Efficacy of tobacco dependence treatment in the context of a "smoke-free grounds" worksite policy: A case study

Efficacy of tobacco dependence treatment in the context of a "smoke-free grounds" worksite policy: A case study
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DOI:
10.1002/ajim.20020
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发表时间:
2004-08-01
影响因子:
3.5
通讯作者:
Goldman, M
Goldman, M
中科院分区:
医学4区
文献类型:
--
作者:
Osinubi, OYO;Sinha, S;Goldman, M

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背景 吸烟限制为改变吸烟行为提供了机会。一家大型保险公司于 2000 年 1 月在其两个办公大楼实施了无烟政策。 方法 这项队列研究评估了无烟政策对参加烟草依赖治疗计划的 128 名员工的戒烟效果。结果 6 个月的总体戒烟率为 44.5%。与较小的综合体相比,较大的综合体显示出较高的戒烟率趋势(46.5% vs. 28.6%)。禁令后参与者的戒烟率高于禁令前参与者(52.4% vs. 43.0%)。与禁令前的参与者相比,禁令后的参与者在 6 个月随访时戒酒的概率更高 (P = 0.03)。禁令后参与者复发的可能性比禁令前参与者低 80%。不戒烟者每天减少 6.6 支香烟的消费(减少 39.1%)。 结论 “无烟理由”政策鼓励戒烟,并可能在减少持续吸烟者的危害方面发挥重要作用。 (C) 2004 Wiley-Liss, Inc.
Background Smoking restrictions provide opportunities to modify smoking behavior. A large insurance company implemented a smoke-free grounds policy at two of their office complexes in January, 2000.Methods This cohort study evaluated the impact of the smoke-free grounds policy on abstinence among 128 employees who participated in a tobacco dependence treatment program.Results The overall quit rate at 6 months was 44.5%. The larger complex showed a trend for higher quit rates compared to the smaller complex (46.5 vs. 28.6%). Post-ban participants had higher quit rates than pre-ban participants (52.4 vs. 43.0%). The probability of abstinence at 6 months follow-up was higher for post-ban compared to pre-ban participants (P = 0.03). Post-ban participants were 80% less likely to relapse than pre-ban participants. Non-quitters decreased their consumption by 6.6 cigarettes/day (39.1% decrease).Conclusions A "smoke-free grounds" policy encourages abstinence and may play a significant role in harm reduction among continuing tobacco users. (C) 2004 Wiley-Liss, Inc.