Predictive factors of the outcome of smoking cessation among tunisian women
Keywords:
Smoking, Cessation assistance, Cessation rate, Cessation prognosis factorsAbstract
SUMMARYBackground: The spread of smoking among women in Tunisia has reached alarming proportions because of increasing smoker rate, the younger age of smoking initiation and therefore its duration.
Aim: Identify predictors of success or failure of smoking cessation,
Methods: we conducted a retrospective study (January 2008-June 2011), including 101 female smokers (19.8%) among 510 smokers of both sexes undergoing smoking cessation interventions. Univariate and multivariate analysis between groups of smokers who succeeded and who failed smoking cessation was performed.
Results: Average age of our patients was 44 years. The overall success rate at 6 months and 1 year were respectively 24.7 and 18.8%. In univariate analysis, a statistically significant difference in terms of successful weaning was observed in smokers who had a late age of smoking onset (after 20 years) (p = 0.03), respiratory or cardiovascular comorbidities associated (p = 0.03) and good adhesion to the consultation (p = 0.02). In multivariate analysis only the presence of a tobacco-related disease (OR: 4.43, 95% CI [1.29- 15.17], p = 0.01) and adherence to the consultation (OR 5.02 95% CI [1.29 -19.39], p = 0.01) were significantly associated with a good prognosis for successful weaning at 6 months and one year. A possible but not significantly associated with age of smoking initiation was observed (OR = 0.3 95% CI [0.08 - 1.07], p = 0.06).
Conclusion: Beyond validated smoking cessation and prolonged follow-up, a differential approach, taking into account women specificities, would increase the chances of quitting smoking.
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