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Prospective predictors of long-term abstinence versus relapse among smokers who quit as young adults

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  • Macy, J.T.
  • Seo, D.-C.
  • Chassin, L.
  • Presson, C.C.
  • Sherman, S.J.

Abstract

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.

Suggested Citation

  • Macy, J.T. & Seo, D.-C. & Chassin, L. & Presson, C.C. & Sherman, S.J., 2007. "Prospective predictors of long-term abstinence versus relapse among smokers who quit as young adults," American Journal of Public Health, American Public Health Association, vol. 97(8), pages 1470-1475.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2006.101386_1
    DOI: 10.2105/AJPH.2006.101386
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    Cited by:

    1. Davis, Cassandra Denise & Burton, Scot, 2019. "Making bad look good: The counterpersuasive effects of natural labels on (dangerous) vice goods," Journal of Business Research, Elsevier, vol. 104(C), pages 271-282.
    2. Denman, Antony Roger & Timson, Karen & Shield, George & Groves-Kirkby, Christopher John & Rogers, Stephen & Campbell, Jackie Ann & Phillips, Paul Scott, 2009. "Local health campaigns to reduce lung cancers induced by radon and smoking--Who responds?," Health Policy, Elsevier, vol. 93(2-3), pages 201-206, December.
    3. Youngmee Kim & Ji Sung Lee & Won-Kyung Cho, 2021. "Factors Associated with Successful Smoking Cessation According to Age Group: Findings of an 11-Year Korea National Survey," IJERPH, MDPI, vol. 18(4), pages 1-11, February.
    4. Hae Kang Lee, 2024. "The financial benefits of health engagement programs to life insurers," Financial Innovation, Springer;Southwestern University of Finance and Economics, vol. 10(1), pages 1-38, December.
    5. Alessandro Radaeli & Matteo Nardin & Danila Azzolina & Mario Malerba, 2019. "Determinants of Smoking Status in a Sample of Outpatients Afferent to a Tertiary Referral Hospital," IJERPH, MDPI, vol. 16(21), pages 1-11, October.

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