Claudia S Lopes1, Maria Miranda Autran Sampaio2, Guilherme L Werneck1, Dóra Chor3, Eduardo Faerstein1. 1. Departamento de Epidemiologia, Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rio de JaneiroRJ, Brasil. 2. Secretaria-Geral de Controle Externo, Tribunal de Contas do Estado do Rio de Janeiro, Rio de JaneiroRJ, Brasil. 3. Departamento de Epidemiologia e Métodos Quantitativos em Saúde, Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de JaneiroRJ, Brasil.
Abstract
OBJECTIVE: To evaluate the incidence of smoking cessation and its association with psychosocial factors. METHODS: Data came from three consecutive waves of the Pro-Saude Study, a longitudinal study of non-faculty civil servants working at a university in Rio de Janeiro, Southeastern Brazil. Inclusion criteria were having participated in Phases 1 and 3 and being a smoker at baseline (Phase 1--1999). Those who had stopped smoking less than a year before the follow-up (Phase 3--2007) were excluded. The final study population consisted of 661 employees (78% of those eligible). Relative risks (RR) of smoking cessation were evaluated through Poisson regression with robust variance. RESULTS: The cumulative incidence of smoking cessation in eight years of follow-up was 27.7%. Among the psychosocial factors evaluated in the multivariate analysis, only lack of experience of physical violence was associated with higher smoking cessation (RR = 1.67, 95%CI 1.09;2.55). CONCLUSIONS: The incidence of smoking cessation was high, and the fact that associations were not found with most factors evaluated suggests that much of the effect found is due to the impact of public policies implemented in Brazil over the past decades. The association between no exposure to violence and higher incidence of smoking cessation draws attention to the importance of this factor in tobacco control policies.
OBJECTIVE: To evaluate the incidence of smoking cessation and its association with psychosocial factors. METHODS: Data came from three consecutive waves of the Pro-Saude Study, a longitudinal study of non-faculty civil servants working at a university in Rio de Janeiro, Southeastern Brazil. Inclusion criteria were having participated in Phases 1 and 3 and being a smoker at baseline (Phase 1--1999). Those who had stopped smoking less than a year before the follow-up (Phase 3--2007) were excluded. The final study population consisted of 661 employees (78% of those eligible). Relative risks (RR) of smoking cessation were evaluated through Poisson regression with robust variance. RESULTS: The cumulative incidence of smoking cessation in eight years of follow-up was 27.7%. Among the psychosocial factors evaluated in the multivariate analysis, only lack of experience of physical violence was associated with higher smoking cessation (RR = 1.67, 95%CI 1.09;2.55). CONCLUSIONS: The incidence of smoking cessation was high, and the fact that associations were not found with most factors evaluated suggests that much of the effect found is due to the impact of public policies implemented in Brazil over the past decades. The association between no exposure to violence and higher incidence of smoking cessation draws attention to the importance of this factor in tobacco control policies.
Authors: Adélia Dayane Guimarães Fonseca; Rene Ferreira da Silva Junior; Claudiana Donato Bauman; Liliane Lacerda Silva; Carla Silvana de Oliveira E Silva; Andrea Maria Eleutério de Barros Lima Martins Journal: Einstein (Sao Paulo) Date: 2022-02-21