Predictors of Smoking Cessation in Adolescents

摘要: Objective To examine factors associated with cessation of smoking in adolescents 12 to 18 years age who smoke cigarettes. Design and Setting Prospective school-based cohort study 1384 New Hampshire high school students surveyed at baseline annually up 3 subsequent regarding their substance abuse behaviors, including smoked 1 or more cigarettes within the past 30 days baseline. Outcome Measures Cessation behavior was defined by a response indicating nonsmoking status. We examined associations between measurements level addiction (cigarette consumption pattern), experience quitting, intent quit now future, opinion adults than pack per day, social influences smoke, sex, psychological attributes. Results Of 276 qualified as cigarette smokers baseline, 123 (44.6%) were occasional smokers, 65 (23.6%) daily 9 cigarettes, 88 (31.9%) 10 While 39 (14.1%) had for year less, 62 (22.5%) 6 years. Seventy-five (27.2%) reported failed attempts smoking, 71 (25.7%) wanting now, 50 (18.1%) definitely intending be nonsmoker future. Seventy-nine (28.6%) described themselves nonsmokers follow-up surveys. The rate 46.3% among 12.3% 6.8% Smoking status (adjusted odds ratio 6.67 compared [95% confidence intervals, 2.26-19.69]), definite intentions future (2.67 1.2-5.7]). Most those (92.0%). Conclusions This documents nearly one third adolescent smokers. day is comparable adult rates. Adolescents are less addicted, measured low frequency use, likely users quit. In addition, predicts cessation, but only contrast adults, quitting not higher likelihood cessation. Pediatricians should focus on keeping from moving into status, where nicotine begins play prominent role maintaining behavior. Further needed guide enhancement recruitment assessment dependence appropriate use replacement therapy this group.