["无烟月”期间的戒烟服务：吸烟者概况及效果]

[Smoking cessation services during "Mois sans tabac": Smokers' profile and effectiveness].

作者信息

Rakover A, Allagbé I, Airagnes G, Limosin F, Le Faou A-L

机构信息

Interne de santé publique, Centre ambulatoire d'addictologie, HEGP, AP-HP centre, Université de Paris, Hôpital européen Georges-Pompidou, 20, rue Leblanc, 75908 Paris cedex 15, France.

Département de psychiatrie et d'addictologie, AP-HP centre, Université de Paris, Paris, France; Physiopathologie et épidémiologie cérébro-cardiovasculaires, PEC2, EA 7460 UFR sciences de santé, université de Bourgogne et Franche-Comté, Dijon, France.

出版信息

Rev Mal Respir. 2021 May;38(5):443-454. doi: 10.1016/j.rmr.2021.02.072. Epub 2021 May 11.

DOI:10.1016/j.rmr.2021.02.072

PMID:33994042

Abstract

INTRODUCTION

In November 2016, France implemented "Mois sans tabac", with the objective of promoting smoking cessation in November for at least one month. This study consisted of: (1) the description of the characteristics of smokers registered in the French cessation database during November 2014-2015 compared to November 2016-2017; (2) the comparison of abstinence factors between the two periods.

METHODS

We used data from CDTnet with 4659 registered adults' smokers who came for a first visit in November from 2014 to 2017 and were followed up at least one month. Our endpoint was 1 month-validated abstinence among the 1943 smokers followed up. We performed descriptive analyses of smokers, and predictors of abstinence were determined using a logistic regression model.

RESULTS

A 6.9% significant increase of first visits was observed during "Mois sans tabac" versus before Mois sans tabac (P<0.001). Furthermore, more women (56.3% vs. 52.2%) as well as more light smokers (28.7% vs. 23.7%) sought help between these two periods. Finally, in 2016-2017, more smokers consulted by personal initiative than were hospital-referred (45.8% vs. 36.3%) in comparison with 2014-2015. Nevertheless, there was no significant difference of cessation rate between the 2014-2015 group (44.6%) and the 2016-2017 group (45.6%). In multivariate logistic regression, being a light smoker was the only factor that increased the chances of abstinence in 2016-2017 compared to 2014-2015 (OR: 1.68 [1.03-2.75]).

CONCLUSION

It seems important to refer smokers to cessation services during Mois sans tabac to reach high rates of abstinence.

摘要

引言

2016年11月，法国实施了“无烟月”活动，目标是在11月促进戒烟至少一个月。本研究包括：（1）描述2014 - 2015年11月与2016 - 2017年11月期间在法国戒烟数据库中登记的吸烟者特征；（2）比较两个时期的戒烟因素。

方法

我们使用了CDTnet的数据，其中有4659名登记的成年吸烟者，他们于2014年至2017年11月首次前来就诊，并至少随访了一个月。我们的终点是对1943名接受随访的吸烟者进行1个月有效戒烟验证。我们对吸烟者进行了描述性分析，并使用逻辑回归模型确定了戒烟的预测因素。

结果

与“无烟月”之前相比，“无烟月”期间首次就诊人数显著增加了6.9%（P<0.001）。此外，在这两个时期之间，寻求帮助的女性更多（56.3%对52.2%）以及轻度吸烟者更多（28.7%对23.7%）。最后，与2014 - 2015年相比，2016 - 2017年更多吸烟者主动咨询，而非医院转诊（45.8%对36.3%）。然而，2014 - 2015年组（44.6%）和2016 - 2017年组（45.6%）的戒烟率没有显著差异。在多变量逻辑回归中，与2014 - 2015年相比，轻度吸烟是2016 - 2017年增加戒烟机会的唯一因素（比值比：1.68 [1.03 - 2.75]）。