Factores predictores de inicio y cesación de tabaquismo en una cohorte de mujeres chilenas con 5,5 años de seguimiento
Background: Chilean women have one of the highest smoking prevalence in the world. Aim To estimate the main factors associated with smoking initiation and quitting among a cohort of adult women living in a low socioeconomic status area of Santiago, Chile. Material and methods: A random population-ba...
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Sociedad Médica de Santiago
2009
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oai:scielo:S0034-988720090008000012009-11-04Factores predictores de inicio y cesación de tabaquismo en una cohorte de mujeres chilenas con 5,5 años de seguimientoPuschel,KlausThompson,BetiOlcay,FabiolaFerreccio,Catterina Cohort studies Smoking Tobacco use disorder Background: Chilean women have one of the highest smoking prevalence in the world. Aim To estimate the main factors associated with smoking initiation and quitting among a cohort of adult women living in a low socioeconomic status area of Santiago, Chile. Material and methods: A random population-based sample of 1,100 women, 18 years and older, were selected from a community located in the South East area of Santiago. Sociodemographic, as well as smoking, beliefs, behaviors, stages of change and nicotine addiction level were recorded during a personal interview. After an average follow-up period of 5.5years, women were re-evaluated. Results: Seventy-three percent of women completed the study. At baseline, 39% of women were smokers. At the end of the study, there was an absolute smoking rate reduction of 7.1% (p <0.001). The main variables associated with smoking initiation were younger age (Odds ratio (OR): 1.08, 95% confidence intervals (CI): 1.05-1.12), higher education level (OR: 1.2, 95% CI: 1.07-1.35), and having fewer children (OR: 1.3 95% CI: 1.01-1.66). Factors related with quitting were younger age of onset (OR: 1.06 95% CI: 1.02-1.1), higher level of nicotine dependence (OR: 4.22, 95% CI: 1.74-10.27), and higher perception of smoking addiction (OR: 4.34, 95% CI: 2-9.09). Stage of change was associated with smoking cessation but its effect was diluted after adjusting for the level of nicotine addiction. Conclusions: Sociodemographic and family factors were the main variables related with initiation, whereas age of onset, belief of addiction, and nicotine dependence were the main factors related with cessation. Women with a high motivation for quitting should be evaluated for nicotine addiction level to define the best strategy for intervention.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.137 n.8 20092009-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009000800001es10.4067/S0034-98872009000800001 |
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Scielo Chile |
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Scielo Chile |
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Spanish / Castilian |
topic |
Cohort studies Smoking Tobacco use disorder |
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Cohort studies Smoking Tobacco use disorder Puschel,Klaus Thompson,Beti Olcay,Fabiola Ferreccio,Catterina Factores predictores de inicio y cesación de tabaquismo en una cohorte de mujeres chilenas con 5,5 años de seguimiento |
description |
Background: Chilean women have one of the highest smoking prevalence in the world. Aim To estimate the main factors associated with smoking initiation and quitting among a cohort of adult women living in a low socioeconomic status area of Santiago, Chile. Material and methods: A random population-based sample of 1,100 women, 18 years and older, were selected from a community located in the South East area of Santiago. Sociodemographic, as well as smoking, beliefs, behaviors, stages of change and nicotine addiction level were recorded during a personal interview. After an average follow-up period of 5.5years, women were re-evaluated. Results: Seventy-three percent of women completed the study. At baseline, 39% of women were smokers. At the end of the study, there was an absolute smoking rate reduction of 7.1% (p <0.001). The main variables associated with smoking initiation were younger age (Odds ratio (OR): 1.08, 95% confidence intervals (CI): 1.05-1.12), higher education level (OR: 1.2, 95% CI: 1.07-1.35), and having fewer children (OR: 1.3 95% CI: 1.01-1.66). Factors related with quitting were younger age of onset (OR: 1.06 95% CI: 1.02-1.1), higher level of nicotine dependence (OR: 4.22, 95% CI: 1.74-10.27), and higher perception of smoking addiction (OR: 4.34, 95% CI: 2-9.09). Stage of change was associated with smoking cessation but its effect was diluted after adjusting for the level of nicotine addiction. Conclusions: Sociodemographic and family factors were the main variables related with initiation, whereas age of onset, belief of addiction, and nicotine dependence were the main factors related with cessation. Women with a high motivation for quitting should be evaluated for nicotine addiction level to define the best strategy for intervention. |
author |
Puschel,Klaus Thompson,Beti Olcay,Fabiola Ferreccio,Catterina |
author_facet |
Puschel,Klaus Thompson,Beti Olcay,Fabiola Ferreccio,Catterina |
author_sort |
Puschel,Klaus |
title |
Factores predictores de inicio y cesación de tabaquismo en una cohorte de mujeres chilenas con 5,5 años de seguimiento |
title_short |
Factores predictores de inicio y cesación de tabaquismo en una cohorte de mujeres chilenas con 5,5 años de seguimiento |
title_full |
Factores predictores de inicio y cesación de tabaquismo en una cohorte de mujeres chilenas con 5,5 años de seguimiento |
title_fullStr |
Factores predictores de inicio y cesación de tabaquismo en una cohorte de mujeres chilenas con 5,5 años de seguimiento |
title_full_unstemmed |
Factores predictores de inicio y cesación de tabaquismo en una cohorte de mujeres chilenas con 5,5 años de seguimiento |
title_sort |
factores predictores de inicio y cesación de tabaquismo en una cohorte de mujeres chilenas con 5,5 años de seguimiento |
publisher |
Sociedad Médica de Santiago |
publishDate |
2009 |
url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009000800001 |
work_keys_str_mv |
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