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What Are the Major Determinants in the Success of Smoking Cessation: Results from the Health Examinees Study

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  • Jae Jeong Yang
  • Minkyo Song
  • Hyung-Suk Yoon
  • Hwi-Won Lee
  • Yunhee Lee
  • Sang-Ah Lee
  • Ji-Yeob Choi
  • Jong-koo Lee
  • Daehee Kang

Abstract

Understanding mechanisms underlying smoking-related factors should be prioritized in establishing smoking prevention and cessation policy. The aim of this study was to identify factors significantly associated with smoking initiation and/or smoking cessation as well as the most important determinants of successful smoking cessation in a developed non-Western setting. Based on multiple logistic regression models, the odds ratios (ORs) for smoking initiation and cessation were estimated among males (N = 24,490) who had participated in the Health Examinees (HEXA) study. The Cox proportional hazards regression model was used to assess the association between selected predictors of smoking cessation and the likelihood of reaching this goal. Finally, Kaplan–Meier curves were constructed to illustrate the distribution of time from age at smoking initiation to age at smoking cessation. We found that the ORs for successfully quitting smoking increased with age, married status, educational achievement, having a non-manual job, drinking cessation and disease morbidity. Those exposed to secondhand smoking showed less likelihood of quitting smoking. A continual decrease in the ORs for successfully quitting smoking was observed according to increased smoking duration, smoking dose per day and lifetime tobacco exposure (ptrend

Suggested Citation

  • Jae Jeong Yang & Minkyo Song & Hyung-Suk Yoon & Hwi-Won Lee & Yunhee Lee & Sang-Ah Lee & Ji-Yeob Choi & Jong-koo Lee & Daehee Kang, 2015. "What Are the Major Determinants in the Success of Smoking Cessation: Results from the Health Examinees Study," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-16, December.
    • Handle: RePEc:plo:pone00:0143303
    DOI: 10.1371/journal.pone.0143303
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    References listed on IDEAS

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    1. Augustson, E.M. & Wanke, K.L. & Rogers, S. & Bergen, A.W. & Chatterjee, N. & Synder, K. & Albanes, D. & Taylor, P.R. & Caporaso, N.E., 2008. "Predictors of sustained smoking cessation: A prospective analysis of chronic smokers from the Alpha-Tocopherol Beta-Carotene Cancer Prevention Study," American Journal of Public Health, American Public Health Association, vol. 98(3), pages 549-555.
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