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.
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.
Authors: Patricia G Butterfield; Wade Hill; Julie Postma; Phillip W Butterfield; Tamara Odom-Maryon Journal: Am J Public Health Date: 2011-08-11 Impact factor: 9.308
Authors: Judith S Brook; Stephen E Marcus; Chenshu Zhang; Matthew A Stimmel; Elinor B Balka; David W Brook Journal: Subst Use Misuse Date: 2010-05-19 Impact factor: 2.164
Authors: Mark Wolfson; Cynthia K Suerken; Kathleen L Egan; Erin L Sutfin; Beth A Reboussin; Kimberly G Wagoner; John Spangler Journal: Am J Drug Alcohol Abuse Date: 2015-09-16 Impact factor: 3.829