Age and the role of symptomatology in readiness to quit smoking

To develop effective age-appropriate strategies for smoking cessation, it i s important to understand factors associated with readiness to quit smoking . This article presents results from an analysis of the role of symptomatol ogy in the decisions to quit smoking among three age groups (18-34, 35-54, and greater than or equal to 55 years) from a larger sample of smokers in a managed-care setting. Two measures of readiness to quit smoking were used: stages of change and intention to stop. Using ordinal logistic regression, we found that smokers in the middle and oldest age groups who had experien ced at least three of five symptoms in the previous 2 weeks were more likel y to be in higher stages of readiness. Regardless of age, smokers who attri buted symptoms to smoking were more motivated to try to quit, whereas those who attributed symptoms to aging were less likely to intend to stop smokin g. Findings from this study indicate a symptom-based approach to smoking ce ssation may be a useful strategy, especially in provider-based intervention s. (C) 1998 Elsevier Science Ltd.