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Tobacco Induced Diseases

, 11:12

First Online: 25 May 2013Received: 16 January 2013Accepted: 15 May 2013DOI: 10.1186-1617-9625-11-12

Cite this article as: El Mhamdi, S., Sriha, A., Bouanene, I. et al. Tob. Induced Dis. 2013 11: 12. doi:10.1186-1617-9625-11-12


BackgroundSmoking prevalence in adolescents and young adults is substantially elevated in Tunisia. Moreover, there is a lack of knowledge regarding the effectiveness and associated factors in smoking cessation interventions among adolescents and young adults. This study aims at identifying the major factors leading to smoking relapse among adolescents and young adults in the region of Monastir, Tunisia.

MethodsWe carried out a prospective cohort study at the smoking cessation center of the University hospital of Monastir, Tunisia. The population study consisted of all adolescents and young adults 15–30 years consulted during a period of two years 2009 – 2010. A questionnaire was used to explore the patient’s sociodemographic characteristics, smoking history, nicotine dependence Fagerstrom test and anxiety - depression Hospital Anxiety and Depression Scale. A telephone survey was conducted in July 2011 to assess smoking cessation results. A multivariate Cox regression was used to identify predictors of smoking relapses.

ResultsA total of 221 adolescents and young adults were included in this study with a mean age of 25.5 ± 3.9 years. At follow up, 59 study participants 26.7% were abstinent and the overall median abstinence was 2 months. In the multivariate analysis smoking relapse was associated with being an adolescent patient HR 2.16; 95% CI: 1.54-3.05, medium or higher nicotine dependence at baseline HR 2.66, 95% CI: 1.06-7.05 and HR 3.12, 95% CI: 1.20-8.12 respectively, not receiving treatment HR 1.70, 95% CI: 1.25-2.33 and have friend who is a smoker HR 1.63; 95% CI: 0.96-2.79.

ConclusionThe results of this study provide important information about beneficial effect of smoking cessation support for adolescent and young adults. More efforts must be deployed to deal with contributing factors to smoking relapse.

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Autor: Sana El Mhamdi - Asma Sriha - Ines Bouanene - Arwa Ben Salah - Kamel Ben Salem - Mohamed Soussi Soltani


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