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. 2008 Dec 10;35(9):466–471. [Article in Spanish] doi: 10.1157/13075481

Edad de inicio en el consumo del tabaco como predictor de la deshabituación tabáquica

Age of smoking initiation as predictor in smoking cessation

G Flores Mateo 1,, S Morchón Ramos 1, C Masuet Aumatell 1, P Carrillo Santisteve 1, P Manchón Walsh 1, JM Ramon Torrell 1
PMCID: PMC7669184  PMID: 15919020

Abstract

Objective

To determinate the relationship between the age of smoking initiation and the success of the smoking cessation program.

Design

Prospective cohort.

Setting

Smoking Cessation Unit, in the University Hospital of Bellvitge, L’Hospitalet de Llobregat, Barcelona, Spain.

Participants

2801 smokers of 10 or more cigarette per day, who started a smoking cessation program between January 1993 to December 2002.

Methods

Kaplan-Meier method was used to obtain the probability of relapse. The log-rank test was used to determine relapse differences in time between groups of age at smoking initiation. Hazard ratios (HR) of quitting were estimated with a Cox model.

Results

The mean age at smoking onset was 15.5±4.1 years for men and 17.7±5.4 years for women. The age of onset smoking was significant for relapse during smoking cessation in men with a HR=1.42 (95% CI, 1.09-1.86), and for women who started to smoke before 14 years old compared with the reference group a HR=1.25 (95% CI, 0.76-1.49).

Conclusions

This study shows that age of smoking onset predicts higher rates of relapse in a smoking cessation program in men. The low motivation for cessation was in both sex a significative factor for relapse and the low and high nicotine dependence were in women.

Key words: Smoking, Adolescent, Smoking cessation

Bibliografía

  • 1.WHO . A global status report. WHO; Geneva: 1997. Tobacco or health. [Google Scholar]
  • 2.Ezzati M., López A.D. Estimates of global mortality attributable to smoking in 2000. Lancet. 2003;362:847–852. doi: 10.1016/S0140-6736(03)14338-3. [DOI] [PubMed] [Google Scholar]
  • 3.Generalitat de Catalunya. Direcció General de Salut Pública. Departament de Sanitat i Seguretat Social. Mortalitat atribuible a l’hàbit tabàquic. Barcelona: Direcció General de Salut Pública. Departament de Sanitat i Seguretat Social; 2001.
  • 4.Peto R., López A.D. Future worldwide health effects of current smoking patterns. In: Koop C.E., Pearson C.E., Schwarz M.R., editors. Critical issues in global health. Jossey-Bass; New York: 2000. [Google Scholar]
  • 5.Lancaster T., Stead L., Silagy C., Sowden A. Effectiveness of interventions to help people stop smoking: findings from the Cochrane Library. BMJ. 2000;321:355–358. doi: 10.1136/bmj.321.7257.355. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 6.Torrecilla M., Barrueco M., Maderuelo J.A., Jiménez C., Plaza M.D., Hernández M.A. El abordaje del tabaquismo en atención primaria y especializada, una oportunidad real y una necesidad de salud pública. Aten Primaria. 2002;30:197–205. doi: 10.1016/S0212-6567(02)79009-4. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 7.Marcos T., Godás T., Corominas J. Tratamiento de sustitución de nicotina frente a reducción progresiva en la deshabituación tabáquica. Med Clin (Barc) 2004;123:127–130. doi: 10.1016/s0025-7753(04)74434-6. [DOI] [PubMed] [Google Scholar]
  • 8.Camarelles F., Asensio A., Jiménez-Ruiz C., Becerril B., Rodero D., Vidaller O. Efectividad de la intervención grupal para la deshabituación tabáquica. Ensayo clínico aleatorizado. Med Clin (Barc) 2002;119:53–57. doi: 10.1016/s0025-7753(02)73312-5. [DOI] [PubMed] [Google Scholar]
  • 9.Morchón S., Blasco J.A., Rovira A., Arias-César N., Ramón J.M. Efectividad de una intervención de deshabituación tabáquica con patología cardiovascular. Rev Esp Cardiol. 2001;54:1271–1276. doi: 10.1016/s0300-8932(01)76496-2. [DOI] [PubMed] [Google Scholar]
  • 10.Tillgren P., Haglund B.J., Lundberg M., Romelsjo 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;50:625–630. doi: 10.1136/jech.50.6.625. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 11.De Sancho Martín JL, Gorgojo Jiménez L, González Enríquez J. Evaluación de la eficacia, efectividad y coste-efectividad de los distintos abordajes para dejar de fumar. Madrid. AETS, 2003.
  • 12.DiFranza J.R., Rigotti N.A., McNeill A.D., Ockene J.K., Savageau J.A., St Cyr D. Initial symptoms of nicotine dependence in adolescents. Tobacco Control. 2000;9:313–319. doi: 10.1136/tc.9.3.313. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 13.DiFranza J.R., Savageau J.A., Fletcher K., Ockene J.K., Rigotti N.A., McNeill A.D. Measuring the loss of autonomy over nicotine use in adolescents: the DANDY study. Arch Pediatr Adolesc Med. 2002;156:397–403. doi: 10.1001/archpedi.156.4.397. [DOI] [PubMed] [Google Scholar]
  • 14.Lando H., Thai D.T., Murria D., Robinson L.A., Jeffery R.W., Sherwood N. Age of initiation, smoking patterns, and risk in a population of working adults. Prev Med. 1999;29:590–598. doi: 10.1006/pmed.1999.0590. [DOI] [PubMed] [Google Scholar]
  • 15.Taioli E., Wynder E.L. Effect of the age at which smoking begins on frequency of smoking in adulthood. N Engl J Med. 1991;325:968–969. doi: 10.1056/NEJM199109263251318. [DOI] [PubMed] [Google Scholar]
  • 16.Breslau N., Peterson E. Smoking cessation in young adults: age at initiation of cigarette smoking and other suspected influences. Am J Public Health. 1996;86:214–220. doi: 10.2105/ajph.86.2.214. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 17.Khuder S., Dayal H., Mutgi A. Age at smoking onset and its effect on smoking cessation. Addict Behav. 1999;24:673–677. doi: 10.1016/s0306-4603(98)00113-0. [DOI] [PubMed] [Google Scholar]
  • 18.Fernández E., La Vecchia C., D’Avanzo B., Braga C., Negri E., Franceschi S. Quitting smoking in Northern Italy: a cross-sectional analisis of 2621 subjects. Eur J Epidemiol. 1997;13:267–273. doi: 10.1023/a:1007346018883. [DOI] [PubMed] [Google Scholar]
  • 19.Fagerström K.O., Scneider N. Measuring nicotine dependence: a review of the FTND. J Behav Med. 1989;12:159–182. doi: 10.1007/BF00846549. [DOI] [PubMed] [Google Scholar]
  • 20.Prochaska J.O., DiClemente C.C., Norcross J.C. In search of how the people change. Applications to addictive behaviours. Am Psychol. 1992;7:1102–1114. doi: 10.1037//0003-066x.47.9.1102. [DOI] [PubMed] [Google Scholar]
  • 21.SPSS para Windows 11.0. Chicago, 2000.

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