Smoking relapse reasons among current smokers with previous cessation experience in Shanghai: A cross-sectional study
Introduction Quitting smoking can lead to substantial health gains, even later in life. Many smokers who attempt to quit experience several relapses before achieving sustainable cessation. This study aims to ascertain the differences between quitters with short and long abstinence time and to explor...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Publishing
2023-07-01
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| Series: | Tobacco Induced Diseases |
| Subjects: | |
| Online Access: | https://www.tobaccoinduceddiseases.org/Smoking-relapse-reasons-among-current-smokers-with-nprevious-cessation-experience,167963,0,2.html |
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| Summary: | Introduction
Quitting smoking can lead to substantial health gains, even later in life.
Many smokers who attempt to quit experience several relapses before achieving
sustainable cessation. This study aims to ascertain the differences between quitters
with short and long abstinence time and to explore relapse reasons among smokers
with cessation experience in Shanghai.
Methods
From January to December 2022, 1745 current smokers were recruited
in Minhang, Jiading, Qingpu and Songjiang districts of Shanghai. We used an
electronic questionnaire to collect data. We implemented logistic regression for
odds ratio (OR) and 95% confidence interval (CI) calculation to explore factors
associated with long cessation time among smokers with cessation experience of
≥3 months, ≥6 months, and ≥12 months.
Results
Of the 1745 smokers included, 1452 (83.2%) were males, with an
average age of 44.2 years, and 48.0% (838/1745) had cessation experience
but relapsed. Logistic regression indicated that smokers aged ≥45 years had
a longer cessation duration (adjusted odds ratio, AOR=3.10; 95% CI: 1.97–
4.88). Moreover, longer cessation duration among smokers was positively
associated with low education level of junior high or lower (AOR=2.30; 95%
CI: 1.42–3.72) and senior high (AOR=2.19; 95% CI: 1.53–3.15), older age at
first tobacco smoking (AOR=1.62; 95% CI: 1.1.16–2.25), but was negatively
associated with longer smoking duration (AOR=0.67; 95% CI: 0.43–0.00) and
higher smoking burden (AOR=0.44; 95% CI: 0.28–0.72). The main reasons
for cessation relapse were social interaction needs (34.5%) and discomfort due
to abstinence (29.1%).
Conclusions
The relapse rate was high among smokers even after 12 months of
abstinence. Smokers with older age, lower education level, shorter smoking
duration and lower tobacco burden had longer cessation duration. Social
interaction needs and withdrawal symptoms were the main relapse reasons. It is
highly recommended that health bureaux consistently conduct tobacco control
initiatives to spread awareness about the detrimental effects of tobacco smoke and
the advantages of quitting smoking, even after achieving cessation. |
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| ISSN: | 1617-9625 |