Oral tobacco cessation with UK resident Bangladeshi women: a community pilot investigation
Oral tobacco cessation with UK resident Bangladeshi women: a community pilot investigation
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DOI：
10.1093/her/18.2.216
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发表时间：
2003-04-01
影响因子：
2.4
通讯作者：
Howells, G
中科院分区：
文献类型：
--
作者：
Croucher, R;Islam, S;Howells, G
我们的目标是建立一个计划，提供英国居民的孟加拉国妇女咀嚼paan烟草尼古丁替代疗法（NRT）除了简短的建议和鼓励，成功戒烟的短期结果。我们采用了短期的纵向，准实验性研究设计，在设置两个地方当局的住宅区在塔哈姆雷特，伦敦。在向社区团体进行介绍后，招募了孟加拉国妇女志愿者。志愿者在年龄、每日咀嚼烟草的次数和医学筛查相匹配后，被分配接受两种戒烟干预措施之一（NRT+简短的鼓励和建议，以及简短的建议和鼓励）。主要结果指标是通过问卷调查和摄入量测量、不良反应和戒断症状评估的烟草使用和尼古丁依赖的变化。总共招募了130名志愿者。他们的平均年龄为42.5岁（SD = 11.3）。每天咀嚼烟草的平均paan quid数量为10.7（SD = 9.3），开始在paan中添加烟草的平均年龄为24岁（SD = 12）。91%的人完成了为期4周的试验。我们发现，19.5%的人已经停止了烟草使用，其中22%接受了NRT，17%只是简单的建议和鼓励。与基线相比，NRT组的成功成员在最终审查时唾液可替宁评分显著降低。在最终审查时，62%的志愿者报告口腔疼痛是成功口腔戒烟的障碍。我们的结论是，被确定为帮助吸烟者成功戒烟的方法可以用于孟加拉国妇女咀嚼paan烟草。需要更多的研究来调查这些短期结果，并探索这一群体成功戒烟的特殊障碍，如口腔疼痛。
Our objective was to establish the short-term outcomes for successful tobacco cessation of a programme offering UK resident Bangladeshi women chewing paan with tobacco nicotine replacement therapy (NRT) in addition to brief advice and encouragement alone. We used a short-term longitudinal, quasi-experimental study design, in the setting of two local authority housing estates in Tower Hamlets, London. Bangladeshi women volunteers were recruited following presentations to community groups. The volunteers were assigned, after matching for age, number of paan with tobacco chewed daily and medical screening, to receive one of two tobacco cessation interventions (NRT with brief encouragement and advice, and brief advice and encouragement alone). The main outcome measures were changes in tobacco use and nicotine dependence, assessed by questionnaire and intake measures, adverse effects, and withdrawal symptoms. In total, 130 volunteers were recruited. Their mean age was 42.5 years (SD = 11.3). Mean number of paan quid with tobacco chewed daily was 10.7 (SD = 9.3) and the average age of starting to add tobacco to paan was 24 years (SD = 12). Ninety-one percent completed the 4-week trial. We found that 19.5% had stopped tobacco use, of whom 22% had received NRT, and 17% brief advice and encouragement alone. The successful members of the NRT group made a significantly greater reduction in their salivary cotinine scores at final review compared to baseline. Oral pain was reported as a barrier to successful oral tobacco cessation by 62% of the volunteers at final review. We conclude that methods identified as helping tobacco smokers successfully stop smoking can be used with Bangladeshi women chewing paan with tobacco. More research is needed to investigate these short-term outcomes and to explore the particular barriers to successful cessation for this group such as oral pain.