"Tobacco free with FDNY" - The New York City fire department World Trade Center tobacco cessation study
"Tobacco free with FDNY" - The New York City fire department World Trade Center tobacco cessation study
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DOI：
10.1378/chest.129.4.979
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发表时间：
2006-04-01
期刊：
影响因子：
9.6
通讯作者：
Prezant, DJ
中科院分区：
文献类型：
--
作者：
Bars, MP;Banauch, GI;Prezant, DJ
内容：在世界贸易中心（WTC）倒塌后，纽约市消防局（FDNY）15%（1，767）的救援人员认为自己是当前的吸烟者。世贸中心倒塌后，98%的人报告了急性呼吸道症状，81%的人报告了健康问题。尽管如此，29%的当前吸烟者增加了烟草使用，23%的前吸烟者恢复了吸烟。目的：确定综合戒烟计划的效果，该计划使用根据个人每日烟草使用情况调整的联合烟草依赖治疗药物。FDNY吸烟者参加了“FDNY无烟计划”，这是一个免费的戒烟计划，提供咨询、支持和药物。在3个月的治疗期结束时，以及在6个月和12个月的随访中，通过过期一氧化碳水平或家庭成员的验证来确认戒烟率。设置：FDNY卫生服务局，2002年8月1日至2002年10月30日。在研究入组时，平均（+/- SD）烟草使用量为每天207支香烟，平均烟草依赖性（通过改良的Fagerstrom测试评分评估）为6.7 +/- 2.5（最高评分为10）。根据烟草使用情况，20%的登记者使用三种类型的尼古丁药物，64%使用两种类型，14%使用一种类型，3%不使用任何药物。此外，14%的参与者使用安非他酮缓释剂。在治疗3个月后以及6个月和12个月随访时，确认的持续戒烟率分别为47%、36%和37%。戒烟率与烟草使用史无关，但与烟草依赖呈负相关。不良事件和最大的尼古丁药物使用是无关的，没有人经历了严重的不良事件。结论：烟草依赖的治疗使用尼古丁药物组合是有效和安全的。未来的研究应考虑以下方面：（1）烟草使用史和戒断症状，以确定尼古丁药物的数量和剂量;（2）持续联合治疗> 3个月。
Context: After the World Trade Center (WTC) collapse, 15% (1,767) of rescue workers from the Fire Department of the City, of New York (FDNY) considered themselves to be current cigarette smokers. Post-WTC collapse, 98% reported acute respiratory symptoms, and 81% reported health concerns. Nonetheless, 29% of current smokers increased tobacco use, and 23% of ex-smokers resumed cigarette smoking.Objective: To determine the effect of a comprehensive tobacco-cessation program using combination tobacco-dependency treatment medications adjusted to the individual's daily, tobacco use.Design: FDNY cigarette smokers enrolled in '' Tobacco Free With FDNY,'' a no-cost quit-smoking program providing counseling, support, and medications. At the end of the 3-month treatment phase and at the 6-month and 12-month follow-up visits, abstinence rates were confirmed by, expired carbon monoxide levels or by the verification of a household member.Setting: FDNY Bureau of Health Services between August 1, 2002 and October 30, 2002.Participants: A total of 220 current cigarette smokers from the FDNY.Results: At study enrollment, the mean (+/- SD) tobacco use was 20 7 cigarettes per day, and the mean tobacco dependency, as assessed by, a modified Fagerstrom test score, was 6.7 +/- 2.5 (maximum score, 10). Based on tobacco use, 20% of enrollees used three types of nicotine medications, 64% used two types,14% used one type, and 3% used no medications. Additionally, 14% of enrollees used bupropion sustained release. The confirmed continuous abstinence rates were 47%, 36%, and 37%, respectively, after 3 months of treatment and at the 6-month and 12-month follow-up. Abstinence rates did not correlate with the history of tobacco use but correlated inversely, with tobacco dependency. Adverse events and maximal nicotine medication use were unrelated, and no one experienced a serious adverse event.Conclusion: Tobacco dependency treatment using combination nicotine medications is effective and safe. Future studies should consider the following: (1) both history of tobacco use and withdrawal symptoms to determine the number and dose of nicotine medications; and (2) continuing combination treatment for > 3 months.