Assessing motivation to quit and nicotine dependence in a smoking cessation program- A cross-sectional study

Author(s):  
Sofia Ravara ◽  
Mariana Batista ◽  
Eva Campos-Pereira ◽  
Jose M. Calheiros
2015 ◽  
Vol 36 (1) ◽  
pp. 69-76 ◽  
Author(s):  
Ana Paula Almeida Corrêa ◽  
Isabel Cristina Echer

The aim of this cross-sectional study was to describe the profile of smokers hospitalized for surgery, and investigate their motivation to quit. The sample consisted of 100 patients recruited from a university hospital in southern Brazil. Data were collected between February and May 2013, and analyzed using descriptive statistics. The sample was predominantly male (n=58; 58%) and had a mean age of 54.5±13.8 years. Seventy-nine (79%) of the participants were white, 38(38%) were married and 67(67%) had primary education only. Patients started smoking at a mean age of 17±6.6 years, smoked approximately 20(10 to 28.7) cigarettes/day and had been smoking for a mean of 37.4±14.4 years. Ninety-one (91%) patients wanted to stop smoking, 57(57%) were in the preparation phase, 36(36%) had low nicotine dependence and 35(35%) had been encouraged to quit. We concluded that, although hospitalization is a good moment to address smoking cessation, health care professionals do not enact effective and systematic interventions in this regard.


BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e018932
Author(s):  
Valéria Sipos ◽  
Anita Pálinkás ◽  
Nóra Kovács ◽  
Karola Orsolya Csenteri ◽  
Ferenc Vincze ◽  
...  

ObjectivesOur study aimed to evaluate the effectiveness of general practitioners’ (GPs’) smoking cessation support (SCS).Study designWe carried out a cross-sectional study between February and April 2016.Setting and participantA sample of 2904 regular smokers aged 18 years or older was selected randomly from 18 general medical practices involved in a national representative, general medical practice-based morbidity monitoring system. The GPs surveyed the selected adults and identified 708 regular smokers.Main outcome measuresMultivariate logistic regression models have been applied to evaluate the determinants (age, gender, education, smoking-related comorbidity, smoking intensity, intention to quit smoking and nicotine dependence) of provision of GP-mediated SCS such as brief intervention, pharmacological and non-pharmacological programmatic support.ResultsAccording to the survey, 24.4% of the adults were regular smokers, 30% of them showed high nicotine dependence and 38.2% willing to quit smoking. Most of the smokers were not participated in SCS by GPs: brief intervention, programmatic non-pharmacological support and pharmacotherapy were provided for 25%, 7% and 2% of smokers, respectively. Low-nicotine-dependence individuals were less (OR 0.30, 95% CI 0.12 to 0.75), patients with intention to quit were more (OR 1.49, 95% CI 1.00 to 2.22) likely to receive a brief intervention. Vocational (OR 1.71, 95% CI 1.13 to 2.59) and high school education (OR 2.08, 95% CI 1.31 to 3.31), chronic obstructive pulmonary disease and cardiovascular diseases (OR 3.34, 95% CI 1.04 to 10.68; OR 3.91, 95% CI 2.33 to 6.54) increased the probability to receive support by GP.ConclusionsAlthough there are differences among smokers’ subgroups, the SCS in Hungarian primary care is generally insufficient, compared with guidelines. Practically, the pharmacological support is not included in Hungarian GPs’ practice. GPs should increase substantially the working time devoted to SCS, and the organisation of primary healthcare should support GPs in improving SCS services.


CMAJ Open ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. E957-E965
Author(s):  
Nadia Minian ◽  
Scott Veldhuizen ◽  
Elise Tanzini ◽  
Stephanie Duench ◽  
Wayne K. deRuiter ◽  
...  

Author(s):  
Gloria Pérez-Rubio ◽  
Luis Alberto López-Flores ◽  
Ana Paula Cupertino ◽  
Francisco Cartujano-Barrera ◽  
Luz Myriam Reynales-Shigematsu ◽  
...  

Previous studies have identified variants in genes encoding proteins associated with the degree of addiction, smoking onset, and cessation. We aimed to describe thirty-one single nucleotide polymorphisms (SNPs) in seven candidate genomic regions spanning six genes associated with tobacco-smoking in a cross-sectional study from two different interventions for quitting smoking: (1) thirty-eight smokers were recruited via multimedia to participate in e-Decídete! program (e-Dec) and (2) ninety-four attended an institutional smoking cessation program on-site. SNPs genotyping was done by real-time PCR using TaqMan probes. The analysis of alleles and genotypes was carried out using the EpiInfo v7. on-site subjects had more years smoking and tobacco index than e-Dec smokers (p < 0.05, both); in CYP2A6 we found differences in the rs28399433 (p < 0.01), the e-Dec group had a higher frequency of TT genotype (0.78 vs. 0.35), and TG genotype frequency was higher in the on-site group (0.63 vs. 0.18), same as GG genotype (0.03 vs. 0.02). Moreover, three SNPs in NRXN1, two in CHRNA3, and two in CHRNA5 had differences in genotype frequencies (p < 0.01). Cigarettes per day were different (p < 0.05) in the metabolizer classification by CYP2A6 alleles. In conclusion, subjects attending a mobile smoking cessation intervention smoked fewer cigarettes per day, by fewer years, and by fewer cumulative pack-years. There were differences in the genotype frequencies of SNPs in genes related to nicotine metabolism and nicotine dependence. Slow metabolizers smoked more cigarettes per day than intermediate and normal metabolizers.


2018 ◽  
Vol 10 (10) ◽  
pp. 55
Author(s):  
Susi Ari Kristina ◽  
Vo Quang Trung ◽  
Ni Putu Ayu Linda Permitasari ◽  
Eliza Dwinta ◽  
Faisal Rahman

About two thirds of active smokers want to quit smoking, yet not many people finally succeed in smoking cessation. Smoking cessation involve complex behaviors associated with individual, social and psychological characteristics as the key factors. Our objective is to review the studies about smoking cessation behavior correlated issues in order to find effective interventions of smoking cessation program. Terms and keywords pertinent to individual, social and psychological characteristics of smoking cessation behavior were used in a search of the electronic databases. Searches were limited to English language, included papers were: a) had clearly report the predictor variables related to smoking cessation behaviors, b) exclusively represent nation/s of study population, c) the time frame for the analysis was limited from 1998 to 2018. A result of 116 individual studies were retrieved at first and reviewed. After further inspection of references from the collected studies, 9 studies were approximately selected that met all inclusion criteria. The final studies consisted of five cross-sectional study and four cohort studies, conducted from different countries. There were several characteristics related to smoking cessation behavior including on levels of nicotine dependence, self-efficacy, smoking restriction and involve other smokers environment, motivation and educational background. Adjusted interventions due to those specific behaviors are needed in order to make more effective smoking cessation programs. Therefore, this study may provide new perspective for encouraged to decrease the amount of smokers worldwide through smoking cessation program.


2020 ◽  
Author(s):  
Rehab A. Rayan

For improving accomplished attempts to stop smoking, it is necessary to learn about the qualities of individuals who can willingly stop smoking. This study seeks to discover the willingness degree and associated determinants to stop smoking between adult visitors of a primary healthcare centre in an urban area of Alexandria in Egypt. In this single point and descriptive cross-sectional study, a semi-structured questionnaire was distributed to a sample of 53 adults aged ≥18 years in May 2019. Descriptive statistical analyses were conducted to evaluate the determinants influencing the willingness to stop smoking. Of the 53 respondents (with a mean age of 38.7 years old), 41.5% of them were males. Almost 18.9% of the respondents were ongoing smokers (36.4% of males and 6.5% of females), though 83.7% of those smokers were willing to stop smoking. The number of male smokers was significantly greater than female smokers (Pearson Chi-Square = 7.52, p-value = 0.006). Determinants, which can favourably influence the willingness to stop smoking, were believing that smoking is a health risk to them (100%) and the others around (94.3%). A bulk of participants (56.6%) doubted the need for nicotine supplements to help in smoking cessation. Smoker respondents were willing to stop smoking. Understanding that smoking is a health hazard for both smokers and the others around can motivate smoking cessation. Relying on nicotine supplements alone might not add favourably to a strong smoking cessation decision. Tailoring campaigns to raise awareness about smoking health hazards’ would support and sustain smoking cessation.


2020 ◽  
Author(s):  
Beesan Maraqa ◽  
Zaher Nazzal ◽  
Jurouh Jabareen

Abstract Background: Health-care systems have primary responsibility for treating tobacco dependence. Despite its proven effectiveness, international studies have shown that provision of smoking cessation advice to patients in primary health care is suboptimal. This study aimed at assessing Palestinian PHC physicians' compliance and attitude towards smoking cessation counseling and their determinants.Methods: the study utilized a cross-sectional study design using a self-reported questionnaire targeted general practitioners, family medicine doctors, obstetrics & gynecologists and dentists working at PHC Centers in Palestine in the period between April to September,2019. Proportionate stratified random sampling method was used. Sociodemograpic, medical experience, if received any training in smoking cessation counseling, smoking history, practice compliance, knowledge, confidence and attitude were assessed. Results: 294 PHC physicians' participated in the study with high response rate. More than a half (53%) were between 31-45 years of age. Most of them (76.5%) were general practitioners seeing more than 30 patients per day (66%) and only 15% (n=40) get training about smoking cessation counseling. Practice compliance was low; only 39 (13.3%) reported compliance to smoking cessation practice. Attitude level among the participant physicians was good as the overall attitude score mean was 75.1 ± 9.6. Positive attitude, assigned as any score ≥65, was observed in 87.7% (n=258) of physicians. Job title, experience and knowledge are predictors of positive attitude towards smoking cessation counseling.Conclusion: Building supportive environment, improving physicians’ capabilities will reflect on their self-efficacy and their con­fidence level and will improve their practice in smoking cessation counseling.


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