Characteristics of smokers and predictors of quitting in a smoking cessation clinic in Guangzhou, China

Zhu, Wei; Yang, Lie; Jiang, Chao Qiang; Deng, Li Zhen; Lam, Tai Hing; Zhang, Jing Yu; Chan, Symphorosa S. C.

doi:10.1093/pubmed/fdp107

Cited by 30 publications

(43 citation statements)

References 33 publications

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“…Similarly, regional studies (Jayakrishnan et al 2013;Zhu et al 2010) also showed that mean age started smoking were 15±8.28 and 20±5 years old respectively. This means that the smokers are more likely to have longer years of exposure to nicotine, and higher tendency to have nicotine addiction.…”

Section: Discussionmentioning

confidence: 71%

Effectiveness of a Brief Physician Counselling Session on Improving Smoking Behaviour in the Workplace

Han¹,

Mohammad²,

Liew³

2014

Asian Pacific Journal of Cancer Prevention

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Background: Brief physician counselling has been shown to be effective in improving smokers' behaviour. If the counselling sessions can be given at the workplace, this would benefit a larger number of smokers. This study aimed to determine the effectiveness of a ten-minute physician counseling session at the workplace in improving smoking behaviour. Materials and Methods: This prospective randomised control trial was conducted on smokers in a factory. A total of 163 participants were recruited and randomised into control and intervention groups using a table of random numbers. The intervention group received a ten-minute brief physician counselling session to quit smoking. Stages of smoking behaviour were measured in both groups using a translated and validated questionnaire at baseline, one month and three months post intervention. Results: There was a significant improvement in smoking behaviour at one-month post intervention (p=0.024, intention to treat analysis; OR=2.525; CI=1.109-5.747). This was not significant at three-month post intervention (p=0.946, intention to treat analysis; OR=1.026; 95% CI=0.486-2.168). Conclusions: A session of brief physician counselling was effective in improving smokers' behaviour at workplace, but the effect was not sustained.

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Section: Discussionmentioning

confidence: 71%

Effectiveness of a Brief Physician Counselling Session on Improving Smoking Behaviour in the Workplace

Han¹,

Mohammad²,

Liew³

2014

Asian Pacific Journal of Cancer Prevention

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“…Nevertheless, there is a large variety in smokers seeking for quit advice across countries [50]. Smokers in middle-income countries generally reported lower-level use of quitting smoking medications and health professional services, but not necessarily less interest in quitting [51]. In addition, the high percentage of unaided quit attempts observed in those countries could be due to barriers for the use of support to quit smoking, e.g., financial reasons [52].…”

Section: Discussionmentioning

confidence: 99%

Unaided Smoking Cessation in Healthy Employees

Manis¹,

Tamm²,

Stolz³

2017

Respiration

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Background: According to guidelines, behavioral and pharmacological assistance should be offered to all smokers willing to quit. However, a large proportion of ex-cigarette smokers are self-quitters. Objectives: To identify characteristics of long-term, unaided self-quitters, as compared to recurrent smokers among health care employees. Methods: University hospital employees (n = 5,218) were addressed through a 17-question questionnaire inquiring about past and current smoking behavior. Questions included daily cigarette consumption, pack-years, previous quit attempts, smoking-free period, and utilization of pharmacological therapies and counseling. Results: 2,574 (49.3%) questionnaires were returned. 791 subjects declared to have successfully quit smoking. A complete data set was available for 763 cases. Patients remained smoking free for a mean period of 11.8 ± 9.7 years. The most common smoking cessation method in these subjects was unaided (77.2%), followed by alternative approaches (15.4%), nicotine replacement therapy (4.5%), counseling (1.7%), and bupropion (1.2%). Smoking cessation was achieved with 1 attempt in 53% of the cases, 2 in 19%, 3 in 13%, and more than 3 attempts in 15%, respectively. On average, 2.4 ± 3.02 attempts led to successful smoking cessation. After 2 or more unsuccessful attempts, the odds ratio for a further unsuccessful smoking cessation was 2.58 (95% CI 1.94–3.45). Conclusion: The majority of the ex-smokers quitted smoking without any behavioral or pharmacological support. The chance to successfully quit smoking without any help in a first or second attempt is considerably high. The risk for smoking recurrence after 2 ineffective quit attempts is markedly increased (OR 2.58).

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“…The fi rst smoking cessation clinic in Guangzhou, China ' s third largest city, was established only 6 years ago and had success similar to Western clinics (i.e., by intention to treat, the 6-month 7-day point prevalence quit rate was 24% [95% CI = 18 % -30%]). Smokers with more confidence in quitting or were at action stage were more successful in quitting ( W. H. Zhu et al, 2010 ). Despite this progress, more must be done.…”

Section: Introductionmentioning

confidence: 99%

Tobacco Smoking, Quitting, and Relapsing Among Adult Males in Mainland China: The China Seven Cities Study

Gruder

Trinidad

Palmer

et al. 2012

Nicotine & Tobacco Research

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Introduction: Despite an estimated 1 million tobacco-related deaths annually in China, public health offi cials face overwhelming barriers to implementing effective tobacco control policies and programs. Models of effective tobacco control can be adapted for Chinese tobacco use and culture based on reliable and valid data regarding predictors of smoking and abstaining. Methods:As part of the China Seven Cities Study to assess the role of rapid social, economic, and cultural change on tobacco use and related health practices and outcomes, 4,072 adult male smokers provided data in 3 annual waves. Measures included current smoking, nicotine dependence, readiness for quitting, perceived stress, hostility, depressive symptoms, as well as covariates (e.g., age, marital status, educational attainment, and family income).Results: Odds of being abstinent at Wave 3 were increased by: lower nicotine dependence at Wave 1 and becoming less dependent between Waves 1 and 3; progressing beyond the contemplation stage between Waves 1 and 3; perceiving less stress, whether initially at Wave 1 or over time from Wave 1 to Wave 3; and lower hostility scores at Wave 1 and decreased hostility from Wave 1 to Wave 3. Among those who quit, odds of remaining abstinent rather than relapsing by Wave 3 were higher among those who were less dependent at Wave 1 and who became less dependent from Wave 1 to Wave 3; and those who showed decreases in hostility from Wave 1 to Wave 3. Conclusions:The public health challenge posed by very high prevalence of male smoking in China can be met by policies and programs that lead to successful long-term cessation. This can only be done successfully by designing interventions based on knowledge of the country ' s smokers and the current study suggests several elements.

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Characteristics of smokers and predictors of quitting in a smoking cessation clinic in Guangzhou, China

Abstract: A pilot-model clinic free of charge and with systemic data collection, follow-up and evaluation should be a starting point for smoking cessation program in low-income countries.

Cited by 30 publications

References 33 publications

Effectiveness of a Brief Physician Counselling Session on Improving Smoking Behaviour in the Workplace

Effectiveness of a Brief Physician Counselling Session on Improving Smoking Behaviour in the Workplace

Unaided Smoking Cessation in Healthy Employees

Tobacco Smoking, Quitting, and Relapsing Among Adult Males in Mainland China: The China Seven Cities Study

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