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Effects of Respiratory Disorders on Smoking Cessation and Re-Initiation in an Italian Cohort Study

Author

Listed:
  • Eliana Finocchio

    (Unit of Epidemiology & Medical Statistics, Department of Diagnostics & Public Health, University of Verona, 37134 Verona, Italy)

  • Mario Olivieri

    (Unit of Occupational Medicine, Department of Diagnostics & Public Health, University of Verona, 37134 Verona, Italy)

  • Giang Nguyen

    (Unit of Epidemiology & Medical Statistics, Department of Diagnostics & Public Health, University of Verona, 37134 Verona, Italy)

  • Oscar Bortolami

    (Unit of Epidemiology & Medical Statistics, Department of Diagnostics & Public Health, University of Verona, 37134 Verona, Italy)

  • Pierpaolo Marchetti

    (Unit of Epidemiology & Medical Statistics, Department of Diagnostics & Public Health, University of Verona, 37134 Verona, Italy)

  • Roberta Vesentini

    (Unit of Epidemiology & Medical Statistics, Department of Diagnostics & Public Health, University of Verona, 37134 Verona, Italy)

  • Lorena Torroni

    (Unit of Epidemiology & Medical Statistics, Department of Diagnostics & Public Health, University of Verona, 37134 Verona, Italy)

  • Gianluca Spiteri

    (Unit of Occupational Medicine, Department of Diagnostics & Public Health, University of Verona, 37134 Verona, Italy)

  • Francesca Locatelli

    (Unit of Epidemiology & Medical Statistics, Department of Diagnostics & Public Health, University of Verona, 37134 Verona, Italy)

  • Francesca Moretti

    (Unit of Hygiene, Department of Diagnostics & Public Health, University of Verona, 37134 Verona, Italy)

  • Alessandro Fois

    (Unit of Lung Disease, Department of Clinical and Experimental Medicine, University of Sassari, 07100 Sassari, Italy)

  • Pietro Pirina

    (Unit of Lung Disease, Department of Clinical and Experimental Medicine, University of Sassari, 07100 Sassari, Italy)

  • Marcello Ferrari

    (Unit of Respiratory Diseases, Department of Medicine, University of Verona, 37134 Verona, Italy)

  • Giuseppe Verlato

    (Unit of Epidemiology & Medical Statistics, Department of Diagnostics & Public Health, University of Verona, 37134 Verona, Italy)

Abstract

The present study aims to prospectively assess the influence of respiratory disorders on smoking cessation and re-initiation. Three population-based Italian cohorts answered a questionnaire on respiratory health and smoking habits during 1998–2001 and after a mean follow-up (SD) of 9.1 (0.8) years. Out of 1874 current smokers and 1166 ex-smokers at baseline, 965 (51.5%) and 735 (63.0%) reported their smoking status at follow-up. From current smokers, 312 had stopped smoking at follow-up, while 86 ex-smokers had resumed smoking. People reporting asthma at baseline were more likely to stop smoking than the other subjects (48.6% vs. 31.7%), while people reporting allergic rhinitis or chronic cough/phlegm had a higher probability to resume smoking (16.7% vs. 10.5% and 20.7% vs. 10.4%, respectively). In the multivariable logistic model, smoking relapse strongly decreased with increasing abstinence duration in people without chronic cough/phlegm (OR for ≥7.5 years vs. <7.5 years = 0.23, 95% CI 0.20–0.27), while no effect was detected in people with chronic cough/phlegm ( p for interaction = 0.039). Smoking cessation was enhanced in asthmatic subjects, while people with allergic rhinitis or chronic cough/phlegm were at higher risk to resume smoking. Chronic cough/phlegm blunted the decrease in smoking resumption associated with longer abstinence duration.

Suggested Citation

  • Eliana Finocchio & Mario Olivieri & Giang Nguyen & Oscar Bortolami & Pierpaolo Marchetti & Roberta Vesentini & Lorena Torroni & Gianluca Spiteri & Francesca Locatelli & Francesca Moretti & Alessandro , 2021. "Effects of Respiratory Disorders on Smoking Cessation and Re-Initiation in an Italian Cohort Study," IJERPH, MDPI, vol. 18(3), pages 1-15, January.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:3:p:903-:d:484401
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    References listed on IDEAS

    as
    1. Ruoyan Sun & David Mendez, 2019. "Finding the optimal mix of smoking initiation and cessation interventions to reduce smoking prevalence," PLOS ONE, Public Library of Science, vol. 14(3), pages 1-12, March.
    2. Moore, S. & Teixeira, A. & Stewart, S., 2014. "Effect of network social capital on the chances of smoking relapse: A two-year follow-up study of urban-dwelling adults," American Journal of Public Health, American Public Health Association, vol. 104(12), pages 72-76.
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