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Comparisons of early and delayed abstainers and its effects on long-term smoking cessation in Taiwan.
Chang, Yu-Chen; Huang, Wei-Hsin; Tsai, Chia-Ying; Hwang, Lee-Ching.
Afiliación
  • Chang YC; The Department of Family Medicine, MacKay Memorial Hospital, No.92, Sec. 2, Zhongshan N. Rd., Zhongshan Dist, Taipei City, 104, Taiwan.
  • Huang WH; The Department of Family Medicine, MacKay Memorial Hospital, No.92, Sec. 2, Zhongshan N. Rd., Zhongshan Dist, Taipei City, 104, Taiwan.
  • Tsai CY; Wanrong Township Public Health Center, Hualien County, Taiwan.
  • Hwang LC; The Department of Family Medicine, MacKay Memorial Hospital, No.92, Sec. 2, Zhongshan N. Rd., Zhongshan Dist, Taipei City, 104, Taiwan. hlc@mmh.org.tw.
Subst Abuse Treat Prev Policy ; 14(1): 31, 2019 08 14.
Article en En | MEDLINE | ID: mdl-31412892
BACKGROUND: Different quitting trajectories may reflect the stages of behavior change among smokers. The nature of quitting patterns could help the public health sector to design appropriate cessation plans. This study compared demographic, health, and behavioral characteristics and the effects of long-term abstinence between early and delayed abstainers. METHODS: We retrospectively sampled 142 abstainers from smoking cessation clinic participants for a study conducted from January 1 to December 31, 2017. Baseline information was obtained at the first clinic visit, and phone interviews were conducted 2 weeks, 3 months, and 6 months later. The 7-day point prevalence abstinence was employed for measuring their quitting status. We defined early abstainers as those who attained abstinence by second week and delayed abstainers as those who had done so by the third month. We compared their characteristics and 6-month quit rates and examined potential predictors between the two quitting patterns. RESULTS: One hundred forty-two participants were included with 87 (61.3%) early abstainers and 55 (38.7%) delayed abstainers. Early abstainers were older with more comorbidities, presenting longer smoking duration, higher exhaled carbon monoxide (CO) concentration and Fagerstrom Test of Cigarette Dependence (FTCD) scores. The 6-month abstinence rate was high for both quitting patterns with no significant difference (83.9% versus 81.8%, p = 0.7462). Higher FTCD scores and exhaled CO concentration were potential predictors for early abstainers with adjusted odds ratio 1.16 (95% confidence interval [CI], 1.01-1.33) and 1.04 (95% CI, 1.00-1.08) respectively. CONCLUSIONS: Our results associated early abstainers with older age, more comorbidities and higher nicotine dependence. Both groups achieved good long-term abstinence maintenance. Although early abstainers may achieve earlier reduction of health risks, smokers could still benefit from long-term abstinence if they can manage to quit smoking even at later phases of cessation courses.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tabaquismo / Cese del Hábito de Fumar Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Subst Abuse Treat Prev Policy Asunto de la revista: TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Año: 2019 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tabaquismo / Cese del Hábito de Fumar Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Subst Abuse Treat Prev Policy Asunto de la revista: TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Año: 2019 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Reino Unido