Factors associated with cessation of smoking among Swiss adults between 1991 and 2011: results from the SAPALDIA cohort.

Autor:	Ayala-Bernal D; Swiss Tropical and Public Health Institute, Basel Switzerland; University of Basel, Switzerland., Probst-Hensch N; Swiss Tropical and Public Health Institute, Basel Switzerland; University of Basel, Switzerland., Rochat T; Hôpitaux Universitaires, Service de pneumologie, Geneva Switzerland., Bettschart R; Lungenpraxis Aarau, Hirslanden Klinik, Aarau Switzerland., Brändli O; Zürcher Höhenklinik, Wald Switzerland., Bridevaux PO; Hôpitaux Universitaires, Service de pneumologie, Geneva Switzerland; Service de Pneumologie, Hôpital du Valais, Switzerland., Burdet L; Hôpital intercantonal de la Broye, Payerne Switzerland., Frey M; Klinik Barmelweid, Abteilung Pneumologie, Aarau Switzerland., Gerbase M; Hôpitaux Universitaires, Service de pneumologie, Geneva Switzerland., Pons M; Ospedale Regionale di Lugano - Sede Civico, Lugano Switzerland., Rothe T; Spital Davos, Davos Platz Switzerland., Stolz D; Clinic of Pulmonary Medicine and Respiratory Cell Research, Basel Switzerland., Tschopp JM; Service de Pneumologie, Hôpital du Valais, Switzerland., Turk A; Zürcher Höhenklinik, Wald Switzerland., Künzli N; Swiss Tropical and Public Health Institute, Basel Switzerland; University of Basel, Switzerland., Schindler C; Swiss Tropical and Public Health Institute, Basel Switzerland; University of Basel, Switzerland.
Jazyk:	angličtina
Zdroj:	Swiss medical weekly [Swiss Med Wkly] 2017 Oct 06; Vol. 147, pp. w14502. Date of Electronic Publication: 2017 Oct 06 (Print Publication: 2017).
DOI:	10.4414/smw.2017.14502
Abstrakt:	Introduction: Smoking is still the most preventable cause of disease and premature death in Switzerland, as elsewhere. We aimed to assess the main determinants of smoking cessation in the population-based cohort of SAPALDIA (Swiss Cohort Study on Air Pollution and Lung and Heart Diseases in Adults). Methods: The SAPALDIA study was initiated in 1991 with 9651 participants aged 18 to 60 years from eight areas (S1). Follow-up assessments were conducted in 2002 (S2; 8047 participants) and 2010/11 (S3; 6088 participants). At each survey, detailed information on health and potential health-related factors was collected and lung function measured. Using logistic regression, we assessed predictors of smoking cessation between S1 and S2 and between S2 and S3. Results: In both periods, highest educational level (summary odds ratio [OR] 1.49, 95% confidence interval [CI] 1.08-2.06; ref. lowest level), FEV1/FVC <0.5 (OR 6.19, 95% CI 2.44-15.7, ref. FEV1/FVC ≥0.7), higher age in men (OR 1.02, 95% CI 1.01-1.03, per year) and overweight (OR 1.38, 95% CI 1.16-1.64) were significant predictors of smoking cessation. Nicotine dependence (OR 0.97, 95% CI 0.96-0.98, per cigarette smoked a day) and female sex between age 45 and 60 (e.g., OR 0.74, 95% CI 0.61-0.91, at age 50) were negatively associated with smoking cessation. Moreover, smokers at S2 reporting a diagnosis of depression were less likely to quit smoking by S3 (OR 0.53, 95% CI 0.30-0.93). Conclusions: Prospective tobacco control policies in Switzerland should be addressed to women, younger persons and persons of lower education.
Databáze:	MEDLINE
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