-103. doi: 10.1016/j.addbeh.2015.01.026. Epub 2015 Jan 19.
'Categorical self-labels' (e.g. thinking of oneself as a smoker or non-smoker) are important aspects of identity that can have a fundamental influence on behaviour. To explore the role identity aspects relating to smoking can play in smoking cessation and relapse, this study assessed the prospective associations between taking on a non-smoker identity following quitting and long-term abstinence.
A representative sample of 574 ex-smokers in England who quit smoking in the past year was followed-up at three (N=179) and six months (N=163). Post-quit identity relating to smoking ('I still think of myself as a smoker' or 'I think of myself as a non-smoker'), and demographic and smoking-related characteristics were assessed at baseline. Self-reported smoking abstinence was assessed at follow-ups.
Non-smoker identity was reported by 80.3% (95%CI 76.8-83.4) of recent ex-smokers. Younger age (p=0.017) and longer abstinence (p<0.001) were independently associated with a post-quit non-smoker identity. After adjusting for covariates, non-smoker identity (p=0.032) and length of abstinence at baseline (p<0.001) were associated with continued abstinence at three month follow-up, and baseline length of abstinence (p=0.003) predicted continued abstinence at six months.
The majority of people who quit smoking recently consider themselves as non-smokers. Younger people and those who have been abstinent for longer are more likely to take on a non-smoker identity. Ex-smokers who make this mental transition following a quit attempt appear more likely to remain abstinent in the medium term than those who still think of themselves as smokers.
“分类自我标签”（例如将自己视为吸烟者或非吸烟者）是身份认同的重要方面，会对行为产生根本性影响。为探究与吸烟相关的身份认同方面在戒烟和复吸中可能发挥的作用，本研究评估了戒烟后形成非吸烟者身份与长期戒烟之间的前瞻性关联。
对英格兰574名过去一年戒烟的前吸烟者的代表性样本进行随访，随访时间为3个月（N = 179）和6个月（N = 163）。在基线时评估与吸烟相关的戒烟后身份认同（“我仍然认为自己是吸烟者”或“我认为自己是非吸烟者”）以及人口统计学和吸烟相关特征。在随访时评估自我报告的戒烟情况。
80.3%（95%CI 76.8 - 83.4）的近期戒烟者报告有非吸烟者身份认同。年龄较小（p = 0.017）和戒烟时间较长（p < 0.001）与戒烟后的非吸烟者身份认同独立相关。在调整协变量后，非吸烟者身份认同（p = 0.032）和基线时的戒烟时长（p < 0.001）与3个月随访时的持续戒烟相关，基线戒烟时长（p = 0.003）可预测6个月时的持续戒烟情况。
大多数近期戒烟者认为自己是非吸烟者。年轻人以及戒烟时间较长的人更有可能形成非吸烟者身份认同。与那些仍认为自己是吸烟者的人相比，尝试戒烟后进行这种心理转变的前吸烟者在中期似乎更有可能保持戒烟状态。
