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Çetinkaya PD, Turan A, Deniz PP, Çetinkaya F, Arpaz S, Uysal A, Dülger S, Salepçi B, Kilinç O, Dilektaşlı AG. Smoking Cessation Success and Affecting Factors in Geriatric Patients. IRANIAN JOURNAL OF PUBLIC HEALTH 2023; 52:2583-2589. [PMID: 38435773 PMCID: PMC10903311 DOI: 10.18502/ijph.v52i12.14319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/15/2023] [Accepted: 03/18/2023] [Indexed: 03/05/2024]
Abstract
Background There are difficulties in the treatment of smoking cessation in elderly patients. However, elderly smokers who gave up smoking had lower rates of death from heart attack, stroke, and cancer, as well as improved cognitive function. This study aimed to investigate the affecting factors and the success of smoking cessation rate in patients aged 60 and over in Turkey. Methods Six smoking cessation outpatient clinics from four provinces were included in the study. The records of 1,065 patients who applied to a smoking cessation outpatient clinic between 2016 and 2019 and who were 60 yr of age or older were scanned. Overall, 917 cases that could be reached after treatment were included in the study. Smoking cessation rates at the first month, 3rd month, 6th month, 9th month and 12th month were given. Results Of the 917 cases, 65.1% were male and 34.9% were female. Smoking cessation rates were 45.6% on the first month, 39% on the third month, 35.1% on the sixth month, 31.2% on the ninth month, and 30.3% at the twelfth month. Smoking cessation success was higher in men than in women. Conclusion Since the success of smoking cessation in the elderly was similar to that of adults. Since smoking is an independent risk factor for death in the elderly, there should be greater willingness to provide elderly patients with smoking cessation treatment to reduce physical function loss and promote healthier aging.
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Affiliation(s)
| | - Ayşe Turan
- Adana Seyhan State Hospital, Smoking Cessation Clinic. Adana, Turkey
| | | | - Ferhat Çetinkaya
- Adana Seyhan State Hospital, Smoking Cessation Clinic. Adana, Turkey
| | - Seren Arpaz
- Aydın Kuşadası Devlet Hastanesi, Smoking Cessation Clinic, Aydın, Turkey
| | - Atilla Uysal
- Department of Pulmonary Medicine, Yedikule Training and Research Hospital, İstanbul, Turkey
| | - Seyhan Dülger
- Department of Pulmonary Medicine, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey
| | - Banu Salepçi
- Department of Pulmonary Medicine, Yeditepe University School of Medicine, İstanbul, Turkey
| | - Oğuz Kilinç
- Department of Pulmonary Medicine, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey
| | - Aslı Görek Dilektaşlı
- Department of Pulmonary Medicine, Faculty of Medicine, Bursa Uludag University, Bursa, Turkey
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Zeren OG, Ilknur D, Rumeysa DH, Gunher AS. The Evaluation Of Smoking Cessation Treatment Success and Related Factors in Adults Age 65 Years and Older. Clin Gerontol 2022; 46:424-432. [PMID: 36576075 DOI: 10.1080/07317115.2022.2158767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
OBJECTIVES The aim was to evaluate smoking cessation treatment success and factors associated in older adults. METHODS In the retrospective cohort study, the patients' sociodemographic data, smoking history, Fagerström Test for Nicotine Dependence scores (FTND), type of treatments (Pharmacological treatments, behavioral counseling, and/or both) and the number of follow-up sessions in the Smoking Cessation Outpatient Clinic were taken from hospital files of the patients. Treatment success was evaluated as one year of abstinence from smoking. RESULTS Participants' reported with 53% classified as high-very high nicotine dependence. Overall, 36% reported abstinence from smoking for one year or more. Treatment success was associated with higher attendance at follow-up sessions. Using pharmacologic treatments and behavioral counseling together was proved to be more effective than behavioral counseling alone. CONCLUSIONS One-year smoking cessation was achieved in one-third of older adults attending a smoking cessation clinic. In older adults in this sample low FTND scores, use of combined pharmacologic and behavioral treatment, and attendance at follow up sessions were associated with one year smoking abstinence. CLINICAL IMPLICATIONS Older adults should be referred for smoking cessation treatment. Use of combined pharmacological and behavioral counseling is recommended. Efforts to enhance attendance at follow-up sessions should be considered.
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Affiliation(s)
- Ozturk Guzin Zeren
- Family Medicine Depertmant, Sisli Hamidiye Etfal Research and Training Hospital, İstanbul, Turkey
| | - Demir Ilknur
- Family Medicine Depertmant, Sisli Hamidiye Etfal Research and Training Hospital, İstanbul, Turkey
| | | | - Arıca Secıl Gunher
- Family Medicine Department, Cemil Tasçıoğlu City Hospital, İstanbul, Turkey
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Incidence and Predictors of Mortality among Community-Dwelling Older Adults in Malaysia: A 5 Years Longitudinal Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19158943. [PMID: 35897315 PMCID: PMC9331297 DOI: 10.3390/ijerph19158943] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Revised: 06/30/2022] [Accepted: 07/11/2022] [Indexed: 02/04/2023]
Abstract
With older adults accounting for 10.7% of the Malaysian population, determining the predictors of mortality has now become crucial. Thus, this community-based longitudinal study aimed to investigate the predictors for mortality among community-dwelling older adults using a wide range of factors, including clinical or subclinical. A total of 2322 older adults were interviewed and assessed by trained fieldworkers using validated structured questionnaires. The questionnaire consisted of information on socio-demographic characteristics, health status, neuropsychological and psychosocial functions, lifestyle, dietary intake and biophysical measures. The incidence rate of mortality was 2.9 per 100 person-years. Cox regression analysis indicated that advancing age (Adjusted Hazard Ratio, Adj HR = 1.044, 95% CI: 1.024–1.064), male (Adj HR = 1.937, 95% CI: 1.402–2.675), non-married status (Adj HR = 1.410, 95% CI: 1.078–1.843), smoking (Adj HR = 1.314, 95% CI: 1.004–1.721), a higher fasting blood sugar (Adj HR = 1.075, 95% CI: 1.029–1.166), a lower serum albumin (Adj HR = 0.947, 95% CI: 0.905–0.990), a longer time to complete the TUG test (Adj HR = 1.059, 95% CI: 1.022–1.098), and a lower intake of total dietary fibre (Adj HR = 0.911, 95% CI: 0.873–0.980) were the predictors of mortality in this study. These findings provide an estimated rate of multiethnic mortality in middle-income countries and diet is one of the predictors. These predictors of mortality could be a reference in identifying new public health strategies to ensure longer healthier life spans with lower disability rate among community-dwelling older adults in Malaysia.
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Demir EK, Zeren Öztürk G, Gelmez Tas B. The Effect of Fear of COVID-19 on Smoking Cessation. EURASIAN JOURNAL OF FAMILY MEDICINE 2022. [DOI: 10.33880/ejfm.2022110202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Aim: We aimed to investigate the relationship between fear of COVID-19 and smoking cessation success.
Methods: The study is an observational analytic study. It was conducted prospectively and we included people who applied to the smoking cessation outpatient clinic between 01 Oct 2020 and 31 Oct 2020 and agreed to participate in the study. A questionnaire prepared by the researchers, the Fear of COVID-19 Scale, and the Fagerström Test for Nicotine Dependence were applied to the participants. When necessary treatments had been initiated, a particular date is determined for each participant as a smoking cessation date. Participants were called in the 1st month and 3rd months from the smoking cessation day to enquire whether they quit smoking.
Results: A total of 222 people participated in this study. The mean score of the Fear of COVID-19 Scale was calculated as 18.77±6.45. The success rate of smoking cessation in the 3rd month was 55% (n=122). No significant relationship was found between smoking cessation success and the score of the Fear of COVID-19 Scale.
Conclusion: Although we cannot associate it with the fear of COVID-19 alone, we believe that the pandemic increases the success of early smoking cessation. To maintain these success rates, it is important to provide adequate support to the patients.
Keywords: COVID-19, fear, smoking cessation, tobacco smoking
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Affiliation(s)
- Elif Karatas Demir
- Department of Family Medicine, University of Health Sciences Hamidiye Etfal Training and Research Hospital
| | - Guzin Zeren Öztürk
- Department of Family Medicine, University of Health Sciences Hamidiye Etfal Training and Research Hospital
| | - Beray Gelmez Tas
- Department of Family Medicine, University of Health Sciences Hamidiye Etfal Training and Research Hospital
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Lin CJ, Huang WH, Hsu CY, Tjung JJ, Chan HL. Smoking Cessation Rate and Its Predictors among Heavy Smokers in a Smoking-Free Hospital in Taiwan. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182412938. [PMID: 34948559 PMCID: PMC8701036 DOI: 10.3390/ijerph182412938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Revised: 12/05/2021] [Accepted: 12/06/2021] [Indexed: 11/16/2022]
Abstract
Smoking poses critical risks for heart disease and cancers. Heavy smokers, defined as smoking more than 30 pack-year, are the most important target for smoking cessation. This study aimed to obtain the cessation rate and its predictors among heavy smokers. We collected data from heavy smokers who visited a smoking-free hospital in Taiwan during 2017. All patients were prescribed either varenicline or nicotine replacement therapy (NRT) for smoking cessation, and their smoking status was followed for six months. Successful smoking cessation was defined by self-reported no smoking over the preceding seven days (7-day point abstinence). In total, 280 participants with a mean aged of 53.5 years were enrolled, and 42.9% of participants successfully stopped smoking in 6 months. The results revealed that quitters were older, with hypertension, fewer daily cigarettes, and being prescribed with varenicline. Multiple logistic regressions analyses identified that fewer daily cigarettes and being prescribed with varenicline were predictors of successful smoking cessation. Therefore, we suggest that varenicline use may help heavy smokers in smoking cessation.
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Affiliation(s)
- Chin-Jung Lin
- Department of Family Medicine, Mackay Memorial Hospital, Taipei 106, Taiwan; (C.-J.L.); (W.-H.H.); (C.-Y.H.); (J.-J.T.)
| | - Wei-Hsin Huang
- Department of Family Medicine, Mackay Memorial Hospital, Taipei 106, Taiwan; (C.-J.L.); (W.-H.H.); (C.-Y.H.); (J.-J.T.)
- Community Health Center, Mackay Memorial Hospital, Taipei 106, Taiwan
- Division of Medicine, Mackay Medical College, New Taipei City 252, Taiwan
| | - Che-Yuan Hsu
- Department of Family Medicine, Mackay Memorial Hospital, Taipei 106, Taiwan; (C.-J.L.); (W.-H.H.); (C.-Y.H.); (J.-J.T.)
| | - Jin-Jin Tjung
- Department of Family Medicine, Mackay Memorial Hospital, Taipei 106, Taiwan; (C.-J.L.); (W.-H.H.); (C.-Y.H.); (J.-J.T.)
| | - Hsin-Lung Chan
- Department of Family Medicine, Mackay Memorial Hospital, Taipei 106, Taiwan; (C.-J.L.); (W.-H.H.); (C.-Y.H.); (J.-J.T.)
- Community Health Center, Mackay Memorial Hospital, Taipei 106, Taiwan
- Division of Medicine, Mackay Medical College, New Taipei City 252, Taiwan
- Correspondence: ; Tel.: +886-2-2543-3535; Fax: +886-2-25213847
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Abstract
Nicotine is one of the most abused substances worldwide. Just as in adolescence and adulthood, tobacco use is also problematic in the elderly. Older people are more vulnerable to smoking consequences because of the additive effects of smoke. Cardiovascular diseases are the most common health problems associated with smoking; however, other systems are also affected, including the respiratory, nervous, integumentary, and many other systems. Smoking cessation is a difficult task especially in the elderly; therefore, physicians should encourage older patients to quit with every patient-physician encounter by offering counseling and replacement therapy.
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Affiliation(s)
- Nazem K Bassil
- Geriatric Medicine, Palliative Care, Balamand University, Saint George Hospital University Medical Center, Beirut, Lebanon.
| | - Marie Lena K Ohanian
- Family Medicine, Balamand University, Saint George Hospital University Medical Center, Beirut, Lebanon
| | - Theodora G Bou Saba
- Family Medicine, Balamand University, Saint George Hospital University Medical Center, Beirut, Lebanon
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Tsai SY, Huang WH, Chan HL, Hwang LC. The role of smoking cessation programs in lowering blood pressure: A retrospective cohort study. Tob Induc Dis 2021; 19:82. [PMID: 34720797 PMCID: PMC8534426 DOI: 10.18332/tid/142664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2021] [Revised: 06/11/2021] [Accepted: 09/28/2021] [Indexed: 11/29/2022] Open
Abstract
INTRODUCTION Cigarette smoking affects blood pressure and is a major risk factor for cardiovascular diseases. The role of smoking cessation programs with respect to blood pressure remains inconclusive. Thus, this study aimed to investigate the effects of a smoking cessation program on blood pressure. METHODS Participants who attended the smoking cessation program in an outpatient clinic of a tertiary medical center in Taiwan from 2017 to 2018 were enrolled in this retrospective cohort study. Their smoking cessation status was traced via phone calls during the third month, and the researchers collected participant characteristics and blood pressure before and after the program. Differences in the participants’ blood pressure, based on those with and those without hypertension, were compared using analysis of covariance. Univariable logistic regression models were used to determine factors associated with success in smoking cessation. In total, there were 721 participants. The participants had a mean age of 55.8±11.4 years and 68.1% of the participants were hypertensive. RESULTS During the program, the overall systolic blood pressure decreased by 4.0±17.9 mmHg and diastolic blood pressure decreased by 2.5±12.0 mmHg, from the baseline. Hypertensive participants showed a more prominent blood pressure lowering effect compared to non-hypertensive participants in terms of the subtraction difference of systolic blood pressure (-5.0±19.0 vs -1.9±15.2 mmHg, p=0.018) and diastolic blood pressure (-3.1±12.9 vs -1.1±9.6 mmHg, p=0.016). After multivariate control, the results showed that the adjusted subtraction difference of diastolic blood pressure was still more significant in the hypertensive group than in the non-hypertensive group. CONCLUSIONS The smoking cessation program significantly reduced both systolic blood pressure and diastolic blood pressure in the entire cohort. The results were more significant in the hypertensive group compared to the non-hypertensive group.
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Affiliation(s)
- Szu-Ying Tsai
- Department of Family Medicine, Mackay Memorial Hospital, Taipei City, Taiwan.,Department of Family Medicine, Taipei City Hospital, Zhongxing Branch, Taipei City, Taiwan
| | - Wei-Hsin Huang
- Department of Family Medicine, Mackay Memorial Hospital, Taipei City, Taiwan
| | - Hsin-Lung Chan
- Department of Family Medicine, Mackay Memorial Hospital, Taipei City, Taiwan
| | - Lee-Ching Hwang
- Department of Family Medicine, Mackay Memorial Hospital, Taipei City, Taiwan.,Department of Medicine, Mackay Medical College, New Taipei City, Taiwan
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Tabagismo em idosos. SCIENTIA MEDICA 2021. [DOI: 10.15448/1980-6108.2021.1.41007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
Introdução: o tabagismo é um grave problema de saúde pública em âmbito mundial que afeta a todas as faixas etárias, causando altas taxas de morbimortalidade evitáveis.Objetivo: descrever o que vem sendo publicado sobre o tabagismo na população idosa nos últimos cinco anos na esfera internacional.Metodologia: trata-se de uma revisão integrativa da literatura, onde foram realizadas buscas de artigos nas seguintes bases de dados: PUBMED/MEDLINE, BVS/LILACS, SCOPUS e SCIELO, utilizando os seguintes Descritores em Ciências da Saúde em inglês: “Tobacco Use Cessation” OR “Tobacco Use Disorder” AND “Health of the Elderly” OR “Aged” OR “Aged, 80 and over”. O recorte temporal foi de 2016 a 2020.Resultados: dos 1.642 trabalhos recuperados das bases, houve o afunilamento para um número total de 18 artigos, com a seguinte categorização: mortalidade e outros desfechos clínicos negativos (5); o tabagismo, as síndromes geriátricas e outras patologias (4); políticas públicas para o controle do tabaco (3); qualidade de vida e tabagismo (3); e fatores preditores para cessação tabágica (3).Conclusões: apenas um estudo selecionado foi realizado no Brasil, ressaltando a necessidade de mais estudos brasileiros envolvendo o tabagismo na população idosa objetivando uma melhor compreensão dos aspectos envolvidos e futuras capacitações e otimização de políticas públicas específicas.
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Lee SE, Kim CW, Im HB, Jang M. Patterns and predictors of smoking relapse among inpatient smoking intervention participants: a 1-year follow-up study in Korea. Epidemiol Health 2021; 43:e2021043. [PMID: 34126705 PMCID: PMC8298987 DOI: 10.4178/epih.e2021043] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Accepted: 06/09/2021] [Indexed: 11/27/2022] Open
Abstract
OBJECTIVES This study aimed to identify relapse patterns in smokers who participated in an inpatient treatment program and to investigate factors related to relapse. METHODS The participants comprised 463 smokers who participated in an inpatient treatment operated by the Daejeon Tobacco Control Center from 2015 to 2018. Participants received high-intensity smoking cessation intervention for 5 consecutive days, including pharmacotherapy and behavioral support, and continued with follow-up for 1 year to determine whether they maintained smoking cessation after discharge from inpatient treatment. Kaplan-Meier and Cox proportional hazard models were used in the analysis. RESULTS Participants’ relapse rate within 1 year was 72.8%, and 59.8% of participants smoked again within 6 months after participation. A higher number of counseling sessions was significantly associated with a lower risk of relapse (hazard ratio [HR], 0.23; 95% confidence interval [CI], 0.17 to 0.32 for ≥9 vs. ≤5 counseling sessions). Conversely, higher relapse rates were significantly associated with the use of nicotine replacement therapy (NRT) (HR, 1.91; 95% CI, 1.43 to 2.55 for use vs. no use), and higher levels of baseline expired carbon monoxide (CO) (HR, 1.58; 95% CI, 1.21 to 2.06 for expired CO concentrations of 10-19 ppm vs. expired CO concentrations <10 ppm). CONCLUSIONS High-intensity smoking cessation interventions in hospital settings can be effective for smoking cessation in smokers with high nicotine dependence. In addition, the results suggest that for quitters to maintain long-term abstinence, they should receive regular follow-up counseling for 1 year after completing a high-intensity smoking cessation intervention.
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Affiliation(s)
- Seung Eun Lee
- Center for Tobacco Control Research, Chungnam National University, Daejeon, Korea.,Daejeon‧Sejong Tobacco Control Center, Daejeon, Korea
| | - Chul-Woung Kim
- Center for Tobacco Control Research, Chungnam National University, Daejeon, Korea.,Daejeon‧Sejong Tobacco Control Center, Daejeon, Korea.,Department of Preventive Medicine and Public Health, Chungnam National University College of Medicine, Daejeon, Korea
| | - Hyo-Bin Im
- Center for Tobacco Control Research, Chungnam National University, Daejeon, Korea.,Daejeon‧Sejong Tobacco Control Center, Daejeon, Korea
| | - Myungwha Jang
- Institute of Health and Environment, Seoul National University, Seoul, Korea
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