Large-Scale Unassisted Smoking Cessation Over 50 Years

"Nascent discussion about national and global tobacco endgame scenarios is dominated by an assumption that transitioning from cigarettes to alternative forms of potent, consumer-acceptable forms of nicotine will be essential to the success of endgames. This appears to uncritically assume (1) the hardening hypothesis: that as smoking prevalence moves toward and below 10%, the remaining smokers will be mostly deeply addicted, and will be largely unable to stop smoking unless they are able to move to other forms of ‘clean’ nicotine addiction such as e-cigarettes and more potent forms of nicotine replacement; and (2) an overly medicalised view of smoking cessation that sees unassisted cessation as both inefficient and inhumane. In this paper, we question these assumptions."

—Excerpted from a special supplement of Tobacco Control.


This research was not funded directly by the Robert Wood Johnson Foundation (RWJF), but has been included as an additional resource to this issue of Tobacco Control supported by RWJF.