Jackson Sarah E, Brown Jamie, Shahab Lion, Cox Sharon
Department of Behavioural Science and Health, University College London, London, UK.
Behavioural Research UK, Edinburgh, UK.
Addiction. 2025 Dec;120(12):2519-2526. doi: 10.1111/add.70159. Epub 2025 Aug 7.
An increasing proportion of adults in England who smoke cigarettes do not smoke every day and may see quitting smoking as less important than those who smoke daily. This study aimed to examine whether motivation to stop smoking differs between those who smoke cigarettes daily vs. non-daily, and to explore differences in this association by relevant sociodemographic, smoking and vaping-related factors.
Observational study using data drawn from the Smoking Toolkit Study, a representative cross-sectional survey in England, 2021-2024.
13 277 cigarette smokers (≥16 y).
Outcome variables were level of motivation to stop smoking (Motivation to Stop Scale), analysed as a 7-level ordinal variable and dichotomised to assess (1) no desire to stop smoking and (2) high motivation to stop smoking. The exposure variable was daily vs. non-daily smoking. Covariates and potential moderators were age, gender, socioeconomic position, presence of children in the household, strength of urges to smoke, vaping status, harm perceptions of e-cigarettes vs. cigarettes and survey year.
Non-daily (vs. daily) smoking was associated with greater motivation to stop smoking [adjusted odds ratio (OR) = 1.22 (95% confidence interval, CI = 1.13-1.32)]. Non-daily smokers were both less likely than daily smokers to report no desire to stop smoking [40.4% vs. 44.0%; OR = 0.85 (95% CI = 0.77-0.95)] and more likely to report high motivation to stop smoking [21.0% vs. 14.8%; OR = 1.78 (95% CI = 1.55-2.03)]. These differences in motivation-especially in the odds of reporting no desire to stop smoking-between non-daily and daily smokers were more pronounced among those who were older and less advantaged. Differences were less pronounced among those who reported no urges to smoke, those who vaped and those who perceived e-cigarettes to be less harmful than cigarettes.
In England, adults who smoke cigarettes non-daily appear to tend to be more motivated to quit smoking than those who smoke every day, especially among older and less advantaged people.
在英国，吸烟的成年人中，不每天吸烟的比例日益增加，他们可能认为戒烟不如每天吸烟的人那么重要。本研究旨在探讨每天吸烟与不每天吸烟的人群在戒烟动机上是否存在差异，并通过相关的社会人口统计学、吸烟及电子烟使用相关因素来探究这种关联的差异。
采用观察性研究，数据来源于吸烟工具包研究，这是一项2021 - 2024年在英国进行的具有代表性的横断面调查。
13277名吸烟者（≥16岁）。
结局变量为戒烟动机水平（戒烟动机量表），分析为一个7级有序变量，并二分法评估（1）无戒烟意愿和（2）强烈戒烟动机。暴露变量为每天吸烟与不每天吸烟。协变量和潜在调节因素包括年龄、性别、社会经济地位、家中是否有孩子、吸烟冲动强度、电子烟使用状况、对电子烟与香烟危害的认知以及调查年份。
不每天吸烟（与每天吸烟相比）与更强的戒烟动机相关[调整后的优势比（OR）= 1.22（95%置信区间，CI = 1.13 - 1.32）]。不每天吸烟的人比每天吸烟的人报告无戒烟意愿的可能性更低[40.4%对44.0%；OR = 0.85（95% CI = 0.77 - 0.95）]，报告有强烈戒烟动机的可能性更高[21.0%对14.8%；OR = 1.78（95% CI = 1.55 - 2.03）]。在年龄较大和处境较差的人群中，不每天吸烟与每天吸烟的人在动机上的这些差异——尤其是在报告无戒烟意愿的几率方面——更为明显。在报告没有吸烟冲动的人、使用电子烟的人以及认为电子烟比香烟危害小的人中，差异不太明显。
在英国，不每天吸烟的成年人似乎比每天吸烟的人更有戒烟动机，尤其是在年龄较大和处境较差的人群中。
