Table_1_Regional and social disparities in cessation behavior and motivation to quit among U.S. adult current smokers, Tobacco Use Supplement to the U.S. Census Bureau's Current Population Survey 2014–15 and 2018–19.DOCX

IntroductionVariation in smoking cessation behaviors and motivators across the United States may contribute to health disparities. This study investigates regional differences over time in two key cessation motivators (quit interest and doctor's advice to quit) and two cessation behaviors (past-year quit attempts and recent successful cessation) across diverse demographic factors.MethodsData were analyzed from two releases of the Tobacco Use Supplement to the U.S. Census Bureau's Current Population Survey (TUS-CPS) for the years 2014–15 and 2018–19. The analysis included sex, age, race and ethnicity, education, marital status, employment status, and household income.ResultsFindings from 2018 to 2019 TUS-CPS revealed that quit interest was highest in the Northeast and lowest in the Midwest, while doctor's advice to quit was most prevalent in the Northeast and least in the West. Past-year quit attempts were most common in the Northeast and least in the South. Recent successful cessation (defined as quitting for 6 to 12 months) was highest in the Northeast and Midwest, with the South showing the lowest rates. Compared to the 2014–15 survey, 14 demographic groups (7 in the Midwest, 6 in the South, and 1 in the West) showed decreases in both quit interest and actions to quit. Notably, the Asian non-Hispanic group in the Northeast experienced a significant decrease in quit interest (–17.9%) but an increase in recent successful cessation (+369.2%).DiscussionOverall, the study indicates that while quit interest was highest in the West, the South exhibited the lowest rates of quit attempts and successful cessation. Significant differences were also noted between age groups. These findings highlight the need for further research into cessation behaviors at more granular levels to inform policies aimed at reducing smoking-related health disparities among populations facing the greatest challenges in cessation.

美国各州戒烟行为和动机的差异性可能导致了健康差异。本研究旨在探讨两个关键戒烟动机（戒烟兴趣和医生建议戒烟）以及两种戒烟行为（过去一年的戒烟尝试和近期成功戒烟）随时间在区域间的差异，并分析不同人口统计学因素。方法上，研究分析了美国人口普查局当前人口调查烟草使用补充报告（TUS-CPS）的2014-15年和2018-19年两个版本的资料。分析涵盖了性别、年龄、种族和民族、教育程度、婚姻状况、就业状态和家庭收入等因素。结果显示，2018至2019年的TUS-CPS数据显示，戒烟兴趣在东北部最高，在中西部最低；医生建议戒烟在东北部最为普遍，在西最低。过去一年的戒烟尝试在东北部最为常见，在南部最少。近期成功戒烟（定义为戒烟6至12个月）在东北部和中部最高，南部显示出最低的比率。与2014-15年的调查相比，14个群体（中西部7个，南部6个，西部1个）的戒烟兴趣和戒烟行动均有所下降。值得注意的是，东北部的亚裔非西班牙裔群体在戒烟兴趣上显著下降（-17.9%），但近期成功戒烟有所增加（+369.2%）。讨论部分总体指出，尽管西部的戒烟兴趣最高，但南部的戒烟尝试和成功戒烟比率最低。不同年龄组之间也存在显著差异。这些发现凸显了有必要在更细致的层面上进一步研究戒烟行为，以期为旨在减少戒烟挑战最大的群体中吸烟相关健康差异的政策提供信息。