Prevalence and determinants of cigarette smoking relapse among US adult smokers - a longitudinal study
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Department of Primary Care and Public Health, School of Public Health, Imperial College London, London, United Kingdom
Office of Smoking and Health, National Centre for Chronic Disease Prevention and Health Promotion, Centres for Disease Control and Prevention, Atlanta, Georgia, United States
Publish date: 2019-03-26
Tob. Prev. Cessation 2019;5(Supplement):A62
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The prevalence of smoking is determined by three major parameters: initiation, cessation, and relapse. Various wider health determinants influence these parameters. Existing literature has mostly focused on investigating determinants of smoking initiation and cessation, whereas studies investigating smoking relapse in-depth are scarce.
This analysis aims to estimate the prevalence of cigarette smoking relapse and determine its predictors in a representative sample of adult former smokers in the United States.

This quantitative research project analysed secondary data retrieved from the Tobacco Use Supplement-Current Population Survey (TUS-CPS) 2010-11 cohort with a total sample size of 3,621 participants. Smoking relapse was defined as picking up smoking in 2011 after reporting smoking abstinence in 2010. The prevalence of relapse over the 12-month follow-up period was estimated in different subgroups. Multivariate logistic regression models were applied to determine associations between smoking relapse and a broad spectrum of sociodemographic and environmental factors.

A total of 184 former smokers reported smoking relapse by 2011 (weighted prevalence: 6.8%. 95%CI: 5.7%-8.1%). Prevalence and odds of relapse were higher among young people compared to the oldest age group (65-years and above). Former smokers living in smoke-free homes had 60% lower odds of relapse compared with those living in homes that allowed smoking inside (aOR:0.40; 95%CI: 0.25-0.64). Regarding race/ethnicity, only Hispanics had significantly higher odds of relapse compared to whites (non-Hispanics). Odds of relapse were higher among never-married, widowed, divorced and separated couples compared to the married group. Continuous smoking cessation for 6-months or more significantly decreased odds of relapse among the study sample.

Wider health determinants influenced prevalence of smoking relapse among US adults; individual as well as lifestyle characteristics were associated with relapse, highlighting the need for designing targeted interventions to prevent it.