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Effect on smoking cessation of switching nicotine replacement therapy to over-the-counter status

Author

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  • Thorndike, A.N.
  • Biener, L.
  • Rigotti, N.A.

Abstract

Objectives. This study examined whether the change in nicotine replacement therapy sales from prescription to over the counter (OTC) status affected smoking cessation. Methods. We used the 1993-1999 Massachusetts Tobacco Surveys to compare data from adult current smokers and recent quitters before and after the OTC switch. Results. No significant change over time occurred in the proportion of smokers who used nicotine replacement therapy at a quit attempt in the past year (20.1% pre-OTC vs 21.4% post-OTC), made a quit attempt in the past year (48.1% vs 45.2%), or quit smoking in the past year (8.1% vs 11.1%). Fewer non-Whites used nicotine replacement therapy after the switch (20.7% pre-OTC vs 3.2% post-OTC, P = .002), but the proportion of Whites using nicotine replacement therapy did not change significantly (20.6% vs 24.0%). Conclusions. We observed no increase in Massachusetts smokers' rates of using nicotine replacement therapy, making a quit attempt, or stopping smoking after nicotine replacement therapy became available for OTC sale. There appear to be other barriers to the use of nicotine replacement therapy besides visiting a physician, especially among minority smokers.

Suggested Citation

  • Thorndike, A.N. & Biener, L. & Rigotti, N.A., 2002. "Effect on smoking cessation of switching nicotine replacement therapy to over-the-counter status," American Journal of Public Health, American Public Health Association, vol. 92(3), pages 437-442.
  • Handle: RePEc:aph:ajpbhl:2002:92:3:437-442_9
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    Cited by:

    1. Alexandra Guttentag & Tuo-Yen Tseng & Donna Shelley & Thomas Kirchner, 2022. "Analyzing Trajectories of Acute Cigarette Reduction Post-Introduction of an E-Cigarette Using Ecological Momentary Assessment Data," IJERPH, MDPI, vol. 19(12), pages 1-12, June.
    2. Honjo, Kaori & Tsutsumi, Akizumi & Kawachi, Ichiro & Kawakami, Norito, 2006. "What accounts for the relationship between social class and smoking cessation? Results of a path analysis," Social Science & Medicine, Elsevier, vol. 62(2), pages 317-328, January.
    3. Shiffman, Saul & Sweeney, Christine T., 2008. "Ten years after the Rx-to-OTC switch of nicotine replacement therapy: What have we learned about the benefits and risks of non-prescription availability?," Health Policy, Elsevier, vol. 86(1), pages 17-26, April.
    4. Kurko, Terhi & Linden, Kari & Vasama, Mari & Pietilä, Kirsi & Airaksinen, Marja, 2009. "Nicotine replacement therapy practices in Finland one year after deregulation of the product sales--Has anything changed from the community pharmacy perspective?," Health Policy, Elsevier, vol. 91(3), pages 277-285, August.
    5. Aalto-Setälä, Ville & Alaranta, Antti, 2008. "Effect of deregulation on the prices of nicotine replacement therapy products in Finland," Health Policy, Elsevier, vol. 86(2-3), pages 355-362, May.

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