Risk Factors of Relapse After Smoking Cessation: Results in China Family Panel Studies From 2010 to 2018

BackgroundTobacco use is still highly prevalent globally in spite of the tobacco control efforts made by the governments. In view of the harm of smoking and relapse after smoking cessation, the purpose of this study is to establish a competitive risk model to determine potential risk factors for smo...

Full description

Bibliographic Details
Main Authors: Naifan Hu, Zhenfan Yu, Yurun Du, Jiangping Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-07-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.849647/full
_version_ 1811318746151649280
author Naifan Hu
Zhenfan Yu
Yurun Du
Jiangping Li
Jiangping Li
author_facet Naifan Hu
Zhenfan Yu
Yurun Du
Jiangping Li
Jiangping Li
author_sort Naifan Hu
collection DOAJ
description BackgroundTobacco use is still highly prevalent globally in spite of the tobacco control efforts made by the governments. In view of the harm of smoking and relapse after smoking cessation, the purpose of this study is to establish a competitive risk model to determine potential risk factors for smoking relapse.MethodsThe population-based cohort of ex-smokers over the age of 18 years was obtained from the China Family Panel Studies (CFPS) database from 2010 to 2018. Competing risk models were conducted to identify the risk factors for relapse.ResultsA total of 1,019 subjects were included in this study, of which 311 (30.52%) subjects relapsed during the follow-up period. A multivariate analysis indicated that age < 40 years [hazard ratio (HR) 19.142; 95% CI: 10.641–34.434, p < 0.01], cohabitation (HR: 1.422; 95% CI: 1.081–1.87, p = 0.01), and often depression [HR 1.422; 95% CI, (1.081–1.87), p = 0.01] were associated with a great risk of relapse while the age of quitting smoking < 60 years (HR: 0. 436; 95% CI: 0.229–0.831, p < 0.01) and joining the Chinese Communist Party (CCP) (HR 0.611; 95% CI: 0.397–0.939, p = 0.03) were reduced risk factors for relapse.ConclusionsApproximately 3 in 10 ex-smokers were observed to relapse. There are various risk factors for relapse as well. In the face of such a serious situation, it is urgent to take action to control smoking.
first_indexed 2024-04-13T12:30:55Z
format Article
id doaj.art-c173a05d4dd946bf8bf6398de5b0f3b2
institution Directory Open Access Journal
issn 2296-2565
language English
last_indexed 2024-04-13T12:30:55Z
publishDate 2022-07-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Public Health
spelling doaj.art-c173a05d4dd946bf8bf6398de5b0f3b22022-12-22T02:46:51ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-07-011010.3389/fpubh.2022.849647849647Risk Factors of Relapse After Smoking Cessation: Results in China Family Panel Studies From 2010 to 2018Naifan Hu0Zhenfan Yu1Yurun Du2Jiangping Li3Jiangping Li4Department of Epidemiology and Statistics, School of Public Health and Management, Ningxia Medical University, Yinchuan, ChinaDepartment of Epidemiology and Statistics, School of Public Health and Management, Ningxia Medical University, Yinchuan, ChinaDepartment of Epidemiology and Statistics, School of Public Health and Management, Ningxia Medical University, Yinchuan, ChinaDepartment of Epidemiology and Statistics, School of Public Health and Management, Ningxia Medical University, Yinchuan, ChinaKey Laboratory of Environmental Factors and Chronic Disease Control, Ningxia Medical University, Yinchuan, ChinaBackgroundTobacco use is still highly prevalent globally in spite of the tobacco control efforts made by the governments. In view of the harm of smoking and relapse after smoking cessation, the purpose of this study is to establish a competitive risk model to determine potential risk factors for smoking relapse.MethodsThe population-based cohort of ex-smokers over the age of 18 years was obtained from the China Family Panel Studies (CFPS) database from 2010 to 2018. Competing risk models were conducted to identify the risk factors for relapse.ResultsA total of 1,019 subjects were included in this study, of which 311 (30.52%) subjects relapsed during the follow-up period. A multivariate analysis indicated that age < 40 years [hazard ratio (HR) 19.142; 95% CI: 10.641–34.434, p < 0.01], cohabitation (HR: 1.422; 95% CI: 1.081–1.87, p = 0.01), and often depression [HR 1.422; 95% CI, (1.081–1.87), p = 0.01] were associated with a great risk of relapse while the age of quitting smoking < 60 years (HR: 0. 436; 95% CI: 0.229–0.831, p < 0.01) and joining the Chinese Communist Party (CCP) (HR 0.611; 95% CI: 0.397–0.939, p = 0.03) were reduced risk factors for relapse.ConclusionsApproximately 3 in 10 ex-smokers were observed to relapse. There are various risk factors for relapse as well. In the face of such a serious situation, it is urgent to take action to control smoking.https://www.frontiersin.org/articles/10.3389/fpubh.2022.849647/fullrelapsesmokingquitting smokingfactorscompeting riskCFPS
spellingShingle Naifan Hu
Zhenfan Yu
Yurun Du
Jiangping Li
Jiangping Li
Risk Factors of Relapse After Smoking Cessation: Results in China Family Panel Studies From 2010 to 2018
Frontiers in Public Health
relapse
smoking
quitting smoking
factors
competing risk
CFPS
title Risk Factors of Relapse After Smoking Cessation: Results in China Family Panel Studies From 2010 to 2018
title_full Risk Factors of Relapse After Smoking Cessation: Results in China Family Panel Studies From 2010 to 2018
title_fullStr Risk Factors of Relapse After Smoking Cessation: Results in China Family Panel Studies From 2010 to 2018
title_full_unstemmed Risk Factors of Relapse After Smoking Cessation: Results in China Family Panel Studies From 2010 to 2018
title_short Risk Factors of Relapse After Smoking Cessation: Results in China Family Panel Studies From 2010 to 2018
title_sort risk factors of relapse after smoking cessation results in china family panel studies from 2010 to 2018
topic relapse
smoking
quitting smoking
factors
competing risk
CFPS
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.849647/full
work_keys_str_mv AT naifanhu riskfactorsofrelapseaftersmokingcessationresultsinchinafamilypanelstudiesfrom2010to2018
AT zhenfanyu riskfactorsofrelapseaftersmokingcessationresultsinchinafamilypanelstudiesfrom2010to2018
AT yurundu riskfactorsofrelapseaftersmokingcessationresultsinchinafamilypanelstudiesfrom2010to2018
AT jiangpingli riskfactorsofrelapseaftersmokingcessationresultsinchinafamilypanelstudiesfrom2010to2018
AT jiangpingli riskfactorsofrelapseaftersmokingcessationresultsinchinafamilypanelstudiesfrom2010to2018