4.8 Article

Markov model of smoking cessation

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NATL ACAD SCIENCES
DOI: 10.1073/pnas.1011277108

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quitting tobacco; survival model; nicotine; monoamine oxidase

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Survival functions from smoking cessation interventions are described by a three-state Markov model. On quitting, smokers transit through a state of withdrawal characterized by a high rate of relapse, and then into a more secure state of long-term abstinence. The Markov model embodies the dynamic nature of the cessation/relapse process; it permits stronger inference to long-term abstinence rates, provides measures of treatment efficacy, describes the outcomes of new quit attempts, and suggests mechanisms for the survival process.

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