Attributes of successful smoking cessation interventions in medical practice. A meta-analysis of 39 controlled trials

Kottke, Thomas E.; Battista, Renaldo N.; DeFriese, Gordon H.; Brekke, Milo L.

doi:10.1001/jama.259.19.2883

Cited by 615 publications

(242 citation statements)

References 33 publications

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“…[31][32][33][34][35][36] We found that female hardcore smokers were less likely to live in homes with smoking restrictions compared with both male hardcore smokers and other female smokers. No difference was found between male and female hardcore smokers in terms of contact with work restrictions if the person was employed.…”

Section: Discussionmentioning

confidence: 62%

“…[31][32][33] In our sample, compared with male hardcore smokers, female hardcore smokers were more likely to have seen a healthcare provider in the last year and to have received cessation advice from a provider. In contrast, compared with other female smokers, female hardcore smokers were less likely to have seen a healthcare provider in the last year.…”

Section: Discussionmentioning

confidence: 81%

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Gender Differences among Hardcore Smokers: An Analysis of the Tobacco Use Supplement of the Current Population Survey

Augustson

Barzani

Rutten

et al. 2008

Journal of Women's Health

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Background: Despite significant declines in smoking rates in the United States, a substantial percentage of adults continue to smoke. Improved understanding of current smokers and their contact with sources of cessation support future tobacco control efforts. Recent evidence suggests that hardcore smokers, established smokers without a history of quit attempts, have less contact with cessation support. Although gender is among the major factors that influence smoking cessation, no research is available on gender differences among hardcore smokers. Methods: Demographic, environmental, and smoking-related characteristics of female hardcore smokers and male hardcore smokers and other female smokers were examined. Data from 17,777smokers from the 2003 Current Population Survey Tobacco Use Supplement were analyzed. Results: Compared with female hardcore smokers, male hardcore smokers were more likely to have contact with smoking restrictions at work (OR ϭ 1.69) and at home (OR ϭ 1.45). Compared with female hardcore smokers, female other smokers were more likely to have seen a healthcare provider during the past year who advised them to quit smoking (OR ϭ 1.39) and more likely to have smoking restrictions at work (OR ϭ 1.25) and at home (OR ϭ 2.32)). Measures of nicotine dependence suggested that female hardcore smokers were less dependent than male hardcore smokers but more dependent than other female smokers. Conclusions: The sociodemographic and healthcare access variations in tobacco use identified in our analyses have significant public health implications and underscore the vital need for clinical and scientific advances in tobacco use prevention and control efforts.

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Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 81%

Gender Differences among Hardcore Smokers: An Analysis of the Tobacco Use Supplement of the Current Population Survey

Augustson

Barzani

Rutten

et al. 2008

Journal of Women's Health

View full text Add to dashboard Cite

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“…Yine Solak ve arkadaşları, destek tedavisinin öneminin altını çizmişler, sigarayı bırakmayı engelleyen faktörleri belirlemede, nüksü önleme planları geliştirmede ve motivasyon sayesinde, uzun süreli başarıda önemini vurgulamışlardır 5 . Benzer çalışmalarda da, motivasyonel destek olmadan sadece farmakolojik tedavinin yeterli olmadığı, ancak yoğun destek, yüz yüze görüşme, yakın takip ve farmakolojik tedavinin birlikte uygulandığı programlarda başarı oranının en yüksek düzeylere çıktığı tespit edilmiştir 11,25,26 . Sonuç olarak; sigara kullanımı, artık keyfi bir alışkanlık değil; madde bağımlılığı ve hastalık olarak kabul edilmektedir.…”

Section: Tablounclassified

One-Year Follow-up Results of Başkent University İzmir Zübeyde Hanım Hospital Smoking Cessation Outpatient Clinic

İzmir¹,

Akçay²,

Eyüboğlu³

2015

BSBD

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ÖZET AMAÇ: Dünyada 1.1 milyar, Türkiye'de 17 milyon kişi sigara içmektedir. Bu çalışmada hastanemiz sigara bırakma polikliniğinin 1 yıllık sonuçları incelendi. YÖNTEMLER: Ekim 2011 -Ekim 2012 tarihleri arasında polikliniğimize başvuran 37 hasta ele alındı. Olguların demografik özellikleri, sigara kullanım öyküleri, anamnez, fizik muayene, klinik, radyolojik ve biyokimyasal parametreleri, solunum fonksiyon testleri, Fagerstrom nikotin bağımlılık düzey tespiti ve anksiyete-depresyon durumu değerlendirmesini sağlayan anket form sonuçları kaydedildi. BULGULAR: Olguların 19'u (%51.4) kadın, 18'i (%48.6) erkek ve yaş ortalaması 43.8 yıldı. Sigara kullanımı ort 33.9 paketyıl ve nikotin bağımlılık düzeyleri %70.2 ile yüksek saptandı. Olguların %78.4'ü üniversite mezunu, %67.6'sı evli, %64.9 çocuk sahibi idi, %67.6'sında ek hastalık mevcuttu ve %32.4 olgu daha önce sigara bırakma için profesyonel destek almıştı. Hastalara eğitim ve davranış terapisi ile birlikte %8.1'ine NRT, %40'ına bupropion, %45'ine vareniklin tedavisi verildi. Tedavi süresinde en sık yaşanan sorunlar sigara içme isteği, gerginlik-sinirlilik ve konsantrasyon güçlüğü iken; en sık yan etkiler bulantı, çarpıntı, karıncalanma idi ve 4 hastada yan etkiler nedeniyle tedavi stoplandı. Sigara bırakma oranları; kadın, evli, çocuklu, ek hastalığı olanlarda daha yüksek saptandı ancak fark istatistiksel olarak anlamlı değildi (p>0.05). Başarı oranları; 1. ay sonunda %75.7, 6. ay sonunda %54.1 ve 1. yıl sonunda %54.1 olarak raporlandı. Tedavide başarı oranı; bupropion alanlarda %46.7, vareniklin alanlarda %52.9, NRT alanlarda ise %100 idi. SONUÇ: Sigara kullanımı halen önemli bir halk sağlığı sorunudur ve hastalar sigara bırakma için bilgilendirilmeli, yönlendirilmeli ve profesyonel destek almaları arttırılmalıdır.Anahtar Kelimeler: Sigara bırakma, tedavi başarısı, sigara bırakma polikliniği SUMMARY OBJECTIVE: There are 17 million smokers in Turkey and 1.1 billions all over the world. In this study we investigated the results of our smoking cessation outpatient clinic retrospectively. METHODS: 37 patients who were evaluated at our outpatient clinic between October 2011 and October 2012 were included. RESULTS: There were 51.4% female, 48.6% female and the median age was 43.8 years in our study. Median history of smoking was 33.9 pack-years and the nicotine dependence level was high with 70.2%. 78.4% of the patients had university graduates, 67.6% married, 64.9% had children, 67.6% of them had comorbidity and %32.4 of them had taken professional support for smoking cessation in advance. Education and motivation therapy were given to all patients and also NRT to 8.1%, bupropion to 40%, varenicline were given to 45% of the patients. During the treatment; most frequent problems were willingness of smoking, irritability, nervousness, concentration difficulties. The most side effects were nausea, palpitation, prickle and the treatments of 4 objects was terminated because of the side effects. The smoking cessation were higher at the patients who were female, married, had ...

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“…These conditions will help to facilitate repeated tobacco interventions over time and health care visits (12). Health care reform will also fuel greater use of sophisticated information systems and interactive computer-based programs that can be harnessed to create and deliver highly personalized quitting messages and support programs that do not burden providers (13 (20).…”

Section: Treatment For Nicotine Addictionmentioning

confidence: 99%

Preventing Tobacco-Caused Cancer: A Call to Action

Orleans¹

1995

Environmental Health Perspectives

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Nicotine addiction is the most common serious medical problem in the country. Tobacco use is responsible for 30% of cancer deaths in the United States and 90% of all lung cancer deaths.The physical addiction to nicotine explains why over 30% of Americans continue to smoke or use tobacco despite their desires and efforts to quit. The testimony summarized in this paper recommends four broad strategies for preventing tobacco-caused cancers in the United States: a) mandating and reimbursing effective treatments for nicotine addiction; b) increasing Federal and state tobacco excise taxes and earmarking a fraction of tax revenues for tobacco prevention and cessation; c) enacting other policy changes to prevent tobacco use and addiction among children, including expanded clean indoor air legislation, comprehensive youth tobacco access legislation, and the regulation of tobacco products and their advertising and promotion; and d) expanding tobacco control research and critical Federal research support. Specific recommendations are given for each broad strategy. -Environ Health Perspect 103(Suppl 8): 149-152 (1995)

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Attributes of successful smoking cessation interventions in medical practice. A meta-analysis of 39 controlled trials

Cited by 615 publications

References 33 publications

Gender Differences among Hardcore Smokers: An Analysis of the Tobacco Use Supplement of the Current Population Survey

Gender Differences among Hardcore Smokers: An Analysis of the Tobacco Use Supplement of the Current Population Survey

One-Year Follow-up Results of Başkent University İzmir Zübeyde Hanım Hospital Smoking Cessation Outpatient Clinic

Preventing Tobacco-Caused Cancer: A Call to Action

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