Table 5 Estimated prevalence of relapse within 1 week, 1 month, 6 months, and 1 year following the longest cessation attempt according to level of cigarette consumption* and period of adolescence among adolescent smokers who ever attempted cessation
Country, study yearAge/grade rangeDefinition of duration of abstinencePrevalence (%) of relapse within various time intervals following the longest cessation attempt†
⩽1 week⩽1 month⩽6 months⩽1 year
Any use (in the past month)
Early to middle adolescence
Canada, 199437Age 10–14Longest time you ever quit smoking48‡§67‡§90‡§
United States, 1989–199074Age 12–13Longest time you stayed off cigarettes15488888
Middle adolescence
United States, 1989–199074Age 14–15Longest time you stayed off cigarettes14448991
Early to late adolescence
Canada, 199437Age 10–19Longest time you ever quit smoking41‡§65‡§90‡§94§
United States, 1989–199074Age 12–18Longest time you stayed off cigarettes16‡47‡89‡91‡
Middle to late adolescence
Canada, 199437Age 15–19Longest time you ever quit smoking39§65§91§96||§
Late adolescence
United States, 1989–199074Age 16–18Longest time you stayed off cigarettes17488992
Daily use (in the past week)
Early to middle adolescence
Canada, 200470Grade 5–9Longest time successfully stopped smoking6883
Daily use (in the past month)
Early to middle adolescence
Canada, 199437Age 10–14Longest time you ever quit smoking73§
Early to late adolescence
Canada, 199437Age 10–19Longest time you ever quit smoking49‡§72§¶92§95§
Middle to late adolescence
Canada, 199437Age 15–19Longest time you ever quit smoking46||§71||§93||§97||§
Non-daily use (in the past month)
Early to middle adolescence
Canada, 199437Age 10–14Longest time you ever quit smoking30**§54**§82**§
Early to late adolescence
Canada, 199437Age 10–19Longest time you ever quit smoking26‡§52‡§86‡§92§
Middle to late adolescence
Canada, 199437Age 15–19Longest time you ever quit smoking18||**§45||**§85||**§
  • *Any use in the past month was defined operationally as “smoked ⩾1 cigarette in the past 30 days”, except in Allen et al74 where it was defined as “smoked in the past 30 days”; daily use in the past week was defined operationally as: “smoked cigarettes on each of the 7 days preceding data collection”; daily use in the past month was defined operationally as: “smoked⩾1 cigarette each day in the past 30 days”; non-daily use in the past month was defined operationally as: “smoked ⩾1 cigarette in the past 30 days, but not daily”.

  • †Findings for the duration of the longest cessation attempt were usually reported on an ordinal rather than on a continuous scale. Summary estimates could only be calculated where the responses were scaled similarly across multiple studies. The prevalence of relapse categories reported here were derived by combining multiple ordinal categories.

  • ‡Excluded from the calculation of summary estimate because complete stratum-specific estimates were available for this study.

  • §Estimated among the subgroup of adolescents who had smoked ⩾100 cigarettes in their lifetime.

  • ||Excluded from the calculation of summary estimate because a more inclusive estimate was available.

  • ¶Additional data were reported on the prevalence of relapse within 1 month following the longest cessation attempt according to the frequency of daily consumption among adolescents aged 10–19 who had consumed ⩾100 cigarettes in their lifetime and who had ever tried to quit smoking, as follows: 74 (16–20 cigarettes per day), 52 (⩽5 cigarettes per day).

  • **Estimate does not include quit attempts of ⩽1 day due to high sampling variability in this category. For 10–14 year olds, between 9–17% quit for ⩽1 day; for 15–19 year olds, between 5–7% quit for ⩽1 day.