Do predictors of smoking relapse change as a function of duration of abstinence? Findings from the United States, Canada, United Kingdom and Australia
Do predictors of smoking relapse change as a function of duration of abstinence? Findings from the United States, Canada, United Kingdom and Australia
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DOI：
10.1111/add.14182
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发表时间：
2018-07-01
期刊：
影响因子：
6
通讯作者：
Partos, Timea
中科院分区：
文献类型：
--
作者：
Yong, Hua-Hie;Borland, Ron;Partos, Timea
目的估计吸烟复吸时间的预测因子，并检验预测因子是否因戒烟持续时间而异。设计来自国际烟草控制四国调查的纵向队列数据，并在2002年至2015年期间收集了年度随访。设置加拿大、美国、英国和澳大利亚。参与者：共有9171名合格的成年吸烟者，他们在研究期间至少有一次戒烟尝试。复发时间是主要结果。预测变量包括戒烟前尼古丁依赖基线测量、吸烟和戒烟相关动机、戒烟能力和社会影响，以及两个戒烟后测量、戒烟药物使用和戒烟持续时间（1- 7天、8- 14天、15- 31天、1- 3个月、3- 6个月、6- 1 - 2个月、1- 2年和2年以上），沿着社会人口统计学。结果戒烟前6个月内，所有因素均能预测复吸，但在戒烟后6-12个月内，只有想戒烟、戒烟意图和吸烟朋友数仍能预测复吸[风险比（HR）=1.20，P< 0.05; 1.13，P< 0.05;和1.21，P <0.05]。
AimsTo estimate predictors of time to smoking relapse and test if prediction varied by quit duration. Design Longitudinal cohort data from the International Tobacco Control Four-Country survey with annual follow up collected between 2002 and 2015. Setting Canada, United States, United Kingdom and Australia. Participants A total of 9171 eligible adult smokers who had made at least one quit attempt during the study period. Measurements Time to relapse was the main outcome. Predictor variables included pre-quit baseline measures of nicotine dependence, smoking and quitting-related motivations, quitting capacity and social influence, and also two post-quit measures, use of stop-smoking medications and quit duration (1-7days, 8-14days, 15-31days, 1-3months, 3-6months, 6-12months, 1-2years and 2+ years), along with socio-demographics. Findings All factors were predictive of relapse within the first 6months of quitting but only wanting to quit, quit intentions and number of friends who smoke were still predictive of relapse in the 6-12-month period of quitting [hazard ratios (HR)=1.20, P< 0.05; 1.13, P< 0.05; and 1.21, P