Sociodemographic predictors of success in smoking intervention
E Monsóa, J Campbellb, P Tønnesenc, G Gustavssonb, J Moreraa
a Servei de
Pneumologia, Hospital Germans Trias I Pujol, Badalona, Catalonia, Spain, b Pharmacia and
Upjohn, Sant Cugat del Vallés, Spain, and Helsingborg, Sweden, c Department of Pulmonary Medicine, Gentofte
Hospital, Hellerup, Denmark
Correspondence to: Dr Eduard Monsó, Servei de Pneumologia, Hospital Germans Trias I Pujol, Cra. del Canyet s/n, Ap. de correus 72, 08916 Badalona, Catalonia. Spain emonso{at}ns.hugtip.scs.es.
Received 12 July 2000; Revision received 9 February 2001;
Accepted 14 February 2001
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
© 2001 by Tobacco Control
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