Key factors in smoking cessation intervention among 15-16-year-olds.
The authors aimed to investigate factors associated with smoking cessation among adolescents after tobacco intervention. They examined smokers (n = 127) from one birth cohort (n = 545) in the city of Kotka in Finland. These smokers were randomized in 3 intervention groups the dentist (n = 44) and the school nurse (n = 42 groups), and a control group (n = 39). After 2 months, the authors sent a follow-up questionnaire to the initial smokers to find out who had quit.The authors found that those whose best friend was a nonsmoker were more likely to stop smoking (relative risk RR 7.0 95% Cl 4.6-10.7). Moreover, the nicotine-dependent participants (measured according to the Fagerström Test for Nicotine Dependence(36)) were less likely to stop (RR 0.1 95% Cl 0.08-0.11) compared to non-nicotine dependent participants. Last, of the diurnal types, the morning types found it easier to quit smoking than the evening types (RR 2.2 95% Cl 1.4-3.6). Thus, the authors concluded that the best friend''s influence, nicotine dependence, and diurnal type could be taken more into account in individual counseling on smoking cessation.
Heikkinen
Anna Maria
AM
Kotka Health Centre/Network of Academic Health Centers, Department of General Practice and Primary Health Care, Institute of Clinical Medicine, Unit of General Practice, Hospital District of Helsinki and Uusimaa, Institute of Dentistry, University of Helsinki, Helsinki, Finland.
Broms
Ulla
U
Pitkäniemi
Janne
J
Koskenvuo
Markku
M
Meurman
Jukka
J
D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D002940:Circadian Rhythm; D003812:Dentist-Patient Relations; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016015:Logistic Models; D008297:Male; D010379:Peer Group; D011594:Psychometrics; D012572:School Health Services; D012573:School Nursing; D016540:Smoking Cessation / Q000379:methods / Q000523:psychology*; D014029:Tobacco Use Disorder / Q000523:psychology* / Q000628:therapy; D016896:Treatment Outcome