Show simple item record

dc.contributor.authorCaraballo, Ralph S.
dc.contributor.authorKruger, Judy
dc.contributor.authorAsman, Kat
dc.contributor.authorPederson, Linda
dc.contributor.authorWidome, Rachel
dc.contributor.authorKiefe, Catarina I.
dc.contributor.authorHitsman, Brian
dc.contributor.authorJacobs, David R. Jr.
dc.date2022-08-11T08:08:32.000
dc.date.accessioned2022-08-23T15:58:29Z
dc.date.available2022-08-23T15:58:29Z
dc.date.issued2014-01-01
dc.date.submitted2015-08-10
dc.identifier.citationAddict Behav. 2014 Jan;39(1):101-6. doi: 10.1016/j.addbeh.2013.08.030. Epub 2013 Sep 16. <a href="http://dx.doi.org/10.1016/j.addbeh.2013.08.030">Link to article on publisher's site</a>
dc.identifier.issn0306-4603 (Linking)
dc.identifier.doi10.1016/j.addbeh.2013.08.030
dc.identifier.pmid24172753
dc.identifier.urihttp://hdl.handle.net/20.500.14038/30444
dc.description.abstractRATIONALE: There is little information about long-term relapse patterns for cigarette smokers. OBJECTIVE: To describe long-term prevalence of relapse and related smoking patterns by sex, race, age, and education level among a community-based cohort of young adults followed for 25 years. METHODS: We examined 25 years of data from Coronary Artery Risk Development in Young Adults (CARDIA), an ongoing study of a community-based cohort of 5115 men and women aged 18 to 30 years at baseline with periodic re-examinations. At each examination smoking, quitting, and relapse were queried. We examined prevalence of smoking relapse among 3603 participants who attended at least 6 of the 8 examinations. RESULTS: About 53% of 3603 participants never reported smoking on a regular basis. Among the remaining 1682 ever smokers, 52.8% of those who reported current smoking at baseline were still smoking by the end of the study, compared to 10.7% of those who initiated smoking by year 5. Among those classified as former smokers at baseline, 39% relapsed at least once; of these, 69.5% had quit again by the end of the study. Maximum education level attained, age at study baseline, and race were associated with failure to quit smoking by the end of the study and relapse among those who did quit. Maximum education level attained and age at study baseline were also associated with ability to successfully quit after a relapse. CONCLUSIONS: Smoking relapse after quitting is common, especially in those with lower education level. Education was the strongest predictor of all three outcomes. Improvements in access to treatment and treatment options, especially for underserved populations, are needed to prevent relapse when smokers quit.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=24172753&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1016/j.addbeh.2013.08.030
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAge Factors
dc.subjectCohort Studies
dc.subjectEducational Status
dc.subjectFemale
dc.subjectHumans
dc.subjectLongitudinal Studies
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectMultivariate Analysis
dc.subjectOdds Ratio
dc.subjectPrevalence
dc.subjectRecurrence
dc.subjectRisk Factors
dc.subjectSex Factors
dc.subjectSmoking
dc.subjectSmoking Cessation
dc.subjectYoung Adult
dc.subjectCommunity Health and Preventive Medicine
dc.subjectEpidemiology
dc.subjectPublic Health
dc.subjectSubstance Abuse and Addiction
dc.titleRelapse among cigarette smokers: the CARDIA longitudinal study - 1985-2011
dc.typeJournal Article
dc.source.journaltitleAddictive behaviors
dc.source.volume39
dc.source.issue1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/faculty_pubs/717
dc.identifier.contextkey7435832
html.description.abstract<p>RATIONALE: There is little information about long-term relapse patterns for cigarette smokers.</p> <p>OBJECTIVE: To describe long-term prevalence of relapse and related smoking patterns by sex, race, age, and education level among a community-based cohort of young adults followed for 25 years.</p> <p>METHODS: We examined 25 years of data from Coronary Artery Risk Development in Young Adults (CARDIA), an ongoing study of a community-based cohort of 5115 men and women aged 18 to 30 years at baseline with periodic re-examinations. At each examination smoking, quitting, and relapse were queried. We examined prevalence of smoking relapse among 3603 participants who attended at least 6 of the 8 examinations.</p> <p>RESULTS: About 53% of 3603 participants never reported smoking on a regular basis. Among the remaining 1682 ever smokers, 52.8% of those who reported current smoking at baseline were still smoking by the end of the study, compared to 10.7% of those who initiated smoking by year 5. Among those classified as former smokers at baseline, 39% relapsed at least once; of these, 69.5% had quit again by the end of the study. Maximum education level attained, age at study baseline, and race were associated with failure to quit smoking by the end of the study and relapse among those who did quit. Maximum education level attained and age at study baseline were also associated with ability to successfully quit after a relapse.</p> <p>CONCLUSIONS: Smoking relapse after quitting is common, especially in those with lower education level. Education was the strongest predictor of all three outcomes. Improvements in access to treatment and treatment options, especially for underserved populations, are needed to prevent relapse when smokers quit.</p>
dc.identifier.submissionpathfaculty_pubs/717
dc.contributor.departmentDepartment of Quantitative Health Sciences
dc.source.pages101-6


Files in this item

Thumbnail
Name:
Publisher version

This item appears in the following Collection(s)

Show simple item record