Prévalence et caractéristiques socio-sanitaires des fumeurs invétérés en Haute-Normandie

Tavolacci, Marie‐Pierre; Marini, Hélène; Bailly, Laurent; Ladner, Joël

doi:10.3917/spub.096.0583

Cited by 5 publications

(5 citation statements)

References 33 publications

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“…Smoking is the leading cause of avoidable death in the world [ 1 ]. According to the World Health Organization, smoking kills 5 million people every year, that is to say more than HIV, tuberculosis and malaria together [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Success rates in smoking cessation: Psychological preparation plays a critical role and interacts with other factors such as psychoactive substances

Joly

Perriot²,

d’Athis

et al. 2017

PLoS ONE

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IntroductionThe aim of this study was to identify factors associated with the results of smoking cessation attempts.MethodsData were collected in Clermont-Ferrand from a smoking cessation clinic between 1999 and 2009 (1,361 patients). Smoking cessation was considered a success when patients were abstinent 6 months after the beginning of cessation. Multivariate logistic regression was used to investigate the association between abstinence and different factors.ResultsThe significant factors were a history of depression (ORadjusted = 0.57, p = 0.003), state of depression at the initial consultation (ORa = 0.64, p = 0.005), other psychoactive substances (ORa = 0.52, p<0.0001), heart, lung and Ear-Nose-Throat diseases (ORa = 0.65, p = 0.005), age (ORa = 1.04, p<0.0001), the Richmond test (p<0.0001; when the patient’s motivation went from insufficient to moderate, the frequency of abstinence was twice as high) and the Prochaska algorithm (p<0.0001; when the patient went from the ‘pre-contemplation’ to the ‘contemplation’ level, the frequency of success was four times higher). A high score in the Richmond test had a greater impact on success with increasing age (significant interaction: p = 0.01). In exclusive smokers, the contemplation level in the Prochaska algorithm was enough to obtain a satisfactory abstinence rate (65.5%) whereas among consumers of other psychoactive substances, it was necessary to reach the preparation level in the Prochaska algorithm to achieve a success rate greater than 50% (significant interaction: p = 0.02).ConclusionThe psychological preparation of the smoker plays a critical role. The management of smoking cessation must be personalized, especially for consumers of other psychoactive substances and/or smokers with a history of depression.

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Section: Introductionmentioning

confidence: 99%

Success rates in smoking cessation: Psychological preparation plays a critical role and interacts with other factors such as psychoactive substances

Joly

Perriot²,

d’Athis

et al. 2017

PLoS ONE

View full text Add to dashboard Cite

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“…According to the World Health Organisation smoking kills five million people every year, that is to say more than HIV, tuberculosis and malaria together [2]. In France, smoking is the leading cause of premature death (before 65 years of age).…”

Section: Introductionmentioning

confidence: 99%

Smoking cessation attempts: is it useful to treat hard core smokers?

Joly¹,

d’Athis²,

Gerbaud³

et al. 2016

Tob. Induced Dis.

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BackgroundHard core smokers have been studied in many countries but only a few trials have compared the effectiveness of smoking cessation with other smokers. The objective of this study was to compare the frequencies of success in smoking cessation between hard-core smokers and other smokers.MethodsData were collected in Clermont-Ferrand from the Emile Roux dispensary ‘Pneumology and Tobaccology Centre’ between 1999 and 2009. Assistance with smoking cessation was proposed to 1367 patients but only 1296 patients were included: 219 HCS and 1077 other smokers. Smoking cessation was considered a success when patients were abstinent 6 months after the beginning of cessation. The profiles of the two types of smokers were compared using Chi square test and Student’s t test. Multivariate logistic regression was used to investigate the association between the smoking cessation result and the type of smokers.ResultsHCS more frequently consumed other psychoactive substances (41.1 % vs 25.7 % for other smokers; p < 0.001). Current depression was more frequent in HCS (46.6 % vs 34.8 % for other smokers; p = 0.001). Smoking cessation was less frequent in HCS (45.2 % vs 56.5 % for other smokers ; p = 0.002). In multivariate analysis, after controlling for other factors, the frequency of smoking cessation was not significantly associated with the type of smokers (p = 0.47). After limiting to initial factors (present before the beginning of smoking cessation), the frequency of smoking cessation was still not significantly associated with the type of smokers (p = 0.78).ConclusionSmoking cessation is possible for hard core smokers, who should be treated as other types of smokers taking into account other factors:the problem is how to encourage them to try to stop smoking.

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“…L'installation précoce de la dépendance, la fréquence des co-consommations sont les marques d'une vulnéra-bilité individuelle aggravée par une vulnérabilité d'ordre socioéconomique. Une récente étude réalisée en service d'urgences des hôpitaux de Haute-Normandie a souligné que les fumeurs invétérés recouraient significativement plus souvent aux services sociaux [29]. L'augmentation de la prévalence du phénomène avec l'ancienneté du tabagisme et l'augmentation de la consommation de tabac évoquent son caractère acquis.…”

Section: Questions En Suspensunclassified