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. 2001 Jun;10(2):165–169. doi: 10.1136/tc.10.2.165

Sociodemographic predictors of success in smoking intervention

E Monso 1, J Campbell 1, P Tonnesen 1, G Gustavsson 1, J Morera 1
PMCID: PMC1747562  PMID: 11387538

Abstract

AIM—To examine the role of sociodemographic factors as predictors of sustained smoking cessation for the population who volunteer to participate in intervention programmes.
METHOD—Data for the 3575 smokers who participated in the CEASE (collaborative European anti-smoking evaluation) trial, a European multicentred study that used transdermal nicotine patches as an adjunct to smoking cessation in the chest clinic, were analysed. The effects of age, sex, smoking habit, socioeconomic status (housing conditions, education, and employment), disease, smoking habits of relatives, and baseline markers of tobacco use on sustained smoking cessation (self-reported abstinence and expired carbon monoxide < 10 parts per million) were assessed using logistic regression modelling (odds ratio (OR), 95% confidence interval (CI)).
RESULTS—477/3575 smokers were sustained abstainers one year after the intervention (overall success rate 13.3%). In the univariable logistic regression models an effect of active treatment on smoking cessation was observed (OR 1.50, 95% CI 1.15 to 1.96), and additional effects on outcome were found for age (OR 1.02, 95% CI 1.01 to 1.03), sex (men v women: OR 1.38, 95% CI 1.14 to 1.68), housing conditions (OR 1.43, 95% CI 1.25 to 1.65), current respiratory (OR 0.79, 95% CI 0.67 to 0.92) or cardiac disease (OR 0.46, 95% CI 0.28 to 0.75), and markers of tobacco use (cigarettes per day: OR 0.79, 95% CI 0.69 to 0.90; expired carbon monoxide: OR 0.98, 95% CI 0.97 to 0.99). Education and employment did not have a significant effect on the outcome. The effect of the variables associated with success in smoking cessation persisted after adjustment for covariates.
CONCLUSION—Age, sex, and housing conditions have a major effect on smoking cessation in European smokers participating in smoking cessation programmes.


Keywords: cessation; sociodemographic predictors

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Selected References

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  1. Bjornson W., Rand C., Connett J. E., Lindgren P., Nides M., Pope F., Buist A. S., Hoppe-Ryan C., O'Hara P. Gender differences in smoking cessation after 3 years in the Lung Health Study. Am J Public Health. 1995 Feb;85(2):223–230. doi: 10.2105/ajph.85.2.223. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Farkas A. J., Pierce J. P., Zhu S. H., Rosbrook B., Gilpin E. A., Berry C., Kaplan R. M. Addiction versus stages of change models in predicting smoking cessation. Addiction. 1996 Sep;91(9):1271–1292. [PubMed] [Google Scholar]
  3. Fiore M. C., Novotny T. E., Pierce J. P., Hatziandreu E. J., Patel K. M., Davis R. M. Trends in cigarette smoking in the United States. The changing influence of gender and race. JAMA. 1989 Jan 6;261(1):49–55. [PubMed] [Google Scholar]
  4. Graham H. Smoking prevalence among women in the European community 1950-1990. Soc Sci Med. 1996 Jul;43(2):243–254. doi: 10.1016/0277-9536(95)00369-x. [DOI] [PubMed] [Google Scholar]
  5. Hatziandreu E. J., Pierce J. P., Lefkopoulou M., Fiore M. C., Mills S. L., Novotny T. E., Giovino G. A., Davis R. M. Quitting smoking in the United States in 1986. J Natl Cancer Inst. 1990 Sep 5;82(17):1402–1406. doi: 10.1093/jnci/82.17.1402. [DOI] [PubMed] [Google Scholar]
  6. Heatherton T. F., Kozlowski L. T., Frecker R. C., Fagerström K. O. The Fagerström Test for Nicotine Dependence: a revision of the Fagerström Tolerance Questionnaire. Br J Addict. 1991 Sep;86(9):1119–1127. doi: 10.1111/j.1360-0443.1991.tb01879.x. [DOI] [PubMed] [Google Scholar]
  7. Hemingway H., Nicholson A., Stafford M., Roberts R., Marmot M. The impact of socioeconomic status on health functioning as assessed by the SF-36 questionnaire: the Whitehall II Study. Am J Public Health. 1997 Sep;87(9):1484–1490. doi: 10.2105/ajph.87.9.1484. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Hymowitz N., Cummings K. M., Hyland A., Lynn W. R., Pechacek T. F., Hartwell T. D. Predictors of smoking cessation in a cohort of adult smokers followed for five years. Tob Control. 1997;6 (Suppl 2):S57–S62. doi: 10.1136/tc.6.suppl_2.s57. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Hymowitz N., Sexton M., Ockene J., Grandits G. Baseline factors associated with smoking cessation and relapse. MRFIT Research Group. Prev Med. 1991 Sep;20(5):590–601. doi: 10.1016/0091-7435(91)90057-b. [DOI] [PubMed] [Google Scholar]
  10. Jarvis M. J., Tunstall-Pedoe H., Feyerabend C., Vesey C., Saloojee Y. Comparison of tests used to distinguish smokers from nonsmokers. Am J Public Health. 1987 Nov;77(11):1435–1438. doi: 10.2105/ajph.77.11.1435. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Kenford S. L., Fiore M. C., Jorenby D. E., Smith S. S., Wetter D., Baker T. B. Predicting smoking cessation. Who will quit with and without the nicotine patch. JAMA. 1994 Feb 23;271(8):589–594. doi: 10.1001/jama.271.8.589. [DOI] [PubMed] [Google Scholar]
  12. Latour Pérez J., Alvarez-Dardet Díaz C. La medición del nivel socioeconómico. Med Clin (Barc) 1989 Apr 1;92(12):470–474. [PubMed] [Google Scholar]
  13. Morris J. K., Cook D. G., Shaper A. G. Non-employment and changes in smoking, drinking, and body weight. BMJ. 1992 Feb 29;304(6826):536–541. doi: 10.1136/bmj.304.6826.536. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Nides M. A., Rakos R. F., Gonzales D., Murray R. P., Tashkin D. P., Bjornson-Benson W. M., Lindgren P., Connett J. E. Predictors of initial smoking cessation and relapse through the first 2 years of the Lung Health Study. J Consult Clin Psychol. 1995 Feb;63(1):60–69. doi: 10.1037//0022-006x.63.1.60. [DOI] [PubMed] [Google Scholar]
  15. Olsen J. Predictors of smoking cessation in pregnancy. Scand J Soc Med. 1993 Sep;21(3):197–202. doi: 10.1177/140349489302100309. [DOI] [PubMed] [Google Scholar]
  16. Osler M., Prescott E. Psychosocial, behavioural, and health determinants of successful smoking cessation: a longitudinal study of Danish adults. Tob Control. 1998 Autumn;7(3):262–267. doi: 10.1136/tc.7.3.262. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Palmer K. J., Buckley M. M., Faulds D. Transdermal Nicotine. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic efficacy as an aid to smoking cessation. Drugs. 1992 Sep;44(3):498–529. doi: 10.2165/00003495-199244030-00011. [DOI] [PubMed] [Google Scholar]
  18. Pierce J. P., Fiore M. C., Novotny T. E., Hatziandreu E. J., Davis R. M. Trends in cigarette smoking in the United States. Educational differences are increasing. JAMA. 1989 Jan 6;261(1):56–60. [PubMed] [Google Scholar]
  19. Pierce J. P., Fiore M. C., Novotny T. E., Hatziandreu E. J., Davis R. M. Trends in cigarette smoking in the United States. Projections to the year 2000. JAMA. 1989 Jan 6;261(1):61–65. [PubMed] [Google Scholar]
  20. Severson H. H., Andrews J. A., Lichtenstein E., Wall M., Zoref L. Predictors of smoking during and after pregnancy: a survey of mothers of newborns. Prev Med. 1995 Jan;24(1):23–28. doi: 10.1006/pmed.1995.1004. [DOI] [PubMed] [Google Scholar]
  21. Stapleton J. A., Russell M. A., Feyerabend C., Wiseman S. M., Gustavsson G., Sawe U., Wiseman D. Dose effects and predictors of outcome in a randomized trial of transdermal nicotine patches in general practice. Addiction. 1995 Jan;90(1):31–42. doi: 10.1046/j.1360-0443.1995.901316.x. [DOI] [PubMed] [Google Scholar]
  22. Tillgren P., Haglund B. J., Ainetdin T., Holm L. E. Who is a successful quitter? One-year follow-up of a National Tobacco Quit and Win Contest in Sweden. Scand J Soc Med. 1995 Sep;23(3):193–201. doi: 10.1177/140349489502300310. [DOI] [PubMed] [Google Scholar]
  23. Tillgren P., Haglund B. J., Lundberg M., Romelsjö A. The sociodemographic pattern of tobacco cessation in the 1980s: results from a panel study of living condition surveys in Sweden. J Epidemiol Community Health. 1996 Dec;50(6):625–630. doi: 10.1136/jech.50.6.625. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Tønnesen P., Paoletti P., Gustavsson G., Russell M. A., Saracci R., Gulsvik A., Rijcken B., Sawe U. Higher dosage nicotine patches increase one-year smoking cessation rates: results from the European CEASE trial. Collaborative European Anti-Smoking Evaluation. European Respiratory Society. Eur Respir J. 1999 Feb;13(2):238–246. doi: 10.1034/j.1399-3003.1999.13b04.x. [DOI] [PubMed] [Google Scholar]
  25. Winkleby M. A., Jatulis D. E., Frank E., Fortmann S. P. Socioeconomic status and health: how education, income, and occupation contribute to risk factors for cardiovascular disease. Am J Public Health. 1992 Jun;82(6):816–820. doi: 10.2105/ajph.82.6.816. [DOI] [PMC free article] [PubMed] [Google Scholar]

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