Journal Information
Vol. 40. Issue 8.
Pages 348-354 (August 2004)
Share
Share
Download PDF
More article options
Vol. 40. Issue 8.
Pages 348-354 (August 2004)
Original Article
Full text access
Smoking Cessation in a Population-Based Cohort Study
Visits
3997
M Garcíaa,b, A Schiaffinoa, J Twosea, C Borrellc, E Saltód,e, M Perisa, E Fernándeza,e,
Corresponding author
efernandez@ico.scs.es

Correspondence: Dr. E. Fernández. Servicio de Prevención y Control del Cáncer. Institut Català d'Oncologia. Gran Via, s/n, km 2,7. 08907 L'Hospitalet de Llobregat. Barcelona. España
, representing the Cornellà Health Interview Survey Follow-Up Study Research Group *
a Servicio de Prevención y Control del Cáncer, Institut Català d'Oncologia, L'Hospitalet de Llobregat, Barcelona, Spain
b Departamento de Metodología de las Ciencias del Comportamiento, Universitat de Barcelona, Barcelona, Spain
c Servicio de Información Sanitaria, Agència de Salut Pública de Barcelona, Barcelona, Spain
d Dirección General de Salud Pública, Departament de Sanitat i Seguretat Social, Generalitat de Catalunya, Barcelona, Spain
e Departamento de Salud Pública, Universitat de Barcelona, Barcelona, Spain
This item has received
Article information
Objective

TO study the incidence rates and the determinants of smoking cessation in a population-based cohort.

Material and Methods

We used data from the Cornellà Health Interview Survey Follow-up Study. Subjects who declared they were daily smokers at baseline (1994) and had complete follow-up, with information on smoking status in 2002, entered into analysis. We calculated incidence rates and the relative risks of cessation (with 95% confidence intervals) using the Cox model.

Results

Out of 353 daily smokers, 100 quit smoking during the follow-up period (cumulative incidence of 28.3%). The incidence rate of cessation was higher among men (42.34 per 1000 person-years) than among women (24.97 per 1000 person-years), with a relative risk of cessation of 1.69 (95% confidence interval, 1.02-2.79) for men. Age and level of education were associated with a higher relative risk of quitting in men.

Conclusions

The main determinants for smoking cessation are sociodemographic (sex, age, and level of education).

Key Words:
Smoking
Quitting
Cessation
Cohort study
Objetivo

Estudiar la tasa de incidencia del abandono del consumo de tabaco en una cohorte de base poblacional, así como determinar las características asociadas a éste.

Material y Métodos

Los datos proceden del Estudio de Seguimiento de la Encuesta de Salud de Cornellà del Llobregat (ES.ESC). Los análisis se restringieron a los fumadores diarios identificados en la entrevista basal (año 1994) y con información completa en la encuesta de seguimiento (2002). Se calcularon las tasas de incidencia de abandono y el riesgo relativo (con su intervalo de confianza) de abandono del consumo de tabaco mediante un modelo de Cox.

Resultados

De los 353 fumadores diarios, 100 dejaron de fumar durante el período de seguimiento (incidencia acumulada del 28,3%). La tasa de incidencia de abandono fue mayor en los varones (42,34/1.000 personas-año) que en mujeres (24,97/1.000 personas-año), con un riesgo relativo de abandono para los varones de 1,69 (intervalo de confianza del 95%, 1,02-2,79). La edad y el nivel educativo se asociaron a un riesgo relativo de abandono mayor en los varones.

Conclusiones

Los principales determinantes del abandono del consumo de tabaco son sociodemográficos (sexo, edad y nivel de estudios).

Palabras clave:
Tabaquismo
Abandono
Cesación
Estudio de cohortes
Full text is only aviable in PDF
REFERENCES
[1]
K Matheny, KE Weatherman.
Predictors of smoking cessation and maintenance.
J Clin Psychol, 54 (1998), pp. 223-235
[2]
B Karnath.
Smoking cessation.
Am J Med, 112 (2002), pp. 399-405
[3]
Documento Técnico. Enquesta de Salut de Catalunya (ESCA). Barcelona: Servei Català de la Salut, Departament de Sanitat i Seguretat Social, Generalitat de Catalunya, 2003.
[4]
Ministerio de Sanidad y Consumo.
Encuesta Nacional de Salud, 2001, Ministerio de Sanidad y Consumo, (2003),
[5]
E Fernández, A Schiaffino, M García, E Saltó, JR Villalbí, JM Borràs.
Prevalencia del consumo de tabaco en España entre 1945 y 1995. Reconstrucción a partir de las Encuestas Nacionales de Salud.
Med Clin (Barc), 120 (2003), pp. 14-16
[6]
JM Borràs, E Fernández, A Schiaffino, C Borrell, C La Vecchia.
Pattern of smoking initiation in Catalonia, Spain, from 1948 to 1992.
Am J Public Health, 90 (2000), pp. 1459-1462
[7]
A Schiaffino, E Fernández, C Borrell, E Saltó, M García, JM Borràs.
Gender and educational differences in smoking initiation rates in Spain from 1948 to 1992.
Eur J Public Health, 13 (2003), pp. 56-60
[8]
E Fernández, A Schiaffino, M García, JM Borràs.
Widening social inequalities.
J Epidemiol Community Health, 55 (2001), pp. 729-730
[9]
E Fernández, A Schiaffino, M Peris.
Tabaquismo en mujeres: un problema de salud emergente.
Enf Emerg, 3 (2001), pp. 184-190
[10]
E Fernández, M García, A Schiaffino, JM Borràs, M Nebot, A Segura.
Smoking initiation and cessation by gender and educational level in Catalonia, Spain.
Prev Med, 32 (2001), pp. 218-223
[11]
US Department of Health and Human Services.
Women and smoking: a report of the Surgeon General, Centers for Disease Control, Office on Smoking and Health, Department of Health and Human Services, (2001),
[12]
JM Royce, K Corbett, G Sorensen, J Ockene.
Gender, social pressure, and smoking cessation: the community intervention trial for smoking cessation (COMMIT) at baseline.
Soc Sci Med, 44 (1997), pp. 359-370
[13]
US Department of Health and Human Services.
The health benefits of smoking cessation: a report of the Surgeon General, Centers for Disease Control, Office on Smoking and Health, Department of Health and Human Services, (1990),
[14]
LL Pederson, J Brock, J McDonald.
Self-quitters and those who continue to smoke: a review of the literature, Ontario Tobacco Research Unit, Literature Reviews Series n.o 6, (1996),
[15]
A García, I Hernández, C Álvarez-Dardet.
El abandono del hábito tabáquico en España.
Med Clin (Barc), 97 (1991), pp. 161-165
[16]
E Fernández, J Carné, A Schiaffino, JM Borràs, E Saltó, R Tresserras, et al.
El abandono del hábito tabáquico en Cataluña.
Gac Sanit, 13 (1999), pp. 353-360
[17]
JA Espinàs, V Moreno, JM Borràs, C Pujol, M Martí.
Determinantes sociodemográficos del hábito tabáquico y de su abandono en la población de Cornellà de Llobregat.
Gac Sanit, 13 (1999), pp. 126-134
[18]
Departament de Salut Pública.
Ajuntament de Cornellà. Enquesta de Salut. Cornellà de Llobregat, 1993-1994, Ajuntament de Cornellà de Llobregat, (1995),
[19]
M García, A Schiaffino, E Fernández, M Martí, E Saltó, G Pérez, et al.
The Cornellà Health Interview Survey Follow-up (CHIS.FU) Study: design, methods, and response rate.
BCM Public Health, 3 (2003), pp. 12
[20]
World Health Organization.
Guidelines for controlling and monitoring the tobacco epidemic, Tobacco or Health Programme, (1997),
[21]
A Agudo, G Pera, M Rodríguez, JR Quirós, C Navarro, C Martínez, et al.
Changes of smoking habits in adults: results from a prospective study in Spain.
Ann Epidemiol, 14 (2004), pp. 235-243
[22]
N Hymowitz, KM Cummings, A Hyland, WR Lynn, TF Pechacek, TD Hartwell.
Predictors of smoking cessation in a cohort of adult smokers followed for five years.
Tob Control, 6 (1997), pp. 57-62
[23]
The COMMIT Research Group.
Community Intervention Trial for Smoking Cessation (COMMIT): I. Cohort results from a four-year community intervention.
Am J Public Health, 85 (1995), pp. 183-192
[24]
BL Nordstrom, T Kinnunen, CH Utman, EA Krall, PS Vokonas, AJ Garvey.
Predictors of continued smoking over 25 years of follow-up in the Normative Aging Study.
Am J Public Health, 90 (2000), pp. 404-406
[25]
E Rogers.
Diffusion on innovations, Free Press, (1983),
[26]
E Fernández, A Schiaffino, JM Borràs, O Shafey, JR Villalbí, C La Vecchia.
Prevalence of cigarette smoking by birth cohort among males and females in Spain, 1910-1990.
Eur J Cancer Prev, 12 (2003), pp. 57-62
[27]
GA Giovino, DM Shelton, MW Schooley.
Trends in cigarette smoking cessation in the United States.
Tob Control, 2 (1993), pp. 3-16
[28]
KM Freund, RB D'Agostino, AJ Belanger, WB Kannel, Stokes J III.
Predictors of smoking cessation: a longitudinal study.
Am J Epidemiol, 135 (1992), pp. 957-964
[29]
WP McWhorter, GM Boyd, ME Mattson.
Predictors of quitting smoking: the NHANES I follow-up experience.
J Clin Epidemiol, 43 (1990), pp. 1399-1405
[30]
M Osler, E Prescott.
Psychosocial, behavioural, and health determinants of successful smoking cessation: a longitudinal study of Danish adults.
Tob Control, 7 (1998), pp. 262-267
[31]
DL Patrick, A Cheadle, DC Thompson, PH Diehr, TS Koepsell, S Kinne.
The validity of self-reported smoking: a review and meta-analysis.
Am J Public Health, 84 (1994), pp. 1086-1093
[32]
JO Prochaska, WF Velicer, CC Diclemente, J Fava.
Measuring processes of change: applications to the cessation of smoking.
J Consult Clin Psychol, 56 (1988), pp. 520-528
[33]
R Hellman, KM Cumming, BP Haughey, MA Zielezny, RM O'Shea.
Predictors of attempting and succeeding at smoking cessation.
Health Educ Res, 6 (1991), pp. 77-86
[34]
ME Wewers, FA Stillman, AM Hartman, DR Shopland.
Distribution of daily smokers by stage of change: current population survey results.
Prev Med, 36 (2003), pp. 710-720
[35]
MJ Jarvis.
Patterns and predictors of smoking cessation in the general population.
The tobacco epidemic. Prog Respir Res, pp. 151-164
[36]
J llalbí, V López.
La prevención del tabaquismo como problema político.
Gac Sanit, 15 (2001), pp. 265-272
[37]
Ministerio de Sanidad y Consumo.
Plan Nacional de Prevención y Control del Tabaquismo, Ministerio de Sanidad y Consumo, (2003),

This study has been partially funded by a grant from the Fondo de Investigación Sanitaria (PI020261) and the City Council of Cornellà de Llobregat. Dr M. García received a grant from the Instituto de Salud Carlos III (Red de Centros RCESP C03/09), Madrid, Spain.

Cornellà Health Interview Survey Follow-Up Study Research Group members are Esteve Fernández (head of research), Anna Schiaffino and Montse García (coordinators of the study), and Mercè Martí, Esteve Saltó, Gloria Pérez, Mercè Peris, Carme Borrell, Francisco Javier Nieto, and Josep Maria Borràs (associate researchers).

Copyright © 2004. Sociedad Española de Neumología y Cirugía Torácica (SEPAR)
Archivos de Bronconeumología
Article options
Tools

Are you a health professional able to prescribe or dispense drugs?