Smoking Attitudes Research Articles

Prevalence of Smoking and Beliefs and Attitude Toward Smoking Habit and Smoking Cessation Methods Among Pharmacy Students: A Cross-Sectional Study in Saudi Arabia.

ObjectiveThe impact of pharmaceutical services on public health especially in regards to smoking cessation counseling can influence the rate of smoking cessation. The present study aims to evaluate prevalence, beliefs, and attitude of pharmacy students toward smoking habit and SC methods.MethodsAn online cross-sectional survey was conducted among pharmacy students at King Saud University, Riyadh, Saudi Arabia over 4-month period from May to August 2021. The survey consisted of 22-items focused on evaluating the prevalence, belief, and attitude toward smoking habits and smoking cessation methods. Data was descriptively analyzed using a statistical package for social science version 26 (SPSS).ResultsA total of 675 students completed the survey, among which 78.7 % were non-smokers and only 31.7% received education on the dangers of smoking. The most common methods of smoking cessation they heard of were consultation (58.6%), followed by use of electronic cigarettes (41.92 %) and Nicotine patch (40.7%). One-third of the surveyed students (36.8 %) agreed that specialized smoking cessation clinics enhance the efficacy of smoking cessation methods. The majority of students (80.6%) agreed to ban smoking in public places and 92.2% believed that tobacco sales to adolescents should be forbidden. Health professionals should actively participate and advise their patients to quit smoking as 89.8 % students agreed on that. Age and gender of students had significantly influenced the prevalence of smoking, history of smoking, frequency of smoking, efforts to quit smoking among smokers (p = 0.0001).ConclusionThe prevalence of non-smokers among pharmacy students is encouraging, yet level of awareness about and usefulness of smoking cessation methods is unsatisfactory. Therefore, the study clearly highlights a great need for integrating smoking cessation programs in their academic curricula to prepare them for real-world practice.

Smoking Behavior Among Students: Using Health Belief Model and Zero-Inflated Ordered Probit Model

Background: Smoking is increasing among adolescents and young adults. Adolescents’ smoking can predict frequent smoking in early adulthood. This study aimed to explore the predictors of smoking among high school students using health belief model (HBM). Materials and Methods: In this cross-sectional study conducted in 2019 in Bandar-Abbas city, South of Iran, 444 male high-school students aged 15-19 years (mean age: 16.7±0.85) were explored. Data were collected using a researcher-made questionnaire consisted of two main sections: sociodemographic characteristics and HBM constructs. The zero-inflated ordered probit (ZIOP) model was adopted for investigating the association between HBM constructs and smoking behavior. Results: Results indicated that 82% of the participants never smoked cigarette. The results of ZIOP model showed that the knowledge (P=0.026), susceptibility (P<0.001), severity (P=0.035), benefits (P=0.004), and cues to action (P=0.019) had significant effects on smoking cigarette after being adjusted for other covariates (i.e., age, parents’ education, losing one of the parents). Moreover, having a smoker friend was found to be an inflation factor (P<0.001). Adolescents with smoking friends were 44% less likely to avoid smoking. Conclusion: It was concluded that having a smoker friend, knowledge, susceptibility, severity, benefits, and cues to action had considerable predictive capacity for predicting smoking attitude. Therefore, it was recommended that these factors should be seriously considered when designing educational programs with the aim of reducing adolescent smoking.

Decomposition and Comparative Analysis of the Prevalence of and Factors Associated With Smoking Between the Rural and Urban Elderly Population in China: A National Cross-Sectional Study.

This study aimed to compare and analyse the differences in smoking prevalence, and knowledge, attitudes, and factors associated with smoking between the rural and urban elderly population in China. In total, 6,966 participants aged 60 and above were included in this study, which assessed their smoking-related knowledge, attitudes, and perceptions toward tobacco control. The Chi-square test and logistic regression model were used for statistical analysis, and the Fairlie model was used for decomposition analysis. The overall prevalence of smoking was 25.6%; the rate was much higher in men than in women (overall: OR = 26.234; urban: OR = 31.260; rural: OR = 23.889). The rate of correct responses to all questions on smoking problems was significantly higher among the urban elderly than the rural elderly. Further, 64.18% of the participants supported printing photos of the health hazards of smoking on the cover of cigarette packs, and the rural elderly were more supportive of this. Moreover, only 36.52% of the participants supported increasing taxation and retail price of cigarettes; the urban elderly showed more support for this. Rules about smoking at home also played an important role, especially for families where smoking was not allowed at home, but with exceptions to the rule; however, this factor was only meaningful in urban families (urban: OR = 0.117). Through the Fairlie decomposition analysis, gender (-1.62%), age (-2.03%), region (13.68%), knowing about e-cigarettes (5.17%), rules about smoking at home (3.95%), and smoking-related knowledge scores (42.85%) were found to be associated with rural-urban disparities. This study focused on the differences in smoking between urban and rural areas in China. Smoking among the urban elderly was significantly less prevalent compared with the rural population. Factors including education, region, and smoking-related knowledge need to be addressed to reduce the gap between urban and rural health hazards in China.

Comparison and determination of factors associated with smoking status, smoking knowledge, attitude and practice (S-KAP) between smoke-free and non-smoke-free campuses in public universities in Malaysia: a cross-sectional study

ObjectivesWe compared the smoking prevalence, smoking knowledge, attitudes and practices (S-KAP) between smoke-free campuses (SFCs) and non-SFCs (NSFCs) and determined the associated factors of smoking status and S-KAP.DesignCross-sectional study.SettingsThe research...

Visual Attention to Health Warning Labels on Waterpipe Venue Menus in Immersive Virtual Reality.

This study examined how health warning labels (HWL) on a waterpipe venue menu captured and held the attention of consumers and influenced waterpipe tobacco smoking (WTS) attitudes, beliefs, and behaviors. A randomized experiment (N = 96) of young adult waterpipe smokers was conducted in an immersive virtual reality laboratory. Participants viewed one of two virtual reality scenarios, a menu with an HWL and nicotine concentration or menu without an HWL and nicotine concentration. Eye-tracking metrics were collected, and participants completed posttest questionnaires on demographics, tobacco use history, and WTS attitudes, beliefs, and behaviors. T-tests were used to assess group differences, and a mediation analysis conducted to examine the relationship between the HWL and intention to quit WTS. Participants in the HWL group demonstrated greater visual attention to the warning and nicotine areas and less visual attention to the flavor and ingredients areas of the menu compared to the control group. The HWL group demonstrated greater negative attitudes toward WTS (p = .002), greater perceived risk of decreased lung function (p = .026), and greater intention to quit WTS (p = 0.003). The mediation model indicated the relationship between the HWL on a menu and intention to quit WTS was mediated by an increase in negative attitudes toward WTS. The HWLs on a menu captured and held the attention of consumers and increased negative attitudes, perceptions of health risk, and intention to quit WTS indicating potential benefit of including a warning label or nicotine concentration on menus to correct misperceptions of WTS. The study contributes to the broader literature on communicating the harms and risks of WTS. The findings suggest that HWL and nicotine concentration on waterpipe venue menus attract attention from consumers in environments comparable to the real world and the strategy warrants further exploration as a targeted policy intervention to educate the public and reduce the health burden of WTS.

Tobacco-related risk perceptions, social influences and public smoke-free policies in relation to smoke-free home restrictions: findings from a baseline cross-sectional survey of Armenian and Georgian adults in a community randomised trial

ObjectivesGiven high prevalence of smoking and secondhand smoke exposure in Armenia and Georgia and quicker implementation of tobacco legislation in Georgia versus Armenia, we examined correlates of having no/partial versus...

A Smoking Attitude Survey to Clarify Appropriate Cessation Support

A Smoking Attitude Survey to Clarify Appropriate Cessation Support

The Smoking Status and Attitudes of Medical School Students in a University of Nicosia

The Smoking Status and Attitudes of Medical School Students in a University of Nicosia

SMOKING BEHAVIORS AND ATTITUDES TOWARDS THE SMOKE-FREE CAMPUS POLICY: A SYSTEMATIC REVIEW

We conducted this systematic review to document the published literature related to smoking behaviors and attitudes towards the smoke-free campus policy. Studies on universities that had implemented the smoke-free campus policy were included in this review. The search for published articles from January 2010 to December 2020 involved three main electronic databases: Ovid MEDLINE, ScienceDirect, and Scopus. We searched the databases with the following Boolean string: [(smoke-free OR tobacco-free) AND (campus OR university OR college) AND (knowledge* OR attitude* OR practice*)]. Seventeen studies were included in this review. The majority (n = 8) were from the United States, followed by Saudi Arabia (n = 2) and one each from Israel, Lebanon, Australia, Canada, the United Kingdom, Spain, and China. Eight studies reported a positive impact of the policy on smoking behavior (plan to quit smoking, attempt to quit smoking, reduce smoking). However, 11 studies reported that respondents were still exposed to second-hand smoke and that cigarette butts were still scattered around the university area. Nine studies reported negative attitudes towards smoking, and seven of 12 studies reported positive attitudes towards the policy. Overall, the smoke-free campus policy had mixed impacts. Nevertheless, we found that attitude towards a smoke-free campus and smoking behavior has a good impact.

Screening and counseling for nicotine use in youth with diabetes.

To assess current practice patterns and identify knowledge gaps among pediatric endocrinologists in the United States regarding screening and counseling for combustible tobacco and e-cigarette use in youth with diabetes. Electronic cigarettes (e-cigarettes) are the most used tobacco product among adolescents and may be associated with an increased risk of progression to combustible cigarette smoking, cardiovascular disease, and stroke. Diabetes mellitus is a known risk factor for cardiovascular disease, and nicotine products can increase this risk. We sought to assess current practice patterns and identify knowledge gaps among pediatric endocrinologists in the United States regarding screening and counseling for combustible tobacco and e-cigarette use in youth with diabetes. We conducted an anonymous, online-based survey of Pediatric Endocrine Society members who provide care to youth with Type 1 or Type 2 diabetes. The survey collected information about provider demographics and smoking habits, knowledge and attitudes regarding screening and counseling for combustible tobacco and e-cigarette use, and current practice patterns. The survey was completed by 106 individuals of whom 64 reported providing care to youth with diabetes mellitus and ever asking about combustible tobacco or e-cigarette use. The majority of respondents were female, attending providers, and working in academic medical centers. None reported a history of formal training in e-cigarette counseling but recognized the harms of e-cigarette use. Nearly all (98%) who ever screen for nicotine use reported routinely screening for combustible tobacco use, while 18% never screen for e-cigarette use (p < 0.01). Over 80% of respondents reported feeling confident or very confident about discussing the harms of combustible tobacco, compared to 58% reporting the same confidence in discussing harms of e-cigarette use (p < 0.0001). Over 90% of respondents agreed that pediatric endocrinology providers should ask about nicotine use with over half agreeing that counseling reduces the risk of initiating nicotine product use, and 30% reported lack of change with counseling as a barrier to discussing nicotine use. Lack of visit time was the most reported barrier to discussing nicotine use. More providers cited lack of knowledge regarding e-cigarettes compared to combustible tobacco as a barrier to discussing its use. Pediatric endocrinology providers recognize the harms of e-cigarette use, but more frequently ask about combustible tobacco use compared to e-cigarette use. This may be related to lower reported confidence and provider knowledge in counseling about e-cigarette use. Increased utilization of existing resources and expanding opportunities for providers to learn more about e-cigarettes may increase provider confidence and comfort in screening and counseling.

Exploring the degree of nicotine dependence and willingness to quit smoking in Chinese smoking patients with stroke: A cross-sectional survey.

Smoking is closely related to the occurrence of stroke. The degree of nicotine dependence and willingness to quit smoking are key factors that determine whether a smoker can successfully quit smoking. Few studies have been conducted on factors affecting the willingness to quit smoking among smokers who suffered from stroke.Although the smoking rate has declined, it is still the main changeable risk factor for cerebrovascular diseases. We aimed to investigate the current status of nicotine dependence and willingness to quit smoking among patients who suffered from stroke. We also clarified factors that affect the willingness to quit smoking among stroke patients and provide evidence for quitting smoking.Convenience sampling methods were used to conduct cross-sectional studies. A questionnaire survey was administered to 215 stroke patients who smoked. A general information questionnaire as well as patient smoking and cessation status questionnaire were used. Nicotine dependence test scale, smoking attitude factor score, and tobacco harm perception scale were applied for investigation. Logistic regression was used to analyze factors related to patients’ willingness to quit smoking.Statistically significant differences in willingness to quit smoking were found among stroke patients with different ages, household registration status, education levels, marital status, occupation, smoking attitude, and nicotine dependence (P < .05). About 34.4%, 39.1%, and 26.5% of smoking patients had low, moderate, and severe nicotine dependence, respectively. Logistic analysis showed that compared with other occupations, workers, retirees, farmers, and freelancers compared with other people (0.050, 0.081, 0.053, 0.048) had a negative impact on the willingness to quit smoking among stroke patients. Compared with positive attitudes, negative and neutral smoking attitudes (0.190, 0.048) had a negative impact on the willingness to quit smoking among stroke patients. Compared with high nicotine dependence, low and moderate nicotine dependence (4.628, 2.596) had a positive impact on willingness to quit smoking.Smoking patients in neurology department are more willing to quit smoking (67.9%). Factors such as occupation, smoking attitude, and nicotine dependence should be considered when establishing smoking cessation interventions for stroke smokers.

Relationships of Smoking Media Literacy with Smoking Behavior, Attitudes, and Susceptibility among Adolescents in the Republic of Korea

The literature has indicated that higher smoking media literacy (i.e., SML) can buffer adverse effects of exposure to pro-smoking media content (i.e., PMC) on smoking-related outcomes in adolescence. Thus, we aimed to investigate (a) SML levels among Korean adolescents and (b) relationships of SML with smoking behavior, attitudes, and susceptibility. In 2017, we collected cross-sectional data from nine middle or high schools in Korea, using a convenience sampling method (N = 476). For the first aim, we calculated the average score of SML. For the second aim, we conducted multinomial logistic regression (MLR), multiple linear regression, and binary multiple logistic regression. Additionally, we conducted Firth logistic regression and confirmed the robustness of our findings obtained from the MLR. The average SML score was 6.48 out of 10 points, indicating that our respondents’ average SML was slightly above the middle level. In addition, after adjusting for factors potentially affecting associations between SML and the three smoking-related outcomes, we found significant protective relationships of SML with all smoking-related outcomes: smoking behavior, attitudes, and susceptibility. Given our findings, the enhancement of SML through education should be considered an important strategy to weaken the link between exposure to PMC and smoking-related outcomes.

Effect of Peer Promoters on Changes in Adolescent Smoking Knowledge and Attitudes: A School-based Intervention Study

Background: Smoking is currently a trend among youths, with the public emergence of new smokers shifting to this group.&#x0D; Aim:This study aims at analyzing the effect of peer promoters as communicators on the knowledge and smoking attitudes of junior high school adolescents.&#x0D; Methods:The quasi-experimental and non-equivalent control group designs were used. Furthermore, the respondents included 1062 students from two junior high schools in Makassar City, Indonesia, with 473 and 589 males and females, respectively. A total of 801 respondents had paired data (pre and post-test) consisting of 334 in the intervention and 467 in the control school.Paired t-test was used to measure the difference in the pretest and post-test scores of intervention and control schools. Independent t-test was used to determine mean difference between the pretest and post-test scores between intervention and the control schools.&#x0D; Results:The results showed that 18.4% (n = 1062) had smoked, with subtleties of 39.4% male and 1.5% female understudies. the knowledge score increase of 0.82 (p = 0.000) and 0.22 (p = 0.004) was observed in the intervention and control schools, respectively (n = 801). The attitude score also increased by 2.23 (p = 0.080) in the intervention and 2.51 (p = 0.000) in the control school (n = 801). Differences in the knowledge and attitude scores between both schools obtained a value of p = 0.004 and 0.766, respectively.&#x0D; Conclusion: education by peer promoters increase knowledge and change adolescent smoking attitudes indicated the promotion of school-based smoking behavior prevention efforts with intensive peer approach

A qualitative study on the impact of COVID-19 on the behavior and attitudes of smokers and non-smokers in South Korea

BackgroundThe COVID-19 pandemic has affected all aspects of human society, including education, culture, and the economy, and has also introduced changes in people’s health behaviors such as drinking alcohol, nutrition intake, and practicing healthy living. This study conducted qualitative research in the Korean context to examine the changes in the smoking behavior of smokers and secondhand smoke exposure of non-smokers during the COVID-19 pandemic.MethodsFocus group interviews were conducted with 36 Korean participants (18 men and 18 women). The groups were composed of cigarette smokers, e-cigarette users, heated tobacco product users, and non-smokers.ResultsDuring the pandemic, it was found that there was an increase in the frequency of use, irrespective of the tobacco product, in users who refrained from social interaction and worked or studied from home. Users who continued to be socially active increased the amount used with each usage. Smokers showed a tendency to avoid smoking rooms and to smoke alone in places unoccupied by people. In addition, non-smokers’ exposure to secondhand smoke did not decrease, but since non-smokers used masks, they reported more relief from the risk of exposure to secondhand smoke than before.ConclusionsDespite smokers being a high-risk group for COVID-19, the risk did not result in smoking cessation among smokers. Therefore, policies and educational campaigns to raise awareness about the dangers of smoking and to encourage smoking cessation are needed in the future.

PENGARUH INTERVENSI MEDIA SOSIAL (WHATSAPP) DENGAN FLYER TERHADAP PERUBAHAN PERILAKU MEROKOK REMAJA PADA MASA PANDEMI COVID-19 DI DESA TOMADO KECAMATAN LINDU

Adolescent smoking behavior is a behavior that endangers health, but there are still many teenagers who become smokers who started when they were teenagers or at the age of 11 years, especially teenage boys who often did this action. The use of appropriate media can affect the knowledge of respondents. In general, this study aims to determine the effect of social media intervention (whatsapp) with flyers on changes in adolescent smoking behavior during the COVID-19 pandemic in Tomado Village, Lindu District, Sigi Regency, Central Sulawesi. And specifically, the research objective was to determine the effect of social media intervention (whatsapp) with flyers on smoking knowledge, smoking frequency, changes in smoking attitudes, and adolescent motivation to quit smoking. This type of research is a quasi-experimental design with a pretest-posttest two group design. The research sample used purposive sampling method and obtained a sample of 40 people. The instrument of this research used questionnaires, observation sheets, pretest and posttest questionnaires, and media flyers. Analysis of research data using a comparative test, namely Paired sample t-test, and Independent t-test. The results showed that there was a significant difference in respondents' knowledge about the dangers of smoking in the intervention group, while in the control group it was found that there was no significant difference in respondents' knowledge; there was a significant difference in the frequency of adolescent smoking in the intervention group and the control group; there is a significant difference in adolescent smoking attitudes in the intervention group and the control group; there was a significant difference in motivation to quit smoking in the intervention group and the control group.

English

BACKGROUND Tobacco addiction has emerged as a major public health issue resulting in enormous disability, disease, and death and also acquired the dimension of an epidemic. More people die as a result of the worldwide tobacco epidemic than from tuberculosis (TB), human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS), and malaria combined. India is the second largest consumer of tobacco globally. It is estimated that five million preventable deaths occur every year globally. The trend of consumption of cigarettes is mostly seen among the young adult and adult population. Therefore, this study was done to assess the knowledge, attitude, and pattern of smoking among company and factory employees in Chennai. METHODS A cross sectional study was conducted among 102 automobile company employees in Chennai, where a pre-tested, self-administered questionnaire was used. Descriptive statistics, chi square test, Pearson correlation test were used to analyse the data. RESULTS Majority of the participants belonged to the 25 - 34 years age group. About 72.5 % of the participants believed smoking was harmful to their health. A statistically significant association was observed between education level and knowledge on smoking being harmful to health (P &gt; 0.05). A positive correlation was observed among knowledge and attitude; however, both were negatively related to pattern of tobacco use. CONCLUSIONS Knowledge regarding hazards of smoking was high among the study population. However, attitude was found to be satisfactory. Majority of the study participants consumed 10 or less cigarettes per day. Even with a good knowledge towards ill effects of tobacco, good attitude towards quitting tobacco, practice of tobacco smoking was higher among study participants. This implies, tobacco cessation counseling should be made a priority health intervention. KEY WORDS Addiction, Cigarettes, Tobacco, Nicotine, Smoking

Feasibility of a Smoking Cessation Smartphone App (Quit with US) for Young Adult Smokers: A Single Arm, Pre-Post Study.

While smartphone applications (apps) have been shown to enhance success with smoking cessation, no study has been conducted among young adult smokers aged 18–24 years in Thailand. Quit with US was developed based on the 5 A’s model and self-efficacy theory. This single arm, pre-post study was conducted aiming to assess results after using Quit with US for 4 weeks. The primary outcome was a biochemically verified 7-day point prevalence of smoking abstinence. The secondary outcomes included smoking behaviors, knowledge and attitudes toward smoking and smoking cessation, and satisfaction and confidence in the smartphone app. A total number of 19 young adult smokers were included; most participants were males (68.4%) with the mean (SD) age of 20.42 (1.46) years. After 4 weeks of study, the primary outcome demonstrated a smoking cessation rate of 31.6%. All 19 participants expressed better smoking behaviors and better knowledge and attitudes toward smoking and smoking cessation. Further, they were satisfied with the smartphone app design and content and expressed confidence in using it. These findings provided preliminary evidence that Quit with US was found to be a potentially effective smoking cessation smartphone app for young adult smokers.

Adverse Childhood Experiences and Substance Use: The Mediating Role of Perceptions of Harm and Peer and Parental Attitudes

Objectives: Adverse childhood experiences (ACEs) are related to the development of a range of mental health problems and risky behaviors. Generally, adolescents who experienced a greater number of ACEs have been found to be at increased risk of substance use behaviors. This study investigated the association between ACEs and substance use (i.e., cigarette smoking, binge drinking, and cannabis use) as mediated by perceptions of harm and perceived peer and parental attitudes towards each substance.Methods: A survey was completed by 6,304 students aged 12 to 18 (M = 14.75, SD = 1.76) in Wood County, Ohio, assessing ACEs, substance use behaviors, perceptions of harm and perceived peer and parental attitudes towards each substance. Mediation models controlling for age and gender were conducted for each substance use behavior including perceptions of harm and perceived peer and parental attitudes specific to each substance.Results: Controlling for age and gender, perceptions of harm and peer attitudes towards binge drinking partially mediated the relationship between ACEs and past month binge-drinking. For past month cannabis and cigarette smoking, peer and parental attitudes, but not perceptions of harm, partially mediated the relationship between ACEs and past month engagement in these substances.Implications: Greater perceptions of harm and negative attitudes by parents or peers may be protective against substance use behaviors among youth that have experienced ACEs. Early interventions focusing on increasing perceptions of harm along with promoting negative parental and peer attitudes towards substance use could decrease rates of use among those who experienced ACEs.

The Attitude of Muhammadiyah Smokers Towards Smoking Illicit (Haram) Fatwas

This study aims to understand the dynamics of smoking attitudes and behavior in Muhammadiyah residents. This research uses qualitative research methods by using case studies. The three informans are the management of the Regional Leader Major Islamic non Govermental Organization in Indonesia (Pimpinan Daerah Muhammadiyah - PDM) of the Banyumas region and the Muhammadiyah Tobacco Control Center (MTCC) of the Universitas Muhammadiyah Purwokerto, where three participants are smokers of Muhammadiyah residents. The study found four factors that caused Muhammadiyah residents to smoke after the issuance of the prohibited fatwa on smoking, namely the meaning of the fatwa that was still being prepared, subjective, faith that was still weak, and fatwa added more in accordance with medical assistance.

Change in amount smoked and readiness to quit among patients undergoing lung cancer screening.

BackgroundThere is mixed evidence regarding whether undergoing computed tomography lung cancer screening (LCS) can serve as a “teachable moment” that impacts smoking behavior and attitudes. The study aim was to assess whether the standard procedures of undergoing LCS and receiving free and low-cost evidence-based cessation resources impacted short-term smoking-related outcomes.MethodsParticipants were smokers (N=87) who were registered to undergo lung screening and were enrolled in a cessation intervention trial. We conducted two phone interviews, both preceding trial randomization: the first interview was conducted prior to lung screening, and the second interview followed lung screening (median =12.5 days post-screening) and participants’ receipt of their screening results. The interviews assessed demographic characteristics, interest in evidence-based cessation intervention methods, and tobacco-related characteristics, including cigarettes per day and readiness to quit. Participants received minimal evidence-based cessation resources following the pre-lung screening interview.ResultsParticipants were 60.3 years old, 56.3% female, and reported a median of 40 pack-years. Participants were interested in using several evidence-based strategies, including counseling from a healthcare provider (76.7%) and receiving nicotine replacement therapy (69.8%). Pre-lung screening, 25.3% smoked ≤10 cigarettes per day, and 29.9% were ready to quit in the next 30 days. We conducted two McNemar binomial distribution tests to assess change from pre- to post-screening. At the post-lung screening assessment, approximately three-quarters reported no change on these variables. However, 23.3% reported smoking fewer cigarettes per day, whereas 4.7% reported smoking more cigarettes per day (McNemar P=0.002), and 17.2% reported increased readiness to quit, whereas 6.9% reported decreased readiness to quit (McNemar P=0.078).ConclusionsFollowing receipt of cessation resources and completion of lung screening, most participants reported no change in smoking outcomes. However, there was a significant reduction in cigarettes per day, and there was a trend for increased readiness to quit. This setting may provide a potential “teachable moment” and an opportunity to assist smokers with quitting. However, more proactive and intensive interventions will be necessary to capitalize on these changes and to support abstinence in the long-term.