Khati Inès, Menvielle Gwenn, Chollet Aude, Younès Nadia, Metadieu Brigitte, Melchior Maria
INSERM, UMR_S 1136, Pierre Louis Institute of Epidemiology and Public Health, Social Epidemiology Research Team, F-75013 Paris, France; Sorbonne University, UPMC Univ Paris 06, UMR_S 1136, Pierre Louis Institute of Epidemiology and Public Health, Social Epidemiology Research Team, F-75013 Paris, France.
EA 40-47 University of Versailles Saint-Quentin, F-78047 Guyancourt, France; Academic Unit of Psychiatry, Versailles Hospital, F-78157 Le Chesnay, France.
Prev Med Rep. 2015 Aug 12;2:679-85. doi: 10.1016/j.pmedr.2015.08.006. eCollection 2015.
Smoking prevalence rates among young people are high in many countries. Although attempts to quit smoking increasingly occur in young adulthood, many former smokers relapse. We compared individuals who successfully quit smoking from those who relapsed on socio-demographic, psychological and health factors.
Data come from telephone interviews conducted in 2011 with participants of the TEMPO community-based study (ages 18-37 years, France). To study the likelihood of successful cessation vs. smoking relapse, we restricted the study sample to current or former smokers (n = 600) and conducted multinomial logistic regression analyses.
43% of participants were current smokers who never quit for an extended period and, 33% former smokers and 24% current smokers who relapsed after extended cessation. In multivariate analyses female sex, parental status and illegal drug use were associated with both successful and unsuccessful smoking cessation. Factors specifically associated with a low probability of smoking cessation were job strain and symptoms of hyperactivity/inattention, while occupational grade was associated with smoking relapse.
Work and family circumstances, co-occurring substance use and psychological difficulties may influence smoking cessation in young adults. These characteristics should be considered by individual and collective interventions aiming to help young smokers quit successfully.
在许多国家，年轻人中的吸烟流行率很高。尽管在青年期尝试戒烟的情况越来越多，但许多曾经吸烟者会复发。我们比较了成功戒烟者与复发者在社会人口学、心理和健康因素方面的情况。
数据来自2011年对TEMPO社区研究（年龄在18 - 37岁，法国）参与者进行的电话访谈。为了研究成功戒烟与吸烟复发的可能性，我们将研究样本限制为当前吸烟者或曾经吸烟者（n = 600），并进行多项逻辑回归分析。
43%的参与者是从未长期戒烟的当前吸烟者，33%是曾经吸烟者，24%是长期戒烟后复发的当前吸烟者。在多变量分析中，女性、父母身份和非法药物使用与成功戒烟和戒烟失败均相关。与戒烟可能性低特别相关的因素是工作压力和多动/注意力不集中症状，而职业等级与吸烟复发相关。
工作和家庭环境、同时存在的物质使用和心理困难可能会影响年轻人的戒烟。旨在帮助年轻吸烟者成功戒烟的个人和集体干预措施应考虑这些特征。
