Prospective predictors of long-term abstinence versus relapse among smokers who quit as young adults.

Publisher: American Public Health Association Country of Publication: United States NLM ID: 1254074 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1541-0048 (Electronic) Linking ISSN: 00900036 NLM ISO Abbreviation: Am J Public Health Subsets: MEDLINE

Publication: Washington, DC : American Public Health Association
Original Publication: New York [etc.]

Smoking Cessation*/psychology ; Social Environment*; Smoking/*epidemiology; Adolescent ; Adult ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Indiana/epidemiology ; Logistic Models ; Longitudinal Studies ; Male ; Multivariate Analysis ; Nuclear Family/psychology ; Recurrence ; Risk Factors ; Role ; Smoking/psychology ; Smoking Prevention

Objectives: We sought to identify prospective predictors of long-term abstinence versus relapse among individuals who quit smoking as young adults.
Methods: 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.
Results: 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).
Conclusions: The factors related to smoking in the social environment played the largest role in predicting long-term abstinence versus relapse.

Annu Rev Psychol. 2001;52:1-26. (PMID: 11148297)
Nicotine Tob Res. 2002 Aug;4(3):321-32. (PMID: 12215241)
Am J Public Health. 2002 Jun;92(6):908-16. (PMID: 12036776)
BMJ. 2002 Jul 27;325(7357):188. (PMID: 12142305)
Addiction. 2003 Aug;98(8):1087-100. (PMID: 12873243)
Health Educ Q. 1984 Spring;11(1):1-47. (PMID: 6392204)
Am J Epidemiol. 1989 Jan;129(1):125-37. (PMID: 2910056)
Am J Public Health. 1991 Mar;81(3):324-7. (PMID: 1994740)
Am J Public Health. 1996 Feb;86(2):214-20. (PMID: 8633738)
Health Psychol. 1996 Jul;15(4):261-8. (PMID: 8818672)
Health Psychol. 1996 Nov;15(6):478-84. (PMID: 8973929)
J Am Coll Health. 1999 Sep;48(2):55-60. (PMID: 10500367)
Am J Public Health. 2005 Jun;95(6):1024-9. (PMID: 15914828)
Prev Med. 2005 Aug;41(2):554-61. (PMID: 15917052)
J Pers. 2005 Dec;73(6):1715-48. (PMID: 16274451)
Am J Public Health. 2006 Aug;96(8):1498-504. (PMID: 16809583)
Addict Behav. 2001 Jul-Aug;26(4):517-29. (PMID: 11456075)

R01 DA013555 United States DA NIDA NIH HHS; R01 DA013555-25 United States DA NIDA NIH HHS; DA13555 United States DA NIDA NIH HHS

Date Created: 20070630 Date Completed: 20070820 Latest Revision: 20181113

20240628

PMC1931468

10.2105/AJPH.2006.101386

17600248