Changes in Attitudes toward Tobacco Smoking and Factors Associated with Quitting in 9-Year Observation of Pure Poland Cohort Study

(1) Background: This study aims to examine changes in tobacco smoking prevalence in the PURE Poland cohort study over the 9-year follow-up period. Moreover, it attempts to identify socio-demographic factors that affect changes in attitudes towards tobacco smoking. (2) Methods: The PURE Poland cohort study-baseline was performed in 2007-2010 and covered 2036 participants, including urban (59.4%) and rural (40.6%) residents of Lower Silesia, Poland. The following study reports the results of 1690 participants who took part in both the baseline (2007-2010) study and 9-year follow-up (2016-2019). (3) Results: There was a 3.5% decrease in current smokers during the analyzed period (from 20.2% at the baseline study to 16.7% in the 9-year follow-up). Living in rural area increased the likelihood of being a current smoker by more than 1.5-fold (OR = 1.65 CI = 1.26-2.14) and decreased the likelihood of being a former smoker (OR = 0.70 CI = 0.57-0.86). In the 9-year follow-up period, more women were current smokers than men (17.2% vs. 16.0%) and women had lower chances of being former smokers than men (OR = 0.77 CI = 0.62-0.95). People with a primary education had 1.5-fold higher likelihood of being a current smoker (OR = 1.45 CI = 1.03-2.05). Nearly 11% significant increase in the percentage of current smokers was observed in the oldest age group (1.9% in the baseline study vs. 12.6% in the follow-up period). (4) Conclusions: The results obtained during 9 years of observation indicate the necessity of intensifying anti-tobacco programs especially targeting women, elderly population, people with lower level of education, rural residents, and the unemployed

Cohort · Cohort study · Rural area · Smoking cessation · Demography · Medicine · Nutrition and Health Studies · Obesity, Physical Activity, Diet · Smoking Behavior and Cessation · Internal Medicine

• Tobacco use in 3 billion individuals from 16 countries

  Open Access•Gary A Giovino, Sara A Mirza et al.•The Lancet•2012

  Incluir item

• The Prospective Urban Rural Epidemiology (Pure) study

  Open Access•Kejia Teo, Koon Teo et al.•American Heart Journal•2009

  Incluir item

• St-Century Hazards of Smoking and Benefits of Cessation in the United States

  Prabhat Jha, Chinthanie Ramasundarahettige et al.•New England Journal of Medicine•2013

  Incluir item

• Alternative Dietary Indices Both Strongly Predict Risk of Chronic Disease

  Open Access•Stephanie E Chiuve, Teresa T Fung et al.•The Journal of Nutrition•2012

  Incluir item

• International Physical Activity Questionnaire

  Cora L Craig, Alison L Marshall et al.•Medicine & Science in Sports &…•2003

  Incluir item

• Prevalence and Trends in Smoking

  Open Access•Mark P Doescher, J Elizabeth Jackson et al.•The Journal of Rural Health•2006

  Incluir item

• The Prevalence of Tobacco and E-Cigarette Use in Poland

  Open Access•Jarosław Pinkas, Dorota Kaleta et al.•International Journal of…•2019

  Incluir item

• Smoking and Mental Illness

  Open Access•P V AshaRani, Vanessa Seet et al.•International Journal of…•2020

  Incluir item

• Sociodemographic characteristic of changes in smoking patterns in rural and urban population of Pure Poland study

  Open Access•Katarzyna Połtyn–Zaradna, Katarzyna Połtyn-Zaradna et al.•BMC Public Health•2019

  Incluir item

• Smoking epidemic in Europe in the 21st century

  Open Access•Fanny Janssen, Shady El Gewily et al.•Tobacco Control•2020

  Incluir item

• Unemployment and smoking

  Roberto De Vogli, Massimo Santinello•Tobacco Control•2005

  Incluir item

• Working Class Matters

  Elizabeth M Barbeau, Claude W Hibbard et al.•American Journal of Public Health•2004

  Incluir item