title: Young adult smokers: are they different?
abstract: OBJECTIVE
  To compare smoking-cessation interest and behaviors in younger and older smokers to develop better smoking-cessation strategies for younger smokers.
  
  
  METHODS
  Mail survey with phone follow-up of age-stratified members of a large Midwestern health plan to identify current and former smokers, followed by a second follow-up survey of this subgroup 12 months later.
  
  
  METHODS
  The follow-up survey asked about change in smoking status, quit attempts, interest in quitting, and experience with various aids to quitting. Analyses compared adults age 18-24 years with adults age 25-65 years.
  
  
  RESULTS
  Follow-up surveys were completed by 66.5% of subjects. Young adults smoked at much higher rates than older adults (24.5% vs 17.1%), but were less likely to smoke daily or to smoke as many cigarettes. Young adults were as likely to be interested in quitting and more likely to report a quit attempt in the past year (60.6% vs 49.6%; P = .009), but these attempts were much more likely to be unaided (51.2% vs 33.7%; P = .0003). They also were more likely to report decreasing smoking in response to new restrictions on smoking in restaurants and bars (37.2 % vs 24.7%; P = .001).
  
  
  CONCLUSIONS
  Higher rates of smoking among young adults don't reflect less interest in quitting, fewer quit attempts, or less success in quitting compared with older adults. However, their reports of receiving or using much less help in quitting suggest that health plans and clinicians might be able to increase this group's cessation with more active support.
authors.affiliation: HealthPartners Research Foundation, PO Box 1524, MS 21111R, Minneapolis, MN 55440-1524, USA. leif.i.solberg@healthpartners.com
authors.forename: Leif I
authors.initials: LI
authors.lastname: Solberg
authors.forename: Raymond G
authors.initials: RG
authors.lastname: Boyle
authors.forename: Maribet
authors.initials: M
authors.lastname: McCarty
authors.forename: Stephen E
authors.initials: SE
authors.lastname: Asche
authors.forename: Merry Jo
authors.initials: MJ
authors.lastname: Thoele
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D001294:Attitude to Health; D003430:Cross-Sectional Studies; D005260:Female; D015438:Health Behavior; D006306:Health Surveys; D006801:Humans; D033182:Intention; D008297:Male; D008875:Middle Aged; D008910:Minnesota / Q000453:epidemiology; D016730:Program Development; D012307:Risk Factors; D012907:Smoking / Q000453:epidemiology* / Q000523:psychology; D016540:Smoking Cessation / Q000379:methods / Q000523:psychology*