Relapse Rate and Factors Related to Relapse in a 1-Year Follow-Up of Subjects Participating in a Smoking Cessation Program.

BACKGROUND: The most important and difficult task when it comes to reducing tobacco-related morbidity and mortality is to convince smokers to quit and to maintain their abstinence. This study aimed to determine the smoking relapse rate and factors related to relapse in subjects who participated in a...

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Publicado en:Respiratory Care Vol. 60; no. 12; pp. 1796 - 1804
Autores principales: Durmuş Koçak, Nagihan, Eren, Ayşegül, Boğa, Sibel, Aktürk, Ülkü Aka, Öztürk, Ülkem Angın, Arınç, Sibel, Şengül, Aysun
Formato: research tables/charts Journal Article
Publicado: Mary Ann Liebert, Inc. Dec2015
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Mary Ann Liebert, Inc.
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        atl: Relapse Rate and Factors Related to Relapse in a 1-Year Follow-Up of Subjects Participating in a Smoking Cessation Program.
      aug:
        au:
          Durmuş Koçak, Nagihan
          Eren, Ayşegül
          Boğa, Sibel
          Aktürk, Ülkü Aka
          Öztürk, Ülkem Angın
          Arınç, Sibel
          Şengül, Aysun
        affil: Department of Pulmonary Diseases, Siireyyapaşa Chest Diseases and Thoracic Surgery Education and Research Hospital, Istanbul, Turkey
      sug:
        subj:
          Recurrence
          Smoking Cessation Programs
          Smoking Drug Therapy
          Tobacco Use Cessation Products Utilization
          Human
          Female
          Male
          Logistic Regression
          P-Value
          Confidence Intervals
          Odds Ratio
          Bupropion Administration and Dosage
          Nicotine Replacement Therapy
          Case Control Studies
          Outpatients
          Academic Medical Centers Turkiye
          Turkiye
          Dependent Variable
          Independent Variable
          Chi Square Test
          Fisher's Exact Test
          Mann-Whitney U Test
          T-Tests
          Adolescence
          Adult
          Middle Age
          Aged
          Smoking Psychosocial Factors
          Comorbidity
          Alcohol Drinking
          Tobacco Use Cessation Products Adverse Effects
          Psychological Tests
          Scales
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
          Male
      ab: BACKGROUND: The most important and difficult task when it comes to reducing tobacco-related morbidity and mortality is to convince smokers to quit and to maintain their abstinence. This study aimed to determine the smoking relapse rate and factors related to relapse in subjects who participated in a smoking cessation program and completed a 1-y follow-up in our center. METHODS: The study included 550 subjects who applied to a smoking cessation clinic from June 1, 2011 to December 31,2011 and completed the 1-y follow-up. RESULTS: After 1 y, 282 (51.4%) subjects had relapsed, 132 (24%) had quit smoking, and 135 (24.6%) could not be contacted. The mean age ± SD was 41.5 ± 10.8 y, and 52.5% were male. There was no difference between non-relapsed and relapsed subjects with regard to age, sex, average smoking duration and daily number of cigarettes, reason to quit, education level, presence of symptoms and concomitant diseases, Fagerstrom nicotine dependence score, Beck depression score, and frequency of pharmacotherapy administration. In the relapsed group, the age began smoking was younger (P = .05), and the longest prior duration of abstinence was shorter (P = .04). The average number of support contacts was found to be significantly higher in the non-relapsed subjects (P < .001). Logistic regression analysis revealed alcohol intake to be a factor influencing relapse (odds ratio: 2.11, 95% CI: 1.13-3.93, P = .02), as was the number of support contacts (odds ratio: 2.06, 95% CI: 1.59-2.65, P < .001). The presence of drug adverse effects was close to being significant (odds ratio: 1.96, 95% CI: 0.93-4.10, P = .07). CONCLUSION: The relapse rate in a 1-y period was 51.4%. Similar to previous studies, alcohol intake presented a relapse risk. In subjects receiving drug treatment, planning support meetings more frequently and paying attention to adverse effects may increase the success of smoking cessation.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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