Department of Social Epidemiology, INSERM UMR_S 1136, Pierre Louis Institute of Epidemiology and Public Health, Paris, France; Sorbonne Universités, UPMC University of Paris 06, Paris, France.
Department of Social Epidemiology, INSERM UMR_S 1136, Pierre Louis Institute of Epidemiology and Public Health, Paris, France; Sorbonne Universités, UPMC University of Paris 06, Paris, France.
Addict Behav. 2018 May;80:110-115. doi: 10.1016/j.addbeh.2018.01.016. Epub 2018 Feb 4.
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.
DePICT (Description des Perceptions, Images, et Comportements liés au Tabagisme) is a nationally representative sample of adults aged between 18 and 64years 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 <6months; b) unsuccessful smoking cessation (current smokers who previously quit smoking ≥6months); c) successful smoking cessation (≥6months). Factors associated with successful vs. unsuccessful smoking cessation were studied using multivariate multinomial logistic regression analyses.
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.
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.
相当一部分试图戒烟的吸烟者在头几个月内复吸。然而，迄今为止，对于吸烟尝试及其成功的预测因素的了解有限。我们研究了烟草使用特征、其他与物质相关的因素以及社会人口特征与成功和不成功戒烟之间的关系。
DePICT（描述与吸烟有关的感知、形象和行为）是一项全国代表性的成年人样本调查，年龄在 18 至 64 岁之间，居住在法国大都市，通过电话调查进行访谈（n=4342）。在当前或曾经吸烟的人群中（n=2110），我们区分了以下参与者：a）无戒烟尝试或戒烟<6 个月；b）戒烟不成功（以前戒烟≥6 个月的当前吸烟者）；c）成功戒烟（≥6 个月）。使用多变量多项逻辑回归分析研究了与成功与不成功戒烟相关的因素。
成功和不成功戒烟有一些共同的预测因素，包括不使用大麻、年龄较大、中等或高等职业等级。与成功戒烟特别相关的因素包括不使用电子烟、不接触环境烟草、害怕吸烟对健康的影响、认为吸烟有害、以及高教育程度和良好的整体健康状况。
应在个人和集体层面上努力促进戒烟，同时考虑到吸烟者的环境烟草暴露、同时使用大麻以及对吸烟健康后果的看法。我们的数据还表明，电子烟的使用与不成功戒烟而不是成功戒烟有关，这需要在其他纵向研究中进一步验证。
