Factors associated with smokeless tobacco cessation in an Appalachian population

Ross M. Kauffman, Amy K. Ferketich, Alvin G. Wee, Jennifer M. Shultz, Patty Kuun, Mary Ellen Wewers

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


Identifying factors associated with successful tobacco quit attempts may help in the development and targeting of effective cessation strategies. This paper aims to describe factors associated with smokeless tobacco (ST) cessation and compares the results to findings in the smoking cessation literature. Prospective data on 116 men aged 19 to 70 and participating in a ST cessation program were used to examine correlates of successful ST cessation at 1-year post-intervention. Controlling for age, level of education (p = 0.002) and daily coffee consumption (p = 0.005) had significant independent associations with successful cessation. No ST use variables were significant predictors of cessation success. In a multivariable logistic regression model three factors were significantly associated with cessation: education (p = 0.010), coffee consumption (p = 0.019), and age (p = 0.029). Factors associated with successful ST cessation in this sample are consistent with predictors of smoking cessation reported in the literature. Based on its widespread use and the strength of its association with successful quitting, the role of caffeine consumption in ST cessation merits further study.

Original languageEnglish (US)
Pages (from-to)821-830
Number of pages10
JournalAddictive Behaviors
Issue number6
StatePublished - Jun 2008
Externally publishedYes

Bibliographical note

Funding Information:
This project was supported by a grant from the National Institute for Dental and Craniofacial Research, R01-DE013926. Mr. Kauffman is supported by the Behavioral Cooperative Oncology Group of the Mary Margaret Walther Program, Walther Cancer Institute, Indianapolis, Indiana.


  • Appalachian
  • Rural
  • Smokeless tobacco
  • Tobacco cessation


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