Adherence to nicotine replacement therapy versus quitting smoking among Chinese smokers: a preliminary investigation
Adherence to nicotine replacement therapy versus quitting smoking among Chinese smokers: a preliminary investigation
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DOI：
10.1007/s00213-004-1971-y
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发表时间：
2005-02-01
影响因子：
3.4
通讯作者：
Hedley, AJ
中科院分区：
文献类型：
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作者：
Lam, TH;Abdullah, ASM;Hedley, AJ
理由：中国有超过3亿吸烟者，但使用尼古丁替代疗法（NRT）的情况很少。另一方面，在东部地区，与戒烟和坚持使用NRT相关的因素的数据很少。目的：描述香港中国吸烟者在12个月随访时戒烟的依从性和其他预测因素。方法：对2000年8月至2002年1月在戒烟健康中心就诊的1186名中国吸烟者进行研究。经过培训的咨询人员提供个人咨询，并进行后续访谈。我们在基线和第1、3和12个月时使用结构化问卷，并采用意向治疗方法进行分析。结果如下：在接受NRT的患者（1051/1186）中，依从性（自我报告使用NRT至少4周）的患病率为16%（95%置信区间14-18%）。12个月时的7天时点戒烟率（12个月随访时在过去7天内未吸烟）为27%（95% CI，CI 24-29%）。逐步Logistic回归模型显示，坚持使用NRT、较高的收入、良好的自觉健康和对戒烟更有信心是戒烟的重要预测因素。依从组的戒烟率（40%）高于非依从组（25%）（P
Rationale: There are over 300 million Chinese smokers, but use of nicotine replacement therapy (NRT) is rare. On the other hand, data on the factors associated with quitting and adherence to NRT use are scarce in the East. Objectives: To describe adherence and other predictors of quitting smoking at the 12-month follow-up amongst Chinese smokers in Hong Kong. Methods: Chinese smokers (1186) who attended the Smoking Cessation Health Centre from August 2000 through January 2002 were studied. Trained counsellors provided individual counselling and carried out follow-up interviews. We used structured questionnaires at baseline and at 1, 3 and 12 months and an intention-to-treat approach for analysis. Results: Among those who received NRT (1051/1186), the prevalence of adherence (self-reported NRT use for at least 4 weeks) was 16% (95% confidence interval 14-18%). The 7-day point prevalence quit rate at 12 months (not smoking any cigarette during the past 7 days at the 12 month follow-up) was 27% (95% CI, CI 24-29%). Stepwise logistic regression model showed that adherence to NRT use, a higher income, good perceived health and having more confidence in quitting were significant predictors of quitting. The quit rate in the adherent group (40%) was greater than that of the non-adherent group (25%) (P