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- Title
Depressive Symptoms Delayed Quit Attempts and Shortened Abstinence in Young Smokers of the Hong Kong Youth Quitline.
- Authors
Wong, David C. N.; Chan, Sophia S. C.; Tai-hing Lam; Lam, Tai-hing
- Abstract
<bold>Introduction: </bold>Young smokers often report depressive symptoms while receiving smoking cessation counseling. This study examines time patterns in the quitting process among young smokers with or without notable depressive symptoms.<bold>Methods: </bold>The quitting trajectories of young smokers aged 12 to 25 (n = 578) who called the Youth Quitline in Hong Kong between March 2006 and May 2011 were recorded and analyzed through multiple telephone sessions over periods of up to 6 months. The time patterns of young smokers who had or did not have notable depressive symptoms were compared using nonparametric Kaplan-Meier methods with log-rank tests.<bold>Results: </bold>Among young smokers with low levels of nicotine dependence, those who had notable depressive symptoms were less likely to initiate a quit attempt within 28 days after their baseline telephone intervention (probability = .38 vs. .60; P value = .04). Furthermore, young smokers who had notable depressive symptoms were less likely to remain abstinent from smoking for 2 days after starting a quit attempt (probability = .50 vs. .64; P value = .012). Young adults aged 18 or above were more likely to relapse into smoking (adjusted HR = 1.50, 95% CI = 1.01, 2.22).<bold>Conclusions: </bold>Depressive symptoms may delay young smokers from initiating quit attempts and shorten their abstinence. A baseline screening process is suggested for identifying youths with co-occurring depressive disorder and nicotine dependence. Further studies should examine a collaborative model of smoking cessation that involves both counselors and physicians in preventing young smokers from rapid relapses after they make quit attempts.
- Subjects
HONG Kong (China); MENTAL depression; SYMPTOMS; SMOKING cessation; DRUG abstinence; CIGARETTE smokers; LOG-rank test; THERAPEUTICS; SMOKING &; psychology; COUNSELING; LONGITUDINAL method; SELF-evaluation; SMOKING; DISEASE relapse; HELPLINES
- Publication
Nicotine & Tobacco Research, 2016, Vol 18, Issue 3, p251
- ISSN
1462-2203
- Publication type
journal article
- DOI
10.1093/ntr/ntv065