A systematic review of longitudinal population-based studies on the predictors of smoking cessation in adolescent and young adult smokers
Open accessAbstract
OBJECTIVE: To describe the determinants of self-initiated smoking cessation of duration of at least 6 months as identified in longitudinal population-based studies of adolescent and young adult smokers. METHODS: A systematic search of the PubMed and EMBASE databases using smoking, tobacco, cessation, quit and stop as keywords was performed. Limits included articles related to humans, in English, published between January 1984 and August 2010, and study population aged 10-29 years. A total of 4502 titles and 871 abstracts were reviewed independently by 2 and 3 reviewers, respectively. Nine articles were retained for data abstraction. Data on study location, timeframe, duration of follow-up, number of data collection points, sample size, age/grade of participants, number of quitters, smoking status at baseline, definition of cessation, covariates and analytic method were abstracted from each article. The number of studies that reported a statistically significant association between each determinant investigated and cessation were tabulated, from among all studies that assessed the determinant. RESULTS: Despite heterogeneity in methods across studies, five factors robustly predicted quitting across studies in which the factor was investigated: not having friends who smoke, not having intentions to smoke in the future, resisting peer pressure to smoke, being older at first use of cigarette and having negative beliefs about smoking. CONCLUSIONS: The literature on longitudinal predictors of cessation in adolescent and young adult smokers is not well developed. Cessation interventions for this population will remain less than optimally effective until there is a solid evidence base on which to develop interventions.
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This also provides a biological basis for the clinical observation that the age of first cigarette use is a critical determinant of tobacco dependence, with those who begin in their early teens having the greatest difficulty quitting.
“This also provides a biological basis for the clinical observation that the age of first cigarette use is a critical determinant of tobacco dependence, with those who begin in their early teens having the greatest difficulty quitting [157,158].”
From Nicotine on the developing brain. (2023) · cites this paper as [157]
The Discussion (page unavailable) says that being older at first cigarette use is associated with a higher likelihood of quitting in adolescence or young adulthood, and proposes lower nicotine dependence as a possible link. It does not establish age of first use as a critical determinant of dependence or show that those who begin in their early teens have the greatest difficulty quitting. (LLM, conf=0.86)
Experimental — accuracy not yet measuredAge of first cigarette use is a critical determinant of tobacco dependence, with those who started in their early teens having the greatest difficulty quitting.
“This finding provides a biological basis for the clinical observation that age of first cigarette use is a critical determinant of tobacco dependence, with those who started in their early teens having the greatest difficulty quitting (Cengelli et al. 2012; Kendler et al. 2014).”
From <scp>N</scp> icotine and the adolescent brain (2015) · cites this paper as Cengelli et al. 2012
The Discussion reports that being older at first cigarette use predicts longer-term cessation in adolescents and young adults. It proposes, rather than establishes, a link through lower nicotine dependence. The paper does not identify early-teen starters specifically as having the greatest difficulty quitting or establish age at first use as a critical determinant of dependence. (LLM, conf=0.87)
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Self-citation
- Authors
- Cengelli, S., O'Loughlin, J., Lauzon, B., & Cornuz, J.
- Affiliations
- Centre Hospitalier de l’Université de Montréal (CA)
- University of Lausanne (CH)
- Venue
- Tobacco Control
- Publisher
- BMJ
- Published
- 2011-08-16
- Volume
- 21
- Issue
- 3
- Pages
- 355-362
- ISSN
- 0964-4563 (ISSN-L)
- 1468-3318
- OpenAlex
- W2104268267
- Cited by
- 163
- References
- 38
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 8 · 2023: 10 · 2022: 7 · 2021: 4 · 2020: 55 · 2019: 12 · 2018: 8 · 2017: 11 · 2016: 7 · 2015: 10 · 2014: 4 · 2013: 12 · 2012: 6
- FWCI
- 0.75
- Type
- journal article
- Language
- en
- Open access
- green
- iris.unil.ch
- Locations
- Tobacco Control (publishedVersion)
- PubMed (publishedVersion)
- IRIS (submittedVersion)
- SERVAL (Université de Lausanne) (submittedVersion, other-oa)
- SERVAL (Université de Lausanne) (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Keywords
- smoking cessation, adolescent smokers, young adult smokers, predictors of quitting, peer influence, peer smoking, smoking intention, smoking beliefs, cessation interventions
- MeSH terms
- Smoking Prevention, Adolescent, Adolescent Behavior, Humans, Longitudinal Studies, Prognosis, Smoking, Smoking Cessation, Evidence-Based Medicine, Young Adult
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