Bhang Soo-Young, Choi Sam-Wook, Ahn Joon-Ho, Kim Kunwoo, Kim Hano, Park Hye-Kyeong
Department of Psychiatry, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
Asia Pac Psychiatry. 2013 Sep;5(3):197-204. doi: 10.1111/j.1758-5872.2012.00175.x. Epub 2012 Apr 11.
Our objective was to identify the factors related to returning to smoking by analyzing data obtained from a smoking cessation clinic.
We analyzed data from 2,089 subjects (age 44.0 ± 12.9 years) who started a smoking cessation program between 16 July 2007 and 31 December 2008 in a community health center in the city of Ulsan. We analyzed demographic information and clinical variables using Kaplan-Meier survival analysis and calculated the hazard ratio for returning to smoking.
Mean abstinence time differed according to the following factors: sex, past attempts to quit, employment status, type of health insurance, CO levels, results from Fagerstrom test for nicotine dependence (FTND), number of cigarettes smoked daily, use of a nicotine replacement, and number of contacts in the program. Using multivariate analysis, we identified negative relationships between treatment intensity and hazard ratio for the following: visits ≤4 (Exp(B) = 3.752, P < 0.001, reference: 5 visits ≤), telephone contacts ≤5 (Exp(B) = 10.528, P < 0.001, reference: 6 calls ≤) and SMS ≤ 20 (Exp(B) = 3.821, P < 0.001 in 0-10 group; Exp(B) = 1.407, P = 0.003 for the 11-20 group; reference: 21 messages ≤).
Type of insurance, baseline CO, FTND level, and intensity of smoking cessation intervention positively affects outcomes in a smoking cessation clinic. A cost-effectiveness study on the intensity of interventions in smoking cessation clinics is needed.
我们的目标是通过分析从戒烟诊所获得的数据，确定与复吸相关的因素。
我们分析了2007年7月16日至2008年12月31日期间在蔚山市一家社区卫生中心开始戒烟计划的2089名受试者（年龄44.0±12.9岁）的数据。我们使用Kaplan-Meier生存分析来分析人口统计学信息和临床变量，并计算复吸的风险比。
平均戒烟时间因以下因素而异：性别、过去的戒烟尝试、就业状况、健康保险类型、一氧化碳水平、尼古丁依赖的Fagerstrom测试（FTND）结果、每日吸烟量、使用尼古丁替代疗法以及在该计划中的联系次数。通过多变量分析，我们确定了治疗强度与以下各项风险比之间的负相关关系：就诊次数≤4次（Exp(B)=3.752，P<0.001，参照：就诊次数≥5次）、电话联系次数≤5次（Exp(B)=10.528，P<0.001，参照：电话联系次数≥6次）以及短信≤20条（0-10组中Exp(B)=3.821，P<0.001；11-20组中Exp(B)=1.407，P=0.003；参照：短信≥21条）。
保险类型、基线一氧化碳水平、FTND水平以及戒烟干预强度对戒烟诊所的治疗效果有积极影响。需要对戒烟诊所干预强度进行成本效益研究。
