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Population versus Clinical Perspectives on Smoking Behaviour

Published online by Cambridge University Press:  06 October 2014

Stephen L. Brown
Affiliation:
University of Adelaide
Neville Owen*
Affiliation:
University of Adelaide
*
Department of Community Medicine, The University of Adelaide, PO Box 498, Adelaide, South Australia 5001
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Abstract

Effective mass-reach smoking-cessation interventions are required in order to accelerate the decline in the prevalence of smoking in Australia and other industrialised countries. Such large-scale interventions still rely, to a major extent, on theoretical principles derived from research with clinical or other opportunistic samples. Schachter (1982) argues that this type of research provides information which is unrepresentative of smokers in the general population. We compared a population-probability sample with a sample of smokers enrolling in a smoking-cessation program offered by a community health centre. The health centre sample was composed of predominantly female, older smokers who had higher smoking rates, had made more previous attempts to stop smoking, and tended to attribute their last relapse to irritability. We discuss some potential implications for research relevant to population-wide smoking control strategies.

Type
Research Article
Copyright
Copyright © The Author(s) 1990

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References

REFERENCES

Australian Bureau of Statistics (1988). Smoking and Asthma: South Australia — July 1987. Canberra, Australia: Author (Cat. No. 4306.4).Google Scholar
Baer, J.S., Holt, C.S., & Lichtenstein, E. (1986). Self-efficacy and smoking re-examined: Construct validity and clinical utility. Journal of Consulting and Clinical Psychology, 54 846852.Google Scholar
Borland, R., Chapman, S., Owen, N., & Hill, D.J. (1990). Effects of workplace smoking bans on cigarette consumption. American Journal of Public Health, 80, 178180.Google Scholar
Brown, S.L., Owen, N., & Hunt, G. (1990, 02). Telephone contact as a supplement to a self-instructional smoking-cessation manual. Paper presented to the Fifth International Conference on the treatment of Addictive Behaviors, Sydney.Google Scholar
Chapman, S. (1985). Stop-smoking clinics: a case for their abandonment. The Lancet, 04 20, 918920.Google Scholar
Cohen, S., Lichtenstein, E., Prochaska, J.O., Rossi, J.S., Gritz, E.R., Orleans, C.T., Schoenbach, V.J., Biener, L., Abrams, D., DiClemente, C., Curry, S., Marlatt, G.A., Cummings, K.M., Eamont, S.L., Giovino, G., & Ossip-Klein, D. (1989). Debunking myths about self-quitting: Evidence from 10 prospective studies of persons who attempt to quit smoking by themselves. American Psychologist, 44, 13551365.Google Scholar
Flay, B.R. (1987). Mass media and smoking cessation: A critical review. American Journal of Public Health, 77, 153160.Google Scholar
Glasgow, R.E., & Lichtenstein, E. (1987). Long term effects of behavioral smoking cessation interventions. Behavior Therapy, 18, 297324.Google Scholar
Hallett, R. (1986) Smoking intervention in the workplace: Review and recommendations. Preventive Medicine, 15, 213231.CrossRefGoogle Scholar
Hetzel, B.S., & McMichael, A.J. (1987). The LS Factor. Melbourne, Australia: Penguin.Google Scholar
Hill, D.J. (1988). Australian patterns of tobacco smoking in 1986. Medical Journal of Australia, 149, 612.Google Scholar
Jeffery, R.W. (1989). Risk behaviors and health: Contrasting individual and population perspectives. American Psychologist, 44, 11941202.Google Scholar
Marlatt, G.A., & Gordon, J.R. (1985). (Eds.). Relapse prevention: Maintenance strategies in the treatment of addictive behaviors NY: Guilford.Google Scholar
Matarazzo, J.D. (1982). Behavioral health's challenge to academic, scientific and professional psychology. American Psychologist, 37, 114.Google Scholar
Oldenburg, B., & Owen, N. (1990) Health psychology in Australia. Psychology and Health. 4, 7381.Google Scholar
Owen, N., & Brown, S.L. (1990, 02). Smokers unlikely to be able to quit: Associations of number and duration of previous attempts with current perceptions of cessation. Paper presented to the Fifth International Conference on the Treatment of Addictive Behaviors, Sydney.Google Scholar
Owen, N., & Davies, M.J. (in press). Smokers' preferences for assistance with cessation. Preventive Medicine.Google Scholar
Owen, N., Ewins, A., & Lee, C. (1989). Smoking cessation by mail: A comparison of standard and personalized correspondence course formats. Addictive Behaviors, 14, 355363.Google Scholar
Owen, N., & Halford, W.K. (1988). Psychology, public health and cigarette smoking. Australian Psychologist, 23, 137151.Google Scholar
Owen, N., Lee, C. (1986a). Towards more rigorous evaluation of health promotion programmes. Australian Psychologist, 21, 7991.Google Scholar
Owen, N., & Lee, C. (1986b). Issues in changing behaviour to promote health. Behaviour Change, 3, 150157.Google Scholar
Palinkas, T.A., & Hoiberg, A. (1982). An epidemiology primer: Bridging the gap between epidemiology and psychology. Health Psychology, 1, 269288.CrossRefGoogle Scholar
Pierce, J.P., Dwyer, T., Chamberlain, A., Aldrich, R.N., & Shelley, J. (1987). Targeting the smoker in an antismoking campaign. Preventive Medicine, 16, 816824.Google Scholar
Prochaska, J.O., Velicer, W.F., DiClemente, C.C., & Fava, J. (1988). Measuring processes of change: Applications to cessation of smoking. Journal of Consulting and Clinical Psychology, 56, 520538.CrossRefGoogle ScholarPubMed
Schachter, S. (1982). Recidivism and self cure in smoking and obesity. American Psychologist, 37, 436444.Google Scholar
Schwartz, J.L., & Dubitzky, M. (1967). Expressed willingness of smokers to try ten smoking withdrawal methods. Public Health Reports, 82, 855861.Google Scholar
Taylor, C.B., & Owen, N. (1989). Behavioural medicine: Research and development in disease prevention. Behaviour Change, 6, 311.Google Scholar
Wakefield, M., Owen, N., & Wilson, D. (in press). Smoking — Call it quits: An evaluation of the South Australian Smoking and Health Projects' first mass-media campaign. In Proceedings of the Seventh World Conference on Tobacco and Health.Google Scholar
Warner, K.E. (1986). Smoking and health implications of a change in the Federal Cigarette Excise Tax. Journal of the American Medical Association, 255, 10281032.Google Scholar
Winnett, R.A., King, A.C., & Altman, D. (1989). Health psychology and public health: An integrative approach. NY: Pergamon.Google Scholar