IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0205992.html
   My bibliography  Save this article

Relapse to smoking and health-related quality of life: Secondary analysis of data from a study of smoking relapse prevention

Author

Listed:
  • Fujian Song
  • Max O Bachmann
  • Paul Aveyard
  • Garry R Barton
  • Tracey J Brown
  • Vivienne Maskrey
  • Annie Blyth
  • Caitlin Notley
  • Richard Holland
  • Stephen Sutton
  • Thomas H Brandon

Abstract

Background: Previous studies have shown that smoking and smoking cessation may be associated with health-related quality of life (HRQoL). In this study, we compared changes in HRQoL in people who maintained abstinence with people who had relapsed to smoking. Methods: This was a secondary analysis of data from a trial of a relapse prevention intervention in 1,407 short-term quitters. The European Quality of Life -5 Dimensions (EQ-5D) measured HRQoL at baseline, 3 and 12 months. Smoking outcome was continuous abstinence from 2 to 12 months, and 7-day smoking at 3 and 12 months. We used nonparametric test for differences in EQ-5D utility scores, and chi-square test for dichotomised response to each of the five EQ-5D dimensions. Multivariable regression analyses were conducted to evaluate associations between smoking relapse and HRQoL or anxiety/depression problems. Results: The mean EQ-5D tariff score was 0.8252 at baseline. People who maintained abstinence experienced a statistically non-significant increase in the EQ-5D score (mean change 0.0015, P = 0.88), while returning to smoking was associated with a statistically significant decrease in the EQ-5D score (mean change -0.0270, P = 0.004). After adjusting for multiple baseline characteristics, the utility change during baseline and 12 months was statistically significantly associated with continuous abstinence, with a difference of 0.0288 (95% CI: 0.0006 to 0.0571, P = 0.045) between relapsers and continuous quitters. The only difference in quality of life dimensions between those who relapsed and those who maintained abstinence was in the proportion of participants with anxiety/depression problems at 12 months (30% vs. 22%, P = 0.001). Smoking relapse was associated with a simultaneous increase in anxiety/depression problems. Conclusions: People who achieve short-term smoking abstinence but subsequently relapse to smoking have a reduced quality of life, which appears mostly due to worsening of symptoms of anxiety and depression. Further research is required to more fully understand the relationship between smoking and health-related quality of life, and to develop cessation interventions by taking into account the impact of anxiety or depression on smoking.

Suggested Citation

  • Fujian Song & Max O Bachmann & Paul Aveyard & Garry R Barton & Tracey J Brown & Vivienne Maskrey & Annie Blyth & Caitlin Notley & Richard Holland & Stephen Sutton & Thomas H Brandon, 2018. "Relapse to smoking and health-related quality of life: Secondary analysis of data from a study of smoking relapse prevention," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-12, November.
    • Handle: RePEc:plo:pone00:0205992
    DOI: 10.1371/journal.pone.0205992
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0205992
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0205992&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0205992?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. WHO World Health Organization, 2013. "Who Report On The Global Tobacco Epidemic, 2013," University of California at San Francisco, Center for Tobacco Control Research and Education qt5t06910t, Center for Tobacco Control Research and Education, UC San Francisco.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Shinichi Noto & Shota Saito & Takeru Shiroiwa & Takashi Fukuda, 2021. "Estimation of Lifetime QALYs Based on Lifestyle Behaviors," IJERPH, MDPI, vol. 18(19), pages 1-10, September.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ruoyan Sun & David Mendez, 2019. "Finding the optimal mix of smoking initiation and cessation interventions to reduce smoking prevalence," PLOS ONE, Public Library of Science, vol. 14(3), pages 1-12, March.
    2. Lin, Wanchuan & Sloan, Frank, 2015. "Risk perceptions and smoking decisions of adult Chinese men," Journal of Health Economics, Elsevier, vol. 39(C), pages 60-73.
    3. Daniel Kuehnle & Christoph Wunder, 2017. "The Effects of Smoking Bans on Self‐Assessed Health: Evidence from Germany," Health Economics, John Wiley & Sons, Ltd., vol. 26(3), pages 321-337, March.
    4. Harsman Tandilittin, 2016. "What should the Government do to Stop Epidemic of Smoking among Teenagers in Indonesia?," Asian Culture and History, Canadian Center of Science and Education, vol. 8(1), pages 140-140, March.
    5. Nihaya Al-Sheyab & Mahmoud A. Alomari & Smita Shah & Patrick Gallagher & Robyn Gallagher, 2014. "Prevalence, Patterns and Correlates of Cigarette Smoking in Male Adolescents in Northern Jordan, and the Influence of Waterpipe Use and Asthma Diagnosis: A Descriptive Cross-Sectional Study," IJERPH, MDPI, vol. 11(9), pages 1-16, September.
    6. Ko, Hansoo, 2021. "Behavioral responses to the 2015 MERS epidemic in Korea," Economics & Human Biology, Elsevier, vol. 41(C).
    7. Frida Ngalesoni & George Ruhago & Mary Mayige & Tiago Cravo Oliveira & Bjarne Robberstad & Ole Frithjof Norheim & Hideki Higashi, 2017. "Cost-effectiveness analysis of population-based tobacco control strategies in the prevention of cardiovascular diseases in Tanzania," PLOS ONE, Public Library of Science, vol. 12(8), pages 1-20, August.
    8. Noar, Seth M. & Francis, Diane B. & Bridges, Christy & Sontag, Jennah M. & Ribisl, Kurt M. & Brewer, Noel T., 2016. "The impact of strengthening cigarette pack warnings: Systematic review of longitudinal observational studies," Social Science & Medicine, Elsevier, vol. 164(C), pages 118-129.
    9. Hoe, Connie & Rodriguez, Daniela C. & Üzümcüoğlu, Yeşim & Hyder, Adnan A., 2016. "“Quitting like a Turk:” How political priority developed for tobacco control in Turkey," Social Science & Medicine, Elsevier, vol. 165(C), pages 36-45.
    10. Karolien Adriaens & Dinska Van Gucht & Paul Declerck & Frank Baeyens, 2014. "Effectiveness of the Electronic Cigarette: An Eight-Week Flemish Study with Six-Month Follow-up on Smoking Reduction, Craving and Experienced Benefits and Complaints," IJERPH, MDPI, vol. 11(11), pages 1-29, October.
    11. Jan Schnellenbach, 2016. "A Constitutional Economics Perspective on Soft Paternalism," Kyklos, Wiley Blackwell, vol. 69(1), pages 135-156, February.
    12. Frida Soesanti & Cuno S P M Uiterwaal & Diederick E Grobbee & Aryono Hendarto & Geertje W Dalmeijer & Nikmah Salamia Idris, 2019. "Antenatal exposure to second hand smoke of non-smoking mothers and growth rate of their infants," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-10, June.
    13. Carrie L. Anderson & Heiko Becher & Volker Winkler, 2016. "Tobacco Control Progress in Low and Middle Income Countries in Comparison to High Income Countries," IJERPH, MDPI, vol. 13(10), pages 1-14, October.
    14. Madhur Verma & Soundappan Kathirvel & Milan Das & Ramnika Aggarwal & Sonu Goel, 2020. "Trends and patterns of second-hand smoke exposure amongst the non-smokers in India-A secondary data analysis from the Global Adult Tobacco Survey (GATS) I & II," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-18, June.
    15. Carlo Ciccarelli & Pierpaolo Pierani & Silvia Tiezzi, 2014. "Secular trends in tobacco consumption: the case of Italy, 1871-2010," Department of Economics University of Siena 700, Department of Economics, University of Siena.
    16. Maryam Mirza, 2019. "Advertising Restrictions and Market Concentration in the Cigarette Industry: A Cross-Country Analysis," IJERPH, MDPI, vol. 16(18), pages 1-17, September.
    17. Frank Houghton & Sharon Houghton & Diane O’Doherty & Derek McInerney & Bruce Duncan, 2019. "Greenwashing tobacco—attempts to eco-label a killer product," Journal of Environmental Studies and Sciences, Springer;Association of Environmental Studies and Sciences, vol. 9(1), pages 82-85, March.
    18. Chia-Chen Lu & Yu-Chuan Hsiao & Hui-Wen Huang & Jhen-Yi Lin & Chih-Ling Huang, 2019. "Effects of a Nurse-Led, Stage-Matched, Tailored Program for Smoking Cessation in Health Education Centers: A Prospective, Randomized, Controlled Trial," Clinical Nursing Research, , vol. 28(7), pages 812-829, September.
    19. Anh Ngo & Geoffrey T. Fong & Lorraine V. Craig & Ce Shang, 2019. "Analysis of Gender Differences in the Impact of Taxation and Taxation Structure on Cigarette Consumption in 17 ITC Countries," IJERPH, MDPI, vol. 16(7), pages 1-11, April.
    20. Li Zhang & Yanhan Chen & Yalan Lv & Xia Yang & Qianyu Yin & Li Bai & Yaling Luo & Manoj Sharma & Yong Zhao, 2019. "The Perception and Intervention of Internship Nursing Students Helping Smokers to Quit: A Cross-Sectional Study in Chongqing, China," IJERPH, MDPI, vol. 16(20), pages 1-13, October.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0205992. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.