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Microanalysis of Smokers' Beliefs about the Consequences of Quitting: Results from a Large Population Sample1
Authors:Stephen Sutton  Alan Marsh  Jil Matheson
Abstract:Using an expectancy-value approach, personal beliefs about the consequences of quitting were studied in a sample of 1,305 cigarette smokers derived from a representative sample of the United Kingdom population. Subjects evaluated 32 outcomes of continuing to smoke or stopping smoking in terms of how much they “wanted” or “feared” them (outcome evaluation, or OE) and then rated the likelihood of each outcome occurring under the two alternatives, yielding a likelihood difference (LD) score for each outcome. Subjects with relatively strong and relatively weak intentions to try to quit were compared with respect to their OE, LD, and OE × LD scores. The results showed consistent differences between intenders and nonintenders. Intenders rated every positive outcome as more desirable and every negative outcome as more undesirable. Intenders also believed that stopping smoking would lead to a larger increase in their chances of obtaining the benefits (health, financial, social, self-esteem) and a smaller increase in their chances of incurring the costs (negative affect, loss of enjoyment), compared with nonintenders. The product scores showing the largest relationships with intention were for the outcomes “feel proud of yourself”, “feel a sense of achievement”, “enjoy yourself”, “feel energetic”, and “set a good example to children”. The findings are discussed in terms of their implications for efforts to encourage more smokers to try to quit.
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