Experimentation with tobacco during adolescence as a factor influencing treatment of smoking in adulthood. A retrospective cohort

• Autor(a) principal: Chaim,Carolina Hanna
• Data de Publicação: 2019
• Outros Autores: Siu,Erica Rosanna, Carvalho,Carlos Felipe Cavalcanti, Frallonardo,Fernanda Piotto, Ismael,Flavia, Andrade,Arthur Guerra de, Ventriglio,Antonio, Torales,Julio, Bhugra,Dinesh, Castaldelli-Maia,João Mauricio
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: São Paulo medical journal (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802019000300234
• topic: Adolescent; Tobacco; Nicotine; Treatment outcome

ABSTRACT BACKGROUND: There are still few studies on predictors of smoking cessation in Brazilian samples. Experimentation with tobacco during adolescence (ETA) may be one of the important predictors. OBJECTIVE: This study aimed, within the context of a treatment-seeking group of subjects, to test the hypothesis that ETA negatively affects the outcome of smoking cessation during adulthood. DESIGN AND SETTING: Retrospective (historic) cohort study conducted at a psychosocial care center in São Paulo, Brazil, between 2007 and 2010. METHODS: Data on sociodemographics, smoking and medical profiles were obtained through self-report questionnaires that were completed at the baseline and at any follow-up appointment. Logistic regression models were constructed to describe factors associated with the outcome of smoking cessation, measured according to the self-reported four-week success rate among 367 outpatient smokers. RESULTS: ETA was found to be associated with not quitting smoking through the treatment (odds ratio = 0.57; 95% confidence interval = 0.33-0.96; P < 0.05), even after adjustment for dependence level, sociodemographics, nicotine patch use and number of years of smoking. CONCLUSIONS: Early exposure to nicotine may lead to higher risk of continuing smoking after treatment, in adulthood.