title: Reasons for not using smoking cessation aids.
abstract: BACKGROUND
  Few smokers use effective smoking cessation aids (SCA) when trying to stop smoking. Little is known why available SCA are used insufficiently. We therefore investigated the reasons for not using SCA and examined related demographic, smoking behaviour, and motivational variables.
  
  
  METHODS
  Data were collected in two population-based studies testing smoking cessation interventions in north-eastern Germany. A total of 636 current smokers who had never used SCA and had attempted to quit or reduce smoking within the last 12 months were given a questionnaire to assess reasons for non-use. The questionnaire comprised two subscales: "Social and environmental barriers" and "SCA unnecessary."
  
  
  RESULTS
  The most endorsed reasons for non-use of SCA were the belief to be able to quit on one's own (55.2%), the belief that help is not necessary (40.1%), and the belief that smoking does not constitute a big problem in one's life (36.5%). One quarter of all smokers reported that smoking cessation aids are not helpful in quitting and that the aids cost too much. Smokers intending to quit agreed stronger to both subscales and smokers with lower education agreed stronger to the subscale "Social and environmental barriers".
  
  
  CONCLUSIONS
  Main reasons for non-use of SCA are being overly self-confident and the perception that SCA are not helpful. Future interventions to increase the use of SCA should address these reasons in all smokers.
authors.affiliation: Institute for Epidemiology and Social Medicine, Ernst-Moritz-Arndt-University Greifswald, Germany. beatrice.gross@uni-greifswald.de
authors.forename: Beatrice
authors.initials: B
authors.lastname: Gross
authors.forename: Leonie
authors.initials: L
authors.lastname: Brose
authors.forename: Anja
authors.initials: A
authors.lastname: Schumann
authors.forename: Sabina
authors.initials: S
authors.lastname: Ulbricht
authors.forename: Christian
authors.initials: C
authors.lastname: Meyer
authors.forename: Henry
authors.initials: H
authors.lastname: Völzke
authors.forename: Hans-Jürgen
authors.initials: HJ
authors.lastname: Rumpf
authors.forename: Ulrich
authors.initials: U
authors.lastname: John
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005858:Germany; D015438:Health Behavior; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009042:Motivation; D011320:Primary Health Care; D012907:Smoking / Q000188:drug therapy* / Q000523:psychology; D016540:Smoking Cessation / Q000191:economics / Q000523:psychology*; D012931:Social Environment; D011795:Surveys and Questionnaires