Which smokers use the smoking cessation Quitline in Hong Kong, and how effective is the Quitline?
Which smokers use the smoking cessation Quitline in Hong Kong, and how effective is the Quitline?
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DOI：
10.1136/tc.2003.006460
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发表时间：
2004-12-01
期刊：
影响因子：
5.2
通讯作者：
Hedley, AJ
中科院分区：
文献类型：
--
作者：
Abdullah, ASM;Lam, TH;Hedley, AJ
目的：描述的中国主题谁利用了第一个电话戒烟服务在香港，并评估其effectiveness.Methods的特点：戒烟热线为香港居民提供免费的电话戒烟服务，这是通过一个记者招待会，媒体报道，小册子，并在公立和私立医院和诊所的海报宣传。在2000年12月13日至2002年5月31日期间完成初次面谈的来电者也包括在内。吸烟者进行了采访，使用结构化的记录表，并提供了阶段匹配的咨询。六个月后进行了随访。分析进行了意向treat.Results：1120来电谁完成了初步评估，1047是目前的吸烟者和872同意跟进。与一般吸烟人群相比，戒烟热线吸引了更多的女性，年轻人，单身，失业，受过高等教育，每天吸烟超过20支，以及有戒烟经验的人。在六个月时，12%（95%置信区间为10%至15%）的参与者报告他们在过去七天内没有吸烟。逐步Logistic回归模型显示，目前尝试戒烟时使用尼古丁替代疗法、过去曾进行过一次或多次认真的戒烟尝试、戒烟困难较小、15岁或以上时吸第一支烟是戒烟的显著预测因素。这是亚洲第一个戒烟热线，中国吸烟者似乎可以接受，戒烟率与西方资金更充足的戒烟热线相当。低成本戒烟热线是东方戒烟服务的一个有前途的模式。
Objective: To describe the characteristics of the Chinese subjects who utilised the first telephone smoking cessation service in Hong Kong, and to evaluate its effectiveness.Methods: The Quitline provided Hong Kong residents with free telephone smoking cessation services which was publicised through a press conference, media reports, pamphlets, and posters at public and private hospitals and clinics. Callers who completed an initial interview from 13 December 2000 to 31 May 2002 were included. Smokers were interviewed using a structured record sheet and provided with stage matched counselling. A follow up interview was carried out after six months. Analysis was conducted by intention-to-treat.Results: Of the 1120 callers who completed initial assessments, 1047 were current smokers and 872 consented to follow ups. Compared to the general smoking population, the Quitline attracted more of those who were female, younger, single, unemployed, higher educated, smoking more than 20 cigarettes per day, and those with quitting experience. At six months, 12% (95% confidence interval 10% to 15%) of the participants reported that they had not smoked a cigarette for the past seven days. A stepwise logistic regression model showed that the use of nicotine replacement therapy at the present attempt to quit, having made one or more serious attempts to quit in the past, perceiving less difficulties in quitting, and smoking the first cigarette at age 15 years or above were significant predictors of quitting.Conclusion: This first Quitline in Asia appears to be acceptable to Chinese smokers, with quit rate comparable to those of better funded Quitlines in the West. A low cost Quitline is a promising model for smoking cessation services in the East.