Show simple item record

dc.contributor.authorBorrelli, Belinda
dc.contributor.authorHayes, Rashelle B.
dc.contributor.authorDunsiger, Shira
dc.contributor.authorFava, Joseph L.
dc.date2022-08-11T08:10:20.000
dc.date.accessioned2022-08-23T17:05:08Z
dc.date.available2022-08-23T17:05:08Z
dc.date.issued2010-03-25
dc.date.submitted2011-11-28
dc.identifier.citationAddiction. 2010 Jun;105(6):1100-8. Epub 2010 Mar 22. <a href="http://dx.doi.org/10.1111/j.1360-0443.2010.02900.x">Link to article on publisher's site</a>
dc.identifier.issn0965-2140 (Linking)
dc.identifier.doi10.1111/j.1360-0443.2010.02900.x
dc.identifier.pmid20331572
dc.identifier.urihttp://hdl.handle.net/20.500.14038/44789
dc.description.abstractAIMS: To examine the influence of risk perception on intentions to quit smoking and post-treatment abstinence. DESIGN: Prospective and longitudinal. SETTING: United States. PARTICIPANTS: A total of 237 adult smokers (mean age 56 years) receiving medical care from home health-care nurses. Participants did not have to want to quit smoking to participate, but received cessation counseling within the context of their medical care. MEASUREMENTS: Three measures of risk perception were given pre- and post-treatment: perceived vulnerability, optimistic bias and precaution effectiveness. Smoking status was verified biochemically at end of treatment and at 2, 6 and 12 months later. FINDINGS: Principal components analysis supported the theoretical discriminability of the risk perception measures, and intercorrelations provided evidence for concurrent and predictive validity. Elevated risk perception was associated with a variety of socio-demographic and psychosocial characteristics. Optimistic bias was associated significantly with older age and ethnic minority status. Smokers in pre-contemplation had lower perceived vulnerability and precaution effectiveness and greater optimistic bias than those in contemplation and preparation. Smokers in preparation had higher perceived vulnerability and lower optimistic bias than those in earlier stages. Change in perceived vulnerability predicted smoking cessation at follow-up. Optimistic bias predicted a lower likelihood of cessation and precaution effectiveness predicted a greater likelihood of smoking cessation, but only among those with a smoking-related illness. CONCLUSIONS: In patients receiving medical care from home health-care nurses, change in perceived vulnerability to smoking-related disease is predictive of smoking cessation. In those with smoking-related illnesses, optimistic bias predicts continued smoking while precaution effectiveness predicts cessation.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=20331572&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC2908209/pdf/nihms188507.pdf
dc.subjectAdult
dc.subjectAge Factors
dc.subjectCommunity Health Nursing
dc.subjectCounseling
dc.subjectFemale
dc.subject*Health Knowledge, Attitudes, Practice
dc.subject*Health Status
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectProspective Studies
dc.subject*Risk-Taking
dc.subjectSmoking
dc.subjectSmoking Cessation
dc.subjectUnited States
dc.subjectBehavioral Disciplines and Activities
dc.subjectBehavior and Behavior Mechanisms
dc.subjectCommunity Health and Preventive Medicine
dc.subjectPreventive Medicine
dc.titleRisk perception and smoking behavior in medically ill smokers: a prospective study
dc.typeJournal Article
dc.source.journaltitleAddiction (Abingdon, England)
dc.source.volume105
dc.source.issue6
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/prevbeh_pp/210
dc.identifier.contextkey2374910
html.description.abstract<p>AIMS: To examine the influence of risk perception on intentions to quit smoking and post-treatment abstinence.</p> <p>DESIGN: Prospective and longitudinal.</p> <p>SETTING: United States.</p> <p>PARTICIPANTS: A total of 237 adult smokers (mean age 56 years) receiving medical care from home health-care nurses. Participants did not have to want to quit smoking to participate, but received cessation counseling within the context of their medical care.</p> <p>MEASUREMENTS: Three measures of risk perception were given pre- and post-treatment: perceived vulnerability, optimistic bias and precaution effectiveness. Smoking status was verified biochemically at end of treatment and at 2, 6 and 12 months later.</p> <p>FINDINGS: Principal components analysis supported the theoretical discriminability of the risk perception measures, and intercorrelations provided evidence for concurrent and predictive validity. Elevated risk perception was associated with a variety of socio-demographic and psychosocial characteristics. Optimistic bias was associated significantly with older age and ethnic minority status. Smokers in pre-contemplation had lower perceived vulnerability and precaution effectiveness and greater optimistic bias than those in contemplation and preparation. Smokers in preparation had higher perceived vulnerability and lower optimistic bias than those in earlier stages. Change in perceived vulnerability predicted smoking cessation at follow-up. Optimistic bias predicted a lower likelihood of cessation and precaution effectiveness predicted a greater likelihood of smoking cessation, but only among those with a smoking-related illness.</p> <p>CONCLUSIONS: In patients receiving medical care from home health-care nurses, change in perceived vulnerability to smoking-related disease is predictive of smoking cessation. In those with smoking-related illnesses, optimistic bias predicts continued smoking while precaution effectiveness predicts cessation.</p>
dc.identifier.submissionpathprevbeh_pp/210
dc.contributor.departmentDepartment of Medicine, Division of Preventive and Behavioral Medicine
dc.source.pages1100-8


This item appears in the following Collection(s)

Show simple item record