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AJPH First Look, published online ahead of print Jul 16, 2008
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American Journal of Public Health, 10.2105/AJPH.2007.128629

Research and Practice

Milestones in the Process of Cessation Among Novice Adolescent Smokers

Jennifer O'Loughlin 1*, André Gervais 2, Erika Dugas 3, Garbis Meshefedjian 2

1 Centre de recherche du CHUM, University of Montreal
2 Direction de santé publique de Montréal
3 Centre de recherche du CHUM

* To whom correspondence should be addressed. E-mail: jennifer.oloughlin{at}umontreal.ca.


  Abstract

Objectives. We sought to document the sequence and timing of milestones in the process of smoking cessation by prospectively studying cessation milestones among novice adolescent smokers.

Methods. Participants, aged 12 to 13 years in 1999 (n=1293), completed self-report questionnaires every 3 months during the school year over 5 years. We ascertained time after first puff to attain 5 cessation milestones among 319 participants who initiated cigarette smoking during follow-up.

Results. The cumulative probability of first reports of a serious desire to quit and perceived permanent cessation was 25% at 1.5 months (95% confidence interval [CI]=1.5, 2.5) after the first puff. The first serious quit attempt occurred at 2.5 months (95% CI=2.5, 5.4), lack of confidence about quitting followed at 18.4 months (95% CI=21.4, 26.8), and awareness of the difficulty of quitting occurred at 32.2 months (95% CI=19.2, 38.4).

Conclusions. Desire and attempts to quit began soon after smoking onset. Novice smokers progressed through several stages in their perception of the difficulty of quitting. Increased understanding of the cessation process may help in developing effective tobacco control interventions for novice smokers.

Key Words: Adolescent Health, Community Health, Epidemiology, Surveys, Smoking Cessation, Tobacco Control




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