Macy Jonathan T, Seo Dong-Chul, Chassin Laurie, Presson Clark C, Sherman Steven J
Department of Psychological and Brain Sciences, Indiana University, Bloomington, IN 47405, USA.
Am J Public Health. 2007 Aug;97(8):1470-5. doi: 10.2105/AJPH.2006.101386. Epub 2007 Jun 28.
We sought to identify prospective predictors of long-term abstinence versus relapse among individuals who quit smoking as young adults.
Participants from an ongoing longitudinal study of smoking who had quit for at least 1 year between the ages of 18 and 24 years (n=327) were divided into those who later reported not smoking for more than 5 years (long-term abstinence) or reported current smoking, defined as smoking at least monthly (relapse). Logistic regression was used to examine odds ratios (ORs) of prospective predictors of long-term abstinence versus relapse.
Overall, 67% of participants maintained long-term abstinence and 33% relapsed. The strongest predictor of avoiding relapse was marrying a nonsmoker (adjusted OR [AOR]=0.07; 95% confidence interval [CI]=0.03, 0.21). Other predictors included making 1 lifetime quit attempt (AOR=0.13; 95% CI=0.04, 0.44), having as a young adult only 1 parent who smoked (AOR=0.23; 95% CI=0.06, 0.93), and working in a completely smoke-free building (AOR=0.13; 95% CI=0.03, 0.58).
The factors related to smoking in the social environment played the largest role in predicting long-term abstinence versus relapse.
我们试图确定年轻成年人戒烟后长期戒烟与复吸的前瞻性预测因素。
来自一项正在进行的吸烟纵向研究的参与者，他们在18至24岁之间戒烟至少1年（n = 327），被分为后来报告5年以上不吸烟的人（长期戒烟）或报告目前吸烟的人，目前吸烟定义为至少每月吸烟一次（复吸）。使用逻辑回归来检验长期戒烟与复吸的前瞻性预测因素的比值比（OR）。
总体而言，67%的参与者保持长期戒烟，33%复吸。避免复吸的最强预测因素是与不吸烟者结婚（调整后的OR [AOR]=0.07；95%置信区间[CI]=0.03，0.21）。其他预测因素包括一生只尝试戒烟一次（AOR=0.13；95% CI=0.04，0.44），年轻时只有一位吸烟的父母（AOR=0.23；95% CI=0.06，0.93），以及在完全无烟的建筑中工作（AOR=0.13；95% CI=0.03，0.58）。
社会环境中与吸烟相关的因素在预测长期戒烟与复吸方面起了最大作用。
