Journal List > J Korean Acad Community Health Nurs > v.22(4) > 1058231

Kim and Kim: The Patterns and Risk Factors of Smoking Relapse among People Successful in Smoking Cessation at the Smoking Cessation Clinics of Public Health Centers

Abstract

Purpose

The purpose of this study was to investigate the patterns of smoking relapse and to identify risk factors related to smoking relapse among those successful in smoking cessation at the smoking cessation clinics of public health centers.

Methods

Data were collected from 1,705 six-month quitters and analyzed by the Kaplan-Meier analysis and the Cox proportional hazard model.

Results

The rate of smoking relapse was 38.2% in 1 year, 44.4% in 2 years, and 47.8% in 5 years. The vast majority of relapse (62.3%) occurred within the first six months after quitting. The risk factors related to smoking relapse were age (HR 1.964: 95% CI 1.545, to 2.497), nicotine dependence (HR 1.293: 95% CI 1.087 to 1.539), problem drinking (HR 1.497: 95% CI 1.116 to 2.008), behavioral therapy type (HR 1.398: 95% CI 1.193 to 1.638), and nicotine replacement therapy type (HR 1.363: 95% CI 1.077 to 1.724).

Conclusion

For reducing smoking relapse, it is necessary to develop a smoking relapse prevention program for the first six months after quitting and to strengthen behavioral therapy in the course of smoking cessations clinics.

Figures and Tables

Figure 1
Pattern of smoking relapse over time
jkachn-22-365-g001
Figure 2
Smoking relapse rate by comprehensive smoking cessation intervention type
jkachn-22-365-g002
Table 1
Characteristics of Study Population (N=1,705)
jkachn-22-365-i001
Table 2
Hypertension Types by Hypertension 'Yes' or 'No' (N=1,705)
jkachn-22-365-i002
Table 3
Differences of Smoking Relapse Rates by Characteristics of Study Population (N=715)
jkachn-22-365-i003

2-year cumulative relapse rate; p value based on the "log-rank" test.

Table 4
Risk Factors related to Smoking Relapse
jkachn-22-365-i004

CI=confidence interval.

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