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The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil): Factors Related to Smoking Cessation
Fundacao Oswaldo Cruz, Natl Sch Publ Hlth, Dept Epidemiol & Quantitat Methods Hlth, Rio De Janeiro, Brazil..
Fundacao Oswaldo Cruz, Evandro Chagas Natl Inst Infect Dis INI, Clin Epidemiol Lab, Rio De Janeiro, Brazil..
Fundacao Oswaldo Cruz, Oswaldo Cruz Inst, Lab Hlth & Environm Educ, Rio De Janeiro, Brazil..
Fundacao Oswaldo Cruz, Natl Sch Publ Hlth, Dept Epidemiol & Quantitat Methods Hlth, Rio De Janeiro, Brazil..
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2022 (English)In: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background Smoking cessation is not an easy accomplishment. However, the benefits are several for those who do it, such as cardiovascular risk reduction 1 year after quitting smoking. This study aimed to verify the factors related to smoking cessation in civil servants of The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Methods This study had a longitudinal design using data from a prospective cohort of civil servants (ELSA-Brasil). Our variable of interest was smoking cessation. The relationship between socio-demographic characteristics, job stress, health-related variables, legislation, and smoking cessation was analyzed by Cox proportional hazard models. The analyses were stratified by gender. Second-hand smoke exposure, age, education, excessive alcohol consumption, common mental disorder, and smoking control law were the variables considered in the final model. Results Information of 2020 women and 2429 men was analyzed. Individuals without second-hand smoke exposure, with up to 49 years of age, with higher education, without excessive alcohol consumption, without common mental disorders, and who initiated smoking in 1989 or after the smoking control law had a higher risk of stopping smoking. The risks magnitudes were higher for women. Conclusions Our study reinforces the necessity of alcohol consumption regulation, the relevance of Public Health Policies, and the need for more smoking cessation measures focused on men, on people with mental disorders, alcoholism, and older adults. Also, our results did not show significant risks regarding the psychosocial working environment.

Place, publisher, year, edition, pages
SPRINGER , 2022.
Keywords [en]
Smoking cessation, Occupational stress, Survival analysis, Tobacco
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-56872DOI: 10.1007/s12529-021-10053-7ISI: 000738409000001PubMedID: 34984649Scopus ID: 2-s2.0-85122288958OAI: oai:DiVA.org:mdh-56872DiVA, id: diva2:1626785
Available from: 2022-01-12 Created: 2022-01-12 Last updated: 2022-10-28Bibliographically approved

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Toivanen, Susanna

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