Phung Alan, Luo Lauren, Breik Noor, Alessi-Severini Silvia
College of Pharmacy (Phung, Luo, Breik, Alessi-Severini), University of Manitoba, Winnipeg, Manitoba.
Can Pharm J (Ott). 2017 Aug 2;150(5):326-333. doi: 10.1177/1715163517723035. eCollection 2017 Sep-Oct.
At 17.3%, smoking rates in Manitoba continue to exceed the national average. In this province, a total health care spending of more than $200 million per year has been attributed to smoking. This study examined the use of smoking cessation agents, including nicotine replacement products and prescription medications, in a sample of smokers in the city of Winnipeg.
A simple multiple-choice questionnaire was administered to willing individuals attending 2 community pharmacies in Winnipeg, Manitoba. Data on demographics, smoking habits, previous attempts of smoking cessation and previous and current use of over-the-counter and prescription smoking cessation products were collected anonymously.
Of the 2237 individuals who were approached, 586 were smokers (26.2%) and 180 responded to the survey (30.7%); 48.9% were female. A majority of smokers (32.8%) reported smoking 16 to 25 cigarettes per day. More than 90% had smoked for more than 5 years, 27.2% had more than 5 previous quit attempts and 82.1% used smoking cessation products with the intention to quit. Self-motivation (44.4%) and family/friend advice (28.3%) were major reasons for quitting. Impact of health care practitioners' advice was low (6.4%). More than 80% of respondents reported that they had no insurance coverage for their smoking cessation products. Despite having the highest rate of use, both nicotine gum (33.3%) and patches (24.4%) were reported to have lower rates of perceived efficacy. Electronic cigarette (97.9%) and varenicline (70.6%) had the highest rates of reported effectiveness.
Smokers wanting to quit undergo many attempts. Pharmacists should assume a key role in reaching out to smokers.
曼尼托巴省的吸烟率持续高于全国平均水平，达17.3%。该省每年因吸烟导致的医疗保健总支出超过2亿加元。本研究调查了曼尼托巴省温尼伯市吸烟者样本中戒烟药物的使用情况，包括尼古丁替代产品和处方药。
对在曼尼托巴省温尼伯市两家社区药房就诊的自愿者进行简单的多项选择题问卷调查。匿名收集有关人口统计学、吸烟习惯、既往戒烟尝试以及非处方和处方戒烟产品既往和当前使用情况的数据。
在接触的2237人中，586人是吸烟者（26.2%），180人回应了调查（30.7%）；48.9%为女性。大多数吸烟者（32.8%）报告每天吸16至25支烟。超过90%的人吸烟超过5年，27.2%的人既往有5次以上戒烟尝试，82.1%的人使用戒烟产品以尝试戒烟。自我激励（44.4%）和家人/朋友建议（28.3%）是戒烟的主要原因。医疗保健从业者建议的影响较低（6.4%）。超过80%的受访者报告其戒烟产品没有保险覆盖。尽管使用率最高，但据报告，尼古丁口香糖（33.3%）和贴片（24.4%）的感知疗效率较低。电子烟（97.9%）和伐尼克兰（70.6%）报告的有效率最高。
想要戒烟的吸烟者会进行多次尝试。药剂师应在与吸烟者接触方面发挥关键作用。
