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KMID : 1231220120030010019
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Journal of the Korean Society for Research on Nicotine and Tobacco
2012 Volume.3 No. 1 p.19 ~ p.26
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Effectiveness of Anti-Smoking Interventions after General Medical Examination in a Health Promotion Center-Based Smoking Cessation Settings: Experience of a Single Clinic in Korea
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Lee Jin-Young
Jun Hee-Jung
Kang Mi-Ra
Park Ah-Rham
Oh Dae-Eun
Choi Yoon-Ho
Hwang Jung-Hye
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Abstract
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Background: The effectiveness of the smoking cessation intervention provided by a smoking cessation clinic of a single health promotion center in Seoul, South Korea was evaluated, and the predictors of successful smoking abstinence were determined.
Methods: The clinical records of 143 smokers who received practical counseling on smoking cessation from January 2005 to December 2009, after undergoing general medical examinations, were reviewed.
Results: All the smokers were male, 75% were 40-59 years of age, 77% had college-level or other higher education, and 81% had monthly incomes of over US$4,000. The median smoking commencement age was 20 years, and 59% smoked 20 or fewer cigarettes per day. All the smokers received individual counseling, 14 were given additional nicotine replacement therapy (NRT), and 100 were prescribed oral anti-smoking pharmacotherapy (varenicline, n=67; bupropion, n=33). The total number of visits to the smoking cessation clinic and a prior history of more-than-three-month smoking abstinence were associated with six-month successful smoking abstinence. A total of 69 subjects (48%) continually abstained from smoking for six months. The six-month smoking abstinence rates were 58% (95% CI: 43.9-77.3%) in the bupropion group, 51% (95% CI: 37.3-61.2%) in the varenicline group, 43% (95% CI: 16.9-68.8%) in the NRT group, and 34% (95% CI: 17.2-51.8%) in the counseling-only group (P=0.691).
Conclusion: The study results suggest that in the real post-marketing setting, the six-month continuous-smoking-abstinence rates were not different among the smokers receiving the four tested interventions. Promoting good adherence to the clinic instructions may be more important in attaining six-month-or-longer smoking cessation, and maybe even permanent smoking abstinence, in highly motivated smokers.
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KEYWORD
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Cessation, Primary health care, Mass screening, Health services
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