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Effects of Respiratory Disorders on Smoking Cessation and Re-Initiation in an Italian Cohort Study
- Source :
- International Journal of Environmental Research and Public Health, Vol 18, Iss 903, p 903 (2021), International Journal of Environmental Research and Public Health, Volume 18, Issue 3
- Publication Year :
- 2021
- Publisher :
- MDPI AG, 2021.
-
Abstract
- The present study aims to prospectively assess the influence of respiratory disorders on smoking cessation and re-initiation. Three population-based Italian cohorts answered a questionnaire on respiratory health and smoking habits during 1998&ndash<br />2001 and after a mean follow-up (SD) of 9.1 (0.8) years. Out of 1874 current smokers and 1166 ex-smokers at baseline, 965 (51.5%) and 735 (63.0%) reported their smoking status at follow-up. From current smokers, 312 had stopped smoking at follow-up, while 86 ex-smokers had resumed smoking. People reporting asthma at baseline were more likely to stop smoking than the other subjects (48.6% vs. 31.7%), while people reporting allergic rhinitis or chronic cough/phlegm had a higher probability to resume smoking (16.7% vs. 10.5% and 20.7% vs. 10.4%, respectively). In the multivariable logistic model, smoking relapse strongly decreased with increasing abstinence duration in people without chronic cough/phlegm (OR for &ge<br />7.5 years vs. &lt<br />7.5 years = 0.23, 95% CI 0.20&ndash<br />0.27), while no effect was detected in people with chronic cough/phlegm (p for interaction = 0.039). Smoking cessation was enhanced in asthmatic subjects, while people with allergic rhinitis or chronic cough/phlegm were at higher risk to resume smoking. Chronic cough/phlegm blunted the decrease in smoking resumption associated with longer abstinence duration.
- Subjects :
- medicine.medical_specialty
Chronic bronchitis
Health, Toxicology and Mutagenesis
medicine.medical_treatment
media_common.quotation_subject
Population
lcsh:Medicine
Article
Cohort Studies
03 medical and health sciences
abstinence duration
allergic rhinitis
asthma
chronic bronchitis
smoking cessation
smoking intensity
smoking re-initiation
0302 clinical medicine
Internal medicine
Humans
Medicine
030212 general & internal medicine
education
Asthma
media_common
education.field_of_study
business.industry
Smoking
lcsh:R
Phlegm
Public Health, Environmental and Occupational Health
Abstinence
medicine.disease
respiratory tract diseases
Chronic cough
Cough
Italy
030228 respiratory system
Smoking cessation
medicine.symptom
business
Cohort study
Subjects
Details
- ISSN :
- 16604601
- Volume :
- 18
- Database :
- OpenAIRE
- Journal :
- International Journal of Environmental Research and Public Health
- Accession number :
- edsair.doi.dedup.....3a05f46c8c1b22c4897de6f4093719e8