Smoker Characteristics and Smoking-Cessation Milestones
Smoker Characteristics and Smoking-Cessation Milestones
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DOI：
10.1016/j.amepre.2010.11.016
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发表时间：
2011-03-01
影响因子：
5.5
通讯作者：
Baker, Timothy B.
中科院分区：
文献类型：
--
作者：
Japuntich, Sandra J.;Leventhal, Adam M.;Baker, Timothy B.
背景：背景变量通常预测长期禁欲，但对这些变量如何发挥其作用知之甚少。这些变量可以通过影响戒烟的能力来影响戒烟，或者通过改变失败的风险，或者从失败到复发的进展来影响戒烟。目的：研究戒烟失败的常见预测因素对戒烟过程的影响。方法：目前的研究（N = 1504，58%女性，84%高加索人;从2005年1月至2007年6月招募; 2009年分析的数据）使用Shiffman等人（2006）倡导的方法，它测量三个不同戒烟里程碑的戒烟结果（实现初始戒烟，失效风险和失效-复吸过渡），以检查吸烟者特征之间的关系结果：高尼古丁依赖强烈预测所有里程碑：没有达到最初的禁欲，以及更高的复发和从复发过渡到完全复发的风险。许多背景和人口统计学变量与较高的初始戒烟率和/或戒烟后6个月的失效风险降低相关（e.例如，在一个实施例中，种族、性别、婚姻状况、教育、工作场所吸烟、社交网络中吸烟者的数量以及支持他人的数量）。然而，除了尼古丁依赖，只有性别显着预测的风险从失效到recursion.Conclusions过渡：这些研究结果表明，（1）更高的尼古丁依赖预测更糟糕的结果在每个停止里程碑;（2）人口统计和上下文变量一般与初始戒烟率和失效风险，而不是失效-复发过渡。这些结果确定了在戒烟过程的特定阶段有失败风险的群体，这可能对治疗有影响。(Am J Prev Med 2011;40（3）：286-294）（C）2011年美国预防医学杂志
Background: Contextual variables often predict long-term abstinence, but little is known about how these variables exert their effects. These variables could influence abstinence by affecting the ability to quit at all, or by altering risk of lapsing, or progressing from a lapse to relapse.Purpose: To examine the effect of common predictors of smoking-cessation failure on smoking-cessation processes.Methods: The current study (N = 1504, 58% female, 84% Caucasian; recruited from January 2005 to June 2007; data analyzed in 2009) uses the approach advocated by Shiffman et al. (2006), which measures cessation outcomes on three different cessation milestones (achieving initial abstinence, lapse risk, and the lapse-relapse transition) to examine relationships of smoker characteristics (dependence, contextual and demographic factors) with smoking-cessation process.Results: High nicotine dependence strongly predicted all milestones: not achieving initial abstinence, and a higher risk of both lapse and transitioning from lapse to complete relapse. Numerous contextual and demographic variables were associated with higher initial cessation rates and/or decreased lapse risk at 6 months post-quit (e. g., ethnicity, gender, marital status, education, smoking in the workplace, number of smokers in the social network, and number of supportive others). However, aside from nicotine dependence, only gender significantly predicted the risk of transition from lapse to relapse.Conclusions: These findings demonstrate that (1) higher nicotine dependence predicted worse outcomes across every cessation milestone; (2) demographic and contextual variables are generally associated with initial abstinence rates and lapse risk and not the lapse-relapse transition. These results identify groups who are at risk for failure at specific stages of the smoking-cessation process, and this may have implications for treatment. (Am J Prev Med 2011;40(3):286-294) (C) 2011 American Journal of Preventive Medicine