학술논문
國軍醫院免費戒菸門診成效之探討 / The effectiveness of a free smoking cessation clinic for military personnel
Document Type
Article
Author
邱于容 / Yu-Lung Chiu; 陳劭淇 / Shao-Chi Chen; 江香慧 / Shiang-Huei Jiang; 黃姝嘉 / Shu-Jia Huang; 賴錦皇 / Ching-Huang Lai; 李善茹 / Shan-Ru Li; 曾雅梅 / Ya-Mei Tzeng; 林富宮 / Fu-Gong Lin; 高森永 / Senyong Kao
Source
台灣公共衛生雜誌 / Taiwan Journal of Public Health. Vol. 35 Issue 6, p631-641. 11 p.
Subject
Language
繁體中文
ISSN
1023-2141
Abstract
Objectives: The prevalence of smoking by military personnel is higher than that of the general adult male population. The Ministry of National Defense provides a fee to increase the utilization of smoking cessation clinics. The purpose of the study was to compare the effectiveness of a free smoking cessation clinic and a self-help approach in order to determine the factors which influenced successful quitting by military personnel. Methods: This was an observational study in which participants who intended to quit smoking were assigned to two groups (free smoking cessation clinics and self-help) according to their choice. There were 222 and 405 participants in the free smoking cessation clinics and self-help groups, respectively. The free smoking cessation clinics group received counseling from a physician and 8 weeks of pharmacotherapy for smoking cessation. No support for smoking cessation was provided to the self-help group. Abstinence over the previous 7 days and sustained abstinence were evaluated by telephone using a self-administrated questionnaire 1 and 3 months after the first visit. Results: The 7-day point prevalence cessation rates at 1 month (23.9% vs. 11.6%) and at 3 months (27.9% vs. 5.7%) were higher in the free smoking cessation clinics than in the self-help group. The sustained abstinence rate at 1 month (20.3% vs. 5.9%) and at 3 months (27.0% vs. 5.7%) was higher in the free smoking cessation clinics than in the self-help group. Smokers who attended the free smoking cessation clinics and were more successful in sustained abstinence at 3 months, were characterized by higher education level, female gender, higher monthly income, supervisory position, and more confidence in quitting. Conclusions: Smokers who attended a free smoking cessation clinic had higher abstinence rates than those in a self-help group. Education level, gender, monthly income, job category and confidence in quitting smoking were important factors in successfully quitting; however, the influence of pharmacotherapy could not be ruled out.