Prevalence and determinants of cigarette smoking relapse among US adult smokers - a longitudinal study

Introduction The prevalence of smoking is determined by three major parameters: initiation, cessation, and relapse. Various wider health determinants influence these parameters. Existing literature has mostly focused on investigating determinants of smoking initiation and cessation, whereas studies...

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Main Authors: Ahmed Alboksmaty, Israel Agaku, Satomi Odani, Filippos T. Filippidis
Format: Article
Language:English
Published: European Publishing 2019-03-01
Series:Tobacco Prevention and Cessation
Subjects:
Online Access:https://www.tobaccopreventioncessation.com/Prevalence-and-determinants-of-cigarette-smoking-relapse-among-US-adult-smokers-a,105151,0,2.html
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author Ahmed Alboksmaty
Israel Agaku
Satomi Odani
Filippos T. Filippidis
author_facet Ahmed Alboksmaty
Israel Agaku
Satomi Odani
Filippos T. Filippidis
author_sort Ahmed Alboksmaty
collection DOAJ
description Introduction The prevalence of smoking is determined by three major parameters: initiation, cessation, and relapse. Various wider health determinants influence these parameters. Existing literature has mostly focused on investigating determinants of smoking initiation and cessation, whereas studies investigating smoking relapse in-depth are scarce. Aim This analysis aims to estimate the prevalence of cigarette smoking relapse and determine its predictors in a representative sample of adult former smokers in the United States. Methods This quantitative research project analysed secondary data retrieved from the Tobacco Use Supplement-Current Population Survey (TUS-CPS) 2010-11 cohort with a total sample size of 3,621 participants. Smoking relapse was defined as picking up smoking in 2011 after reporting smoking abstinence in 2010. The prevalence of relapse over the 12-month follow-up period was estimated in different subgroups. Multivariate logistic regression models were applied to determine associations between smoking relapse and a broad spectrum of sociodemographic and environmental factors. Results A total of 184 former smokers reported smoking relapse by 2011 (weighted prevalence: 6.8%. 95%CI: 5.7%-8.1%). Prevalence and odds of relapse were higher among young people compared to the oldest age group (65-years and above). Former smokers living in smoke-free homes had 60% lower odds of relapse compared with those living in homes that allowed smoking inside (aOR:0.40; 95%CI: 0.25-0.64). Regarding race/ethnicity, only Hispanics had significantly higher odds of relapse compared to whites (non-Hispanics). Odds of relapse were higher among never-married, widowed, divorced and separated couples compared to the married group. Continuous smoking cessation for 6-months or more significantly decreased odds of relapse among the study sample. Conclusions Wider health determinants influenced prevalence of smoking relapse among US adults; individual as well as lifestyle characteristics were associated with relapse, highlighting the need for designing targeted interventions to prevent it.
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spelling doaj.art-9fdf47afc66b40e3b7c21a301ff439902024-01-31T10:30:35ZengEuropean PublishingTobacco Prevention and Cessation2459-30872019-03-015Supplement10.18332/tpc/105151105151Prevalence and determinants of cigarette smoking relapse among US adult smokers - a longitudinal studyAhmed Alboksmaty0Israel Agaku1Satomi Odani2Filippos T. Filippidis3Department of Primary Care and Public Health, School of Public Health, Imperial College London, London, United KingdomOffice of Smoking and Health, National Centre for Chronic Disease Prevention and Health Promotion, Centres for Disease Control and Prevention, Atlanta, Georgia, United StatesOffice of Smoking and Health, National Centre for Chronic Disease Prevention and Health Promotion, Centres for Disease Control and Prevention, Atlanta, Georgia, United StatesDepartment of Primary Care and Public Health, School of Public Health, Imperial College London, London, United KingdomIntroduction The prevalence of smoking is determined by three major parameters: initiation, cessation, and relapse. Various wider health determinants influence these parameters. Existing literature has mostly focused on investigating determinants of smoking initiation and cessation, whereas studies investigating smoking relapse in-depth are scarce. Aim This analysis aims to estimate the prevalence of cigarette smoking relapse and determine its predictors in a representative sample of adult former smokers in the United States. Methods This quantitative research project analysed secondary data retrieved from the Tobacco Use Supplement-Current Population Survey (TUS-CPS) 2010-11 cohort with a total sample size of 3,621 participants. Smoking relapse was defined as picking up smoking in 2011 after reporting smoking abstinence in 2010. The prevalence of relapse over the 12-month follow-up period was estimated in different subgroups. Multivariate logistic regression models were applied to determine associations between smoking relapse and a broad spectrum of sociodemographic and environmental factors. Results A total of 184 former smokers reported smoking relapse by 2011 (weighted prevalence: 6.8%. 95%CI: 5.7%-8.1%). Prevalence and odds of relapse were higher among young people compared to the oldest age group (65-years and above). Former smokers living in smoke-free homes had 60% lower odds of relapse compared with those living in homes that allowed smoking inside (aOR:0.40; 95%CI: 0.25-0.64). Regarding race/ethnicity, only Hispanics had significantly higher odds of relapse compared to whites (non-Hispanics). Odds of relapse were higher among never-married, widowed, divorced and separated couples compared to the married group. Continuous smoking cessation for 6-months or more significantly decreased odds of relapse among the study sample. Conclusions Wider health determinants influenced prevalence of smoking relapse among US adults; individual as well as lifestyle characteristics were associated with relapse, highlighting the need for designing targeted interventions to prevent it.https://www.tobaccopreventioncessation.com/Prevalence-and-determinants-of-cigarette-smoking-relapse-among-US-adult-smokers-a,105151,0,2.htmlsmokers
spellingShingle Ahmed Alboksmaty
Israel Agaku
Satomi Odani
Filippos T. Filippidis
Prevalence and determinants of cigarette smoking relapse among US adult smokers - a longitudinal study
Tobacco Prevention and Cessation
smokers
title Prevalence and determinants of cigarette smoking relapse among US adult smokers - a longitudinal study
title_full Prevalence and determinants of cigarette smoking relapse among US adult smokers - a longitudinal study
title_fullStr Prevalence and determinants of cigarette smoking relapse among US adult smokers - a longitudinal study
title_full_unstemmed Prevalence and determinants of cigarette smoking relapse among US adult smokers - a longitudinal study
title_short Prevalence and determinants of cigarette smoking relapse among US adult smokers - a longitudinal study
title_sort prevalence and determinants of cigarette smoking relapse among us adult smokers a longitudinal study
topic smokers
url https://www.tobaccopreventioncessation.com/Prevalence-and-determinants-of-cigarette-smoking-relapse-among-US-adult-smokers-a,105151,0,2.html
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