J Korean Med Sci.  2007 Dec;22(6):1065-1070. 10.3346/jkms.2007.22.6.1065.

Sociodemographic and Smoking Behavioral Predictors Associated with Smoking Cessation According to Follow-up Periods: A Randomized, Double-blind, Placebo-controlled Trial of Transdermal Nicotine Patches

• Myung SK
• Seo HG
• Park S
• Kim Y
• Kim DJ
• Lee DH
• Seong MW
• Nam MH
• Oh SW
• Kim JA
• Kim MY

• KMID: 1785771
• DOI: http://doi.org/10.3346/jkms.2007.22.6.1065

Abstract

This study investigated sociodemographic and smoking behavioral factors associated with smoking cessation according to follow-up periods. In this randomized, double-blind, placebo-controlled trial of transdermal nicotine patches, subjects were a total of 118 adult male smokers, who were followed up for 12 months. Univariable logistic regression analysis and stepwise multiple logistic regression analyses were performed to identify the predictors of smoking cessation. The overall self-reported point prevalence rates of abstinence were 20% (24/118) at 12 months follow-up, and there was no significant difference in abstinence rates between placebo and nicotine patch groups. In the univariable logistic regression analysis, predictors of successful smoking cessation were the low consumption of cigarettes per day and the low Fagerstrom Test for Nicotine Dependence (FTND) scores (p<0.05) at 3, 6, and 12 months follow-up. In the stepwise multiple logistic regression analyses, predictors of successful smoking cessation, which were different according to the follow- up periods, were found to be the low consumption of cigarettes per day at the short-term and midterm follow-up (< or =6 months), older age, and the low consumption of cigarettes per day at the long-term follow-up (12 months).

Keyword

Smoking Cessation; Demography; Socioeconomic Factors; Randomized Controlled Trials; Follow-up Studies

MeSH Terms

Administration, Cutaneous
Adult
Age Factors
Double-Blind Method
Follow-Up Studies
Humans
Logistic Models
Male
Nicotine/*administration & dosage/adverse effects
Smoking/*psychology
*Smoking Cessation

Reference

1. Grøtvedt L, Stavem K. Association between age, gender and reasons for smoking cessation. Scand J Public Health. 2005. 33:72–76.

2. Gourlay SG, Forbes A, Marriner T, Pethica D, McNeil JJ. Prospective study of factors predicting outcome of transdermal nicotine treatment in smoking cessation. BMJ. 1994. 309:842–846.

3. Levy DT, Romano E, Mumford E. The relationship of smoking cessation to sociodemographic characteristics, smoking intensity, and tobacco control policies. Nicotine Tob Res. 2005. 7:387–396.

4. Raherison C, Marjary A, Valpromy B, Prevot S, Fossoux H, Taytard A. Evaluation of smoking cessation success in adults. Respir Med. 2005. 99:1303–1310.

5. Van Der Rijt GA, Westerik H. Social and cognitive factors contributing to the intention to undergo a smoking cessation treatment. Addict Behav. 2004. 29:191–198.

6. Osler M, Prescott E. Psychosocial, behavioural, and health determinants of successful smoking cessation: a longitudinal study of Danish adults. Tob Control. 1998. 7:262–267.

7. Monsó E, Campbell J, Tønnesen P, Gustavsson G, Morera J. Sociodemographic predictors of success in smoking intervention. Tob Control. 2001. 10:165–169.

8. Cepeda-Benito A, Reynoso JT, Erath S. Meta-analysis of the efficacy of nicotine replacement therapy for smoking cessation: differences between men and women. J Consult Clin Psychol. 2004. 72:712–722.

9. Fiore MC, Kenford SL, Jorenby DE, Wetter DW, Smith SS, Baker TB. Two studies of the clinical effectiveness of the nicotine patch with different counseling treatments. Chest. 1994. 105:524–533.

10. Connolly MJ. Smoking cessation in old age: closing the stable door. Age Ageing. 2000. 29:193–195.

11. Ruchlin HS. An analysis of smoking patterns among older adults. Med Care. 1999. 37:615–619.

12. Farkas AJ, Pierce JP, Zhu SH, Rosbrook B, Gilpin EA, Berry C, Kaplan RM. Addiction versus stages of change models in predicting smoking cessation. Addiction. 1996. 91:1271–1280.

13. Vink JM, Willemsen G, Beem AL, Boomsma DI. The Fagerstrom Test for Nicotine Dependence in a Dutch sample of daily smokers and ex-smokers. Addict Behav. 2005. 30:575–579.

14. Quist-Paulsen P, Bakke PS, Gallefoss F. Predictors of smoking cessation in patients admitted for acute coronary heart disease. Eur J Cardiovasc Prev Rehabil. 2005. 12:472–477.

15. Park SM, Son KY, Lee YJ, Lee HC, Kang JH, Lee YJ, Chang YJ, Yun YH. A preliminary investigation of early smoking initiation and nicotine dependence in Korean adults. Drug Alcohol Depend. 2004. 74:197–203.