The impact of smoking cessation has been clearly demonstrated in terms of mortality and morbidity. A weaned smoker is always subject to relapse, hence the interest in undertaking a study to identify the causes of smoking cessation failure in order to establish a global and well-coded strategy to better support the smoker in his or her smoking cessation procedure.

We carried out a descriptive cross-sectional study, spread over a period of 2 months, from September 2, 2022 to October 25, 2022 by means of a self-questionnaire. The study was conducted among active smokers. The study included 41 active smokers; followed up in our Pneumology consultation (whatever the reason for consultation) and active smokers hospitalized in the Pneumology Department at Hassan II Hospital in Agadir, who had experienced at least one unsuccessful attempt to quit smoking.

The average age of the smokers was 39 years, the study population was mainly male. For the majority (81.5%), the average age of the first cigarette was early (before 20 years). The initial factors of smoking were mainly: following (39.25%), and curiosity (47.40%). The average number of cigarettes consumed per day was 13.46, with extremes ranging from 1 to 40 cigarettes per day. Tobacco consumption was associated with alcohol consumption in 23.3% of cases, and with cannabis consumption in 13%. Nicotine dependence was moderate in 41.5% of cases; most of our smokers had made several attempts to quit.
Relapses were mainly attributable to: stress (55%); smoking environment (35%), degree of nicotine dependence (34%) and negative emotional states (31%).

Smoking cessation assistance requires a better understanding of the factors that predict failure.