Failure to Quit Smoking Extent and Determinants among Attendees of Tobacco Cessation Clinic

Smoking is a global health risk factor despite the efforts to control and the existance of tobacco cessation program. The objective of this study was to measure the proportion of people who failed to quit smoking at the end of six months after attending the smoking cessation clinic and to identify the factors associated with failure to quit. We used an analytical cross-sectional design which was conducted at Taif city, Saudi Arabia between January 2019 and March 2020. The attendees of smoking cessation clinic were invited to participate in the study. We used a questionnaire as the data collection too. The statistical package for the social sciences (IBM Corp. Released 2020. IBM SPSS Statistics for Windows, Version 27.0. Armonk, NY: IBM Corp ) was used to analyze the data. The total responses was 393, out of them 201 (51.1%) failed to quit smoking after six months. Age, marital status, income, and occupation were significantly associated with the outcome variable (quit or not). Even before attending the clinic (62.3%) have indicated previous failed attempts. Among the different types of smoking, hookah showed a significant association with failure, while nicotine dependence did not showed any significance. Failure to quit was associated with advanced age, smoking hookah, while those who indicated the price of tobacco products as a reason to quit were more prone to fail in quitting smoking. In conclusion, smoking cessation can be influenced by a sociodemographic factors, willingness and family support. Smoking hookah is associated with higher rates of failure to quit smoking.

Characteristics and Predictors of Abstinence Among Smokers of a Smoking Cessation Clinic in Hunan China

Background: More than 300 million smokers make China the largest cigarette consumer globally, which is a huge economic burden. Smoking cessation (SC) clinics can offer counseling and follow-up services. The operational experience of SC clinics in China needs to be summarized and improved based on research evidence.Purpose: The objectives of this study were to describe quit rates among attendees of SC clinics in Hunan and assess predictors of successful SC.Methods: The participants in this study were smokers who visited the SC clinic of Hunan Cancer Hospital from February 1, 2015 to September 30, 2018. Individuals who received individual counseling and assessment from the SC clinic staff and were willing to quit smoking were eligible for inclusion. Those with critical illness or cancer were excluded. Application of smoking cessation clinic registration form (unified by Chinese Center for Disease Control and Prevention) was used to assess participants at the consultation. Follow-ups and counseling were performed over telephone at 1 week, 1 month, and 3 months after the initial cessation consultation or in times of need. Successful SC was checked for at 3 months after the start of SC.Results: A total of 328 smokers (mean age 45.67 ± 12.38 years) had participated. The abstinence rate at 3 months was 28.4%. Binary regression analysis revealed significant independent predictors to be the total numbers of SC follow up sessions, previous SC attempts, and participants' decision on when to quit smoking (The relative to quit immediately group, quit within 30 days, quit after 30 days, and undecided quit were less likely to succeed in quitting. while quit within seven days had no statistical significance.Conclusion: SC clinics can achieve a desirably high quit rate. Participant's previous attempts at quitting, three or more follow-ups, and the decision to quit immediately or within seven days were factors helpful in predicting the success of SC.

Effectiveness of Varenicline versus Combination Nicotine Replacement Therapy for Smoking Cessation: One Year Outcomes in a Smoking Cessation Clinic in Taiwan

Introduction Varenicline and combination nicotine replacement treatment (cNRT) have been recommended as the most effective pharmacotherapies, with equal abstinence rate for smoking cessation in a network meta-analysis of randomized trials, but data from real-world long-term follow-up studies are rare. This study aimed to compare the 12-month sustained abstinence rates of smokers using varenicline versus cNRT in their quit attempt. Methods A total of 3,569 smokers were recruited via the Department of Family Medicine outpatient department at Kaohsiung Veteran General Hospital between June 2013 and March 2019. Participants received counseling from a physician and chose either varenicline (N=2,870) or cNRT (N=699) for smoking cessation. Both varenicline and cNRT users could receive a free 8-week supply and 8 clinic visits over 90 days. Participants were followed-up by telephone at 12, 24, and 52 weeks from first visit. The primary outcome measure of the study was self-reported sustained abstinence up to 52 weeks. Results Varenicline users had a significantly higher sustained abstinence rate weeks 12-52, adjusted for baseline variables (15.2% vs. 10.3%, p=0.001; aOR= 1.47, 95%CI: 1.05–2.05). Other significant predictors of 52 weeks sustained abstinence were being male, having a higher income, attending more clinical visits and have lower nicotine dependence. Conclusion Varenicline appears to have higher sustained abstinence rates to 52 weeks compared with cNRT, in a smoking cessation clinic where smokers can choose their medication option.

Model Pengembangan Klinik Berhenti Merokok di Wilayah Tengerang Selatan Menggunakan Pendekatan Soft System Methodology

Smoking behaviour has become a habit and culture in Indonesian society. According to WHO (2018), Indonesia is the second country with the largest number of smokers among people aged ≥ 15 in the world after France in 2016. The Indonesian Ministry of Health in 2018 stated that the prevalence of smoking was 31.3% in Banten Province, this exceeds the National average of 29.3%. An aim of our analysis was to prevent and reduce smoking behaviour. Public Health Experts has a moral responsibility to overcome problems of smoking behaviour in South Tangerang by “Smoking Cessation Clinic”. They did this analysis by Soft System Methodology (SSM). It can be used to resolved high complexity problem for change habits and culture in society through strategic thinking and solutions. Result analysis of SSM showed that development model Smoking Cessation Clinic program can be held through electronic education activities by the android application. It designed as a media of alternative development to provide online education to the public. It is hoped that there will be routine educational activities that can be carried out by health cadres, so that the Smoking Cessation Clinic program can be socialized and can be utilized optimally to the community. Keywords: Smoking Behaviour, Smoking Cessation Clinic, Soft System Methodology Abstrak Perilaku merokok sudah menjadi kebiasaan dan budaya masyarakat Indonesia. Menurut WHO (2018), Indonesia merupakan negara kedua dengan jumlah perokok terbesar pada penduduk usia ≥ 15 tahun di dunia setelah Perancis pada tahun 2016. Kementerian Kesehatan RI tahun 2018 menyatakan bahwa prevalensi merokok di Provinsi Banten sebesar 31,3%, melebihi rata-rata nasional sebesar 29,3%. Tujuan dari analisis kami adalah untuk mencegah dan mengurangi perilaku merokok. Dokter Spesialis Kesehatan Masyarakat memiliki tanggung jawab moral untuk mengatasi masalah perilaku merokok di Tangerang Selatan melalui "Klinik Berhenti Merokok". Mereka melakukan analisis ini dengan Soft System Methodology (SSM). Ini dapat digunakan untuk memecahkan masalah kompleksitas tinggi untuk mengubah kebiasaan dan budaya dalam masyarakat melalui pemikiran dan solusi strategis. Hasil analisis SSM menunjukkan bahwa model pengembangan program klinik berhenti merokok dapat diimplementasikan melalui kegiatan edukasi elektronik dengan aplikasi android. Ini dirancang sebagai media pengembangan alternatif untuk memberikan pendidikan online kepada publik. Diharapkan ada kegiatan edukasi rutin yang dapat dilakukan oleh kader kesehatan, agar program Klinik Berhenti Merokok dapat tersosialisasi dan dapat dimanfaatkan secara maksimal kepada masyarakat. Kata kunci: Perilaku Merokok, Klinik Berhenti Merokok, Metodologi Soft System