Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Feb:149:107905.
doi: 10.1016/j.addbeh.2023.107905. Epub 2023 Nov 4.

Smoking cessation interventions for U.S. adults with disabilities: A systematic review

Jonathan A Schulz  1 , Sean D Regnier  2 , Tyler G Erath  3 , Lindsey C Mullis  4 , Austin Nugent  4 , Gary S Atwood  5 , Andrea C Villanti  6
Affiliations

Smoking cessation interventions for U.S. adults with disabilities: A systematic review

Jonathan A Schulz et al. Addict Behav. 2024 Feb.

Abstract

Introduction: People with disabilities disproportionately use tobacco products. However, little is known about cessation interventions tailored for people with disabilities. The objective of this study was to conduct a systematic review of smoking cessation interventions for adults with disabilities.

Methods: Six electronic databases (Cochrane, CINAHL Plus [EBSCOhost], Embase [Ovid], Medline [Ovid], PsycINFO [Ovid], and Web of Science) were searched to identify eligible interventions for people with disabilities (e.g., vision, hearing, mobility, communication, cognition, self-care) through July 2023. Two independent coders evaluated the records and extracted data from studies that met inclusion criteria. Qualitative synthesis was conducted on the included studies in 2023.

Results: One randomized controlled trial and one nonrandomized study met the inclusion criteria. Both studies used mindfulness-based procedures to reduce cigarette use in adults with mild intellectual disability. The outcome was defined as self-reported cigarette use at follow-up, which ranged from 1 year to 3 years. Limited information was provided on how the interventions were tailored to meet the unique needs of people with disabilities in either study.

Conclusion: Two interventions conducted in adults with mild intellectual disability showed promising results using mindfulness-based procedures; however, the studies did not address barriers reported by people with disabilities, nor tailor the interventions to meet the needs of the target population. Research is needed to address tobacco use disparities among people with a range of disabilities. Current cessation interventions would be enhanced by integrating disability identifiers alongside other demographic information in future studies and reporting subgroup analyses in adults with disabilities.

Keywords: Persons with disabilities; Systematic review; Tobacco cessation.

PubMed Disclaimer

Conflict of interest statement

Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. ACV was supported by P30CA072720-5931 and the Rutgers Cancer Institute of New Jersey. SDR was supported by grants from the National Institute on Drug Abuse (T32DA035200) of the National Institutes of Health. We acknowledge support from the Center of Biomedical Research Excellence Award (P20 GM103644) from the National Institute of General Medical Sciences. The funding agency had no role in study design, data collection or analysis, or preparation and submission of the manuscript. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Figures

Figure 1
Figure 1
PRISMA flow diagram
See this image and copyright information in PMC

References

    1. U.S. Department of Health and Human Services. The Health Consequences of Smoking - 50 Years of Progress. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. https://www.ncbi.nlm.nih.gov/books/n/surgsmoke50/pdf/. Published 2014. Accessed May 25, 2023
    1. McNamara JP, Wang J, Holiday DB, et al. Sleep disturbances associated with cigarette smoking. Psychol Health Med. 2014;19(4):410–419. doi:10.1080/13548506.2013.832782 - DOI - PubMed
    1. Soneji S, Beltran-Sanchez H. Assocation of maternal cigarette smoking and smoking cessation with preterm birth. JAMA Netw Open. 2019;2(4)e192514. doi:10.1001/jamanetworkopen.2019.2514 - DOI - PMC - PubMed
    1. Okoro CAH, NaTasha D, Cyrus AC, S Griffin-Blake. Prevalence of disability and health care access by disability status and type among adults–United States, 2016. MMWR Morb Mortal Wkly Rep. 2018;67:882–887. doi:10.15585/mmwr.mm6732a3 - DOI - PMC - PubMed
    1. World Health Organization. International Classification of Functioning, Disability and Health (ICF). Geneva, Switzerland: World Health Organization. http://whqlibdoc.wo.int/publications/2001/9241545429.pdf. Published 2001. Accessed November 14, 2022

Publication types