Ongoing self-engagement in quit attempts and cessation outcomes among rural smokers who were unable to quit after 2 years of repeated interventions.
Ongoing self-engagement in quit attempts and cessation outcomes among rural smokers who were unable to quit after 2 years of repeated interventions.
复制标题
经过两年反复干预仍无法戒烟的农村吸烟者的持续自我戒烟尝试和戒烟结果。
DOI：
10.1111/j.1748-0361.2012.00415.x
复制
发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Ellerbeck,EdwardF
中科院分区：
文献类型：
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作者：
AzorHui,Siu-Kuen;Nazir,Niaman;Faseru,Babalola;Ellerbeck,EdwardF
目的：由于许多吸烟者在戒烟尝试中多次失败，有人推测，我们可能会创造出一批高度抵抗的吸烟者，他们不太可能参与治疗或成功戒烟。我们的目的是跟踪一组顽固的农村吸烟者，检查他们正在进行的戒烟活动。方法：在一项针对农村吸烟者的为期24个月的疾病管理计划结束时，我们确定了尽管之前接触了4个戒烟干预周期，但仍报告每天仍在吸烟的参与者。在第36个月(研究结束一年后)，我们联系了这些参与者，并评估了在之前的6个月中吸烟状况和持续戒烟活动的变化。我们评估了前6个月的戒烟尝试和药物治疗的使用，以及36个月的戒烟情况。结果：在333名顽固的吸烟者中，49%的人报告在之前的6个月中至少有一次24小时戒烟尝试，29%的人尝试过戒烟药物治疗，5%的人戒烟。在最初的24个月试验中，至少有一次24小时戒烟尝试的重要预测因素是每天吸烟的数量较少，处于变化的准备阶段，以及更多的药物治疗辅助戒烟尝试。更高的戒烟动机和更多的既往药物治疗辅助戒烟尝试显著预测了戒烟药物的使用。结论：即使在缺乏积极干预的情况下，许多顽固的农村吸烟者仍在继续接受治疗并尝试戒烟。
Purpose:As many smokers experience repeated failures with cessation attempts, it has been postulated that we may create a cadre of highly resistant smokers who are unlikely to engage in treatment or succeed in quitting. Our purpose was to follow a group of recalcitrant rural smokers and examine their ongoing engagement in smoking cessation activities.Methods:At the end of a 24‐month disease management program for rural smokers, we identified participants who reported ongoing daily smoking despite exposure to 4 previous cycles of smoking cessation interventions. At month 36 (1 year after conclusion of the study), we contacted these participants and assessed changes in smoking status and ongoing engagement in cessation activities over the preceding 6 months. We assessed quit attempts and use of pharmacotherapy during the prior 6 months, as well as smoking abstinence at 36 months.Findings:Among 333 recalcitrant smokers, 49% reported at least one 24‐hour quit attempt during the preceding 6 months, 29% tried smoking cessation pharmacotherapy, and 5% quit smoking. Significant predictors of having at least one 24‐hour quit attempt were lower numbers of cigarettes smoked per day, being in preparation stage of change, and more pharmacotherapy‐assisted quit attempts during the original 24‐month trial. Higher motivation to quit and more previous pharmacotherapy‐assisted quit attempts significantly predicted cessation medication use. Use of varenicline was strongly associated with cessation.Conclusions:Many recalcitrant rural smokers continue to engage in treatment and make quit attempts even in the absence of active interventions.