Tob Control 1998;7:262-267 ( Autumn )

Psychosocial, behavioural, and health determinants of successful smoking cessation: a longitudinal study of Danish adults

Merete Osler^a, Eva Prescott^b

^a Department of Social Medicine and Psychosocial Health, Institute of Public Health, University of Copenhagen, Denmark, ^b Institute of Preventive Medicine, Copenhagen Hospital Corporation, Copenhagen Municipal Hospital

Correspondence to: Dr M Osler, Department of Social Medicine and Psychosocial Health, University of Copenhagen, Blegdamsvej 3, 2200 N, Copenhagen, Denmark M.Osler{at}socmed.ku.dk

OBJECTIVETo examine the factors that determine whether or not smokers become long-term quitters, and to study whether determinants of successful cessation differ with levels of motivation to stop.
DESIGNIn a cohort of men and women, aged 30-60 years at first examination in 1982/1984, smoking behaviour was evaluated from questionnaires at baseline and at follow up 10 years later.
SETTINGCounty of Copenhagen, Denmark
PARTICIPANTS2554 subjects from the original sample of 4581 were successfully followed. This study deals with the 1365 subjects who were smokers at the first examination.
MAIN OUTCOME MEASURESmoking status (abstinent for one year or more) at follow up.
RESULTSAt follow up 15% of the baseline smokers had been abstinent for one year or more. In multivariate analysis, successful smoking cessation was associated with older age, high social status, low prior tobacco consumption, baseline motivation to stop smoking, and having a non-smoking spouse/cohabitant. The same result was obtained when the analyses were repeated separately for smokers with and without motivation to stop.
CONCLUSIONSSmokers motivated to stop are more likely to quit and remain abstinent than smokers with no such motivation. Age, social status, spouse/cohabitant's smoking behaviour, and the daily consumption of tobacco predict success in smoking cessation, irrespective of smokers' former motivation to stop.


Keywords: smoking cessation predictors; Denmark

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© 1998 by Tobacco Control
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