Kassim Saba, Al-Haboubi Mustafa, Croucher Ray
Queen Mary, University of London, Barts and The London School of Medicine and Dentistry, Institute of Dentistry, London, United Kingdom.
Queen Mary, University of London, Barts and The London School of Medicine and Dentistry, Institute of Dentistry, London, United Kingdom
Nicotine Tob Res. 2016 Apr;18(4):410-5. doi: 10.1093/ntr/ntv097. Epub 2015 May 9.
Cigarette smoking in English residents of Bangladeshi origin, particularly men, exceeds national estimates. Cessation outcomes and potential predictors of successful cigarette smoking cessation in this group await identification.
This service review reports cessation outcomes and predictors of success for 324 adult English resident Bangladeshi origin smokers recruited into a project providing a specialist tobacco cessation service. Interview measures included sociodemographics, tobacco use and dependence. Cessation data (self-reported and validated) at 4 weeks was also collected. Cessation rate and predictors of successful cessation, modeled using multiple logistic regressions, are reported.
Clients' mean age was 45.59 (SD = 13.83) years. Thirty-three (10%) were females. Mean level of small area deprivation was 56.98 (SD = 5.37). Initial mean expired air carbon monoxide score was 11.66 parts per million (SD = 7.17). Thirty-eight per cent used combination nicotine replacement therapy (NRT) with behavioral support. Sixty-nine percent reported successful smoking cessation after 4 weeks, validated with carbon monoxide (mean =1.23 parts per million, SD = 1.32). Predictors of successful cessation were use of combined NRT with behavioral support (OR = 1.82, 95% CI = 1.07, 3.09), and community recruitment (OR = 1.85, 95% CI = 1.07, 3.22).
English adult smokers of Bangladeshi origin resident in a highly disadvantaged locality, accessing community outreach services to help them quit and using NRT have validated short-term success rates greater than that locality's general population who access National Health Service Stop Smoking Services to quit.
在英国，孟加拉裔居民（尤其是男性）的吸烟率超过了全国估计水平。该群体中成功戒烟的结果及潜在预测因素有待确定。
本服务评估报告了324名招募自一个提供专业戒烟服务项目的成年英国孟加拉裔居民吸烟者的戒烟结果及成功预测因素。访谈内容包括社会人口统计学、烟草使用及依赖情况。还收集了4周时的戒烟数据（自我报告及经证实的数据）。报告了使用多元逻辑回归模型得出的戒烟率及成功戒烟的预测因素。
客户的平均年龄为45.59岁（标准差=13.83）。33人（10%）为女性。小区域贫困平均水平为56.98（标准差=5.37）。初始平均呼出一氧化碳得分是百万分之11.66（标准差=7.17）。38%的人使用了联合尼古丁替代疗法（NRT）并接受行为支持。69%的人报告在4周后成功戒烟，经一氧化碳验证（平均=百万分之1.23，标准差=1.32）。成功戒烟的预测因素是使用联合NRT并接受行为支持（比值比=1.82，95%置信区间=1.07，3.09），以及通过社区招募（比值比=1.85，95%置信区间=1.07，3.22）。
居住在高度贫困地区、通过社区外展服务寻求帮助戒烟并使用NRT的英国成年孟加拉裔吸烟者，经证实的短期成功率高于该地区通过国家医疗服务体系戒烟服务寻求戒烟的普通人群。
