Guangzhou 12th Hospital, Guangzhou, China.
J Public Health (Oxf). 2010 Jun;32(2):267-76. doi: 10.1093/pubmed/fdp107. Epub 2009 Nov 24.
Smoking cessation programs are well established in the West, but reports on smoking cessation clinics (SCCs) from China are lacking. On the basis of the Hong Kong experience and with strong support from Guangzhou Health Bureau, we established the first SCC in Guangzhou, China. The objective was to describe the characteristics of smokers, measure quit rates and examine predictors of successful quitting.
During 2006-08, 220 smokers received individual counseling following the five A's and five R's. No medications were used.
At baseline, the mean (SD) age was 40 (14) years. Most (96%) were males, married (73%), currently employed (75%), college educated or above (54%); 77% had previous quitting attempts. By 14 May 2008, 195 reached the 6 months follow-up period. Of them, 79% (151/195) were successfully followed up, and 46 had quit. By intention to treat, the 6-month 7-day point prevalence quit rate was 24% [95% confidence interval (CI) 18-30%]. Smokers with more confidence in quitting or were at action stage were more successful in quitting with adjusted odds ratio of 2.39 (95% CI 1.01-5.30) and 5.50 (95% CI 1.08-28) respectively.
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.
西方有成熟的戒烟项目，但中国关于戒烟诊所（SCC）的报告却很少。基于香港的经验，并得到广州卫生局的大力支持，我们在中国广州建立了第一家 SCC。目的是描述吸烟者的特征，测量戒烟率，并检验成功戒烟的预测因素。
在 2006-08 年期间，220 名吸烟者接受了基于 5A 和 5R 的个体咨询。未使用任何药物。
在基线时，平均（SD）年龄为 40（14）岁。大多数（96%）为男性，已婚（73%），目前在职（75%），受过大学或以上教育（54%）；77%有过以前的戒烟尝试。截至 2008 年 5 月 14 日，有 195 人达到了 6 个月的随访期。其中，79%（151/195）成功随访，46 人戒烟。按意向治疗，6 个月 7 天点流行率戒烟率为 24%（95%置信区间 18-30%）。戒烟信心更强或处于行动阶段的吸烟者戒烟成功率更高，调整后的优势比分别为 2.39（95%置信区间 1.01-5.30）和 5.50（95%置信区间 1.08-28）。
免费且具有系统数据收集、随访和评估的试点模型诊所应该是低收入国家戒烟计划的起点。
