Factors associated with successful vs. unsuccessful smoking cessation: Data from a nationally representative study
Factors associated with successful vs. unsuccessful smoking cessation: Data from a nationally representative study
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DOI：
10.1016/j.addbeh.2018.01.016
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发表时间：
2018-05-01
影响因子：
4.4
通讯作者：
Melchior, Maria
中科院分区：
文献类型：
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作者：
Lesueur, Fabienne El-Khoury;Bolze, Camille;Melchior, Maria
导语：在试图戒烟的吸烟者中，有相当大比例的人会在最初几个月复发。然而，到目前为止，人们对吸烟尝试及其成功的预测因素的了解有限。我们考察了烟草使用特征、其他与物质相关的因素以及社会人口学特征对成功戒烟和不成功戒烟的作用。方法：Describe(Description des Options，Images，et Comportments Lies au Tabagisme)是居住在法国大都市，年龄在18岁到之间的成年人的全国代表性样本，接受了电话调查(n=4342)。在现在或以前吸烟者(n=2110)中，我们区分的参与者的特征是：a)没有戒烟尝试或戒烟6个月；b)不成功戒烟(现吸烟者曾戒烟6个月)；c)成功戒烟(=6个月)。结果：成功戒烟与不成功戒烟有相同的预测因素，包括不吸食大麻、年龄较大、职业等级中等或较高。与成功戒烟相关的具体因素包括不使用电子烟、不接触环境烟草、对吸烟的健康后果感到恐惧、认为吸烟的危害性、高学历和良好的整体健康状况。结论：在个人和集体层面的努力中，吸烟者应考虑环境烟草暴露、同时吸食大麻和对吸烟健康后果的认识。我们的数据还表明，电子烟的使用与不成功的戒烟有关，而不是与成功的戒烟有关，这一点应该在另外的纵向研究中得到验证。
Introduction: A substantial proportion of smokers who attempt to stop smoking relapse in the first months. Yet to date, there is limited understanding of the predictors of smoking attempts and their success. We examine the role of tobacco use characteristics, other substance-related factors, as well as socio-demographic characteristics in relation to successful and unsuccessful smoking cessation.Methods: DePICT (Description des Perceptions, Images, et Comportements lies au Tabagisme) is a nationally representative sample of adults aged between 18 and 64 years residing in metropolitan France, who were interviewed by telephone survey (n = 4342). Among current or former smokers (n = 2110) we distinguished participants characterized by: a) no quit attempt or quit < 6 months; b) unsuccessful smoking cessation (current smokers who previously quit smoking >= 6 months); c) successful smoking cessation (>= 6 months). Factors associated with successful vs. unsuccessful smoking cessation were studied using multivariate multinomial logistic regression analyses.Results: Successful and unsuccessful smoking cessation share some predicting factors including no cannabis use, older age, and intermediate or high occupational grade. Factors specifically associated with successful smoking cessation included no e-cigarette use, no environmental tobacco exposure, fear of the health consequences of smoking, perceived harmfulness of smoking, and high educational attainment and a good overall health.Conclusions: Smokers' environmental tobacco exposure, concurrent cannabis use, and the perception of the health consequences of smoking should be taken into account in efforts aiming to promote smoking cessation at the individual as well as collective levels. Our data also suggest that e-cigarette use is associated with unsuccessful rather than successful smoking cessation, which should be verified in additional, longitudinal, studies.