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The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil): Factors Related to Smoking Cessation

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Abstract

Background

Smoking cessation is not an easy accomplishment. However, the benefits are several for those who do it, such as cardiovascular risk reduction 1 year after quitting smoking. This study aimed to verify the factors related to smoking cessation in civil servants of The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil).

Methods

This study had a longitudinal design using data from a prospective cohort of civil servants (ELSA-Brasil). Our variable of interest was smoking cessation. The relationship between socio-demographic characteristics, job stress, health-related variables, legislation, and smoking cessation was analyzed by Cox proportional hazard models. The analyses were stratified by gender. Second-hand smoke exposure, age, education, excessive alcohol consumption, common mental disorder, and smoking control law were the variables considered in the final model.

Results

Information of 2020 women and 2429 men was analyzed. Individuals without second-hand smoke exposure, with up to 49 years of age, with higher education, without excessive alcohol consumption, without common mental disorders, and who initiated smoking in 1989 or after the smoking control law had a higher risk of stopping smoking. The risks magnitudes were higher for women.

Conclusions

Our study reinforces the necessity of alcohol consumption regulation, the relevance of Public Health Policies, and the need for more smoking cessation measures focused on men, on people with mental disorders, alcoholism, and older adults. Also, our results did not show significant risks regarding the psychosocial working environment.

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Funding

This work was supported in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior — Brasil (CAPES) — Finance Code 001.

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Authors and Affiliations

  1. Department of Epidemiology and Quantitative Methods in Health, National School of Public Health, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil

    Thaís Lopes de Oliveira, Arlinda B. Moreno, Enirtes Caetano Prates Melo & Maria de Jesus Mendes da Fonseca

  2. Clinical Epidemiology Laboratory, Evandro Chagas National Institute of Infectious Diseases (INI), Oswaldo Cruz Foundation, Rio de Janeiro, Brazil

    Raquel Vasconcellos Carvalhaes de Oliveira

  3. Laboratory of Health and Environment Education, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil

    Rosane Harter Griep

  4. Center for Clinical and Epidemiological Research, University Hospital, University of São Paulo, São Paulo, Brazil

    Paulo Andrade Lotufo

  5. School of Health, Care and Social Welfare, Division of Sociology, Mälardalen University, Västerås, Sweden

    Susanna Toivanen

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  1. Thaís Lopes de Oliveira
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  2. Raquel Vasconcellos Carvalhaes de Oliveira
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  8. Maria de Jesus Mendes da Fonseca
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Correspondence to Maria de Jesus Mendes da Fonseca.

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Disclaimer

The funders of this research did not contribute to study design development, analysis, interpretation of data and in writing the manuscript.

Ethical Approval

The ELSA-Brasil was approved by the ethic committees of each institution involved in the study and by the National Ethics Counsel in Research (CONEP), CAAE number: 0016,1,198,000–06. The present study was approved by the Research Ethics Committee of National School of Public Health, Oswaldo Cruz Foundation.

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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This article does not contain any studies with animals performed by any of the authors.

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Lopes de Oliveira, T., Oliveira, R.V., Griep, R.H. et al. The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil): Factors Related to Smoking Cessation. Int.J. Behav. Med. 29, 718–727 (2022). https://doi.org/10.1007/s12529-021-10053-7

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