Skip to main content Accessibility help
×
Home

Population versus Clinical Perspectives on Smoking Behaviour

  • Stephen L. Brown (a1) and Neville Owen (a1)

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.

Copyright

Corresponding author

Department of Community Medicine, The University of Adelaide, PO Box 498, Adelaide, South Australia 5001

References

Hide All
Australian Bureau of Statistics (1988). Smoking and Asthma: South Australia — July 1987. Canberra, Australia: Author (Cat. No. 4306.4).
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.
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.
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.
Chapman, S. (1985). Stop-smoking clinics: a case for their abandonment. The Lancet, 04 20, 918920.
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.
Flay, B.R. (1987). Mass media and smoking cessation: A critical review. American Journal of Public Health, 77, 153160.
Glasgow, R.E., & Lichtenstein, E. (1987). Long term effects of behavioral smoking cessation interventions. Behavior Therapy, 18, 297324.
Hallett, R. (1986) Smoking intervention in the workplace: Review and recommendations. Preventive Medicine, 15, 213231.
Hetzel, B.S., & McMichael, A.J. (1987). The LS Factor. Melbourne, Australia: Penguin.
Hill, D.J. (1988). Australian patterns of tobacco smoking in 1986. Medical Journal of Australia, 149, 612.
Jeffery, R.W. (1989). Risk behaviors and health: Contrasting individual and population perspectives. American Psychologist, 44, 11941202.
Marlatt, G.A., & Gordon, J.R. (1985). (Eds.). Relapse prevention: Maintenance strategies in the treatment of addictive behaviors NY: Guilford.
Matarazzo, J.D. (1982). Behavioral health's challenge to academic, scientific and professional psychology. American Psychologist, 37, 114.
Oldenburg, B., & Owen, N. (1990) Health psychology in Australia. Psychology and Health. 4, 7381.
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.
Owen, N., & Davies, M.J. (in press). Smokers' preferences for assistance with cessation. Preventive Medicine.
Owen, N., Ewins, A., & Lee, C. (1989). Smoking cessation by mail: A comparison of standard and personalized correspondence course formats. Addictive Behaviors, 14, 355363.
Owen, N., & Halford, W.K. (1988). Psychology, public health and cigarette smoking. Australian Psychologist, 23, 137151.
Owen, N., Lee, C. (1986a). Towards more rigorous evaluation of health promotion programmes. Australian Psychologist, 21, 7991.
Owen, N., & Lee, C. (1986b). Issues in changing behaviour to promote health. Behaviour Change, 3, 150157.
Palinkas, T.A., & Hoiberg, A. (1982). An epidemiology primer: Bridging the gap between epidemiology and psychology. Health Psychology, 1, 269288.
Pierce, J.P., Dwyer, T., Chamberlain, A., Aldrich, R.N., & Shelley, J. (1987). Targeting the smoker in an antismoking campaign. Preventive Medicine, 16, 816824.
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.
Schachter, S. (1982). Recidivism and self cure in smoking and obesity. American Psychologist, 37, 436444.
Schwartz, J.L., & Dubitzky, M. (1967). Expressed willingness of smokers to try ten smoking withdrawal methods. Public Health Reports, 82, 855861.
Taylor, C.B., & Owen, N. (1989). Behavioural medicine: Research and development in disease prevention. Behaviour Change, 6, 311.
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.
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.
Winnett, R.A., King, A.C., & Altman, D. (1989). Health psychology and public health: An integrative approach. NY: Pergamon.

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed