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为高吸烟率社区的所有家庭提供尼古丁贴片:促进戒烟的基于人群方法的试点测试。

Offering nicotine patches to all households in a community with high smoking rates: Pilot test of a population-based approach to promote tobacco cessation.

机构信息

Centre for Addiction and Mental Health, Toronto, M5S 2S1, Canada.

Department of Psychiatry, University of Toronto, Toronto, M5T 1R8, Canada.

出版信息

Int J Popul Data Sci. 2021 Feb 11;6(1):1400. doi: 10.23889/ijpds.v6i1.1400.

DOI:10.23889/ijpds.v6i1.1400
PMID:34007899
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8104059/
Abstract

BACKGROUND

The objective of this project is to determine the effectiveness of targeting a community with a high smoking rate with the distribution of free-of-charge nicotine patches in order to promote tobacco cessation.

METHODS/DESIGN: One small community with an elevated smoking rate (compared to national and provincial averages) has been identified. All households in the community will be sent a letter offering one smoker (18 years or older; 10 or more cigarettes per day) in the household a free-of-charge mailed five-week supply of nicotine patches (up to a total of 800 five-week kits will be available for distribution). Participants receiving nicotine patches will be asked to complete a six-month follow-up survey assessing tobacco cessation defined as 30-day point prevalence abstinence. In addition, attempts will be made to employ ongoing national population surveys containing cigarette smoking variables to compare changes in smoking prevalence in the target community to other communities with similar characteristics.

DISCUSSION

We will examine whether the concentrated distribution of mailed nicotine patches will result in a measurable reduction in smoking rates in the target community. If demonstrated, this would provide support for the targeted population-level distribution of an effective individual-level public health intervention.

CLINICAL TRIALS REGISTRATION

NCT04534231.

摘要

背景

本项目旨在确定通过向高吸烟率社区免费分发尼古丁贴片来促进戒烟的效果。

方法/设计:已确定一个吸烟率较高(与全国和省级平均水平相比)的小社区。社区内的所有家庭将收到一封信,信中为每户家庭中的一名吸烟者(18 岁或以上,每天吸烟 10 支或以上)提供免费邮寄的五周尼古丁贴片供应(最多可提供 800 个五周的套件供分发)。接受尼古丁贴片的参与者将被要求完成一项为期六个月的随访调查,评估烟草戒断情况,定义为 30 天点流行率的戒烟。此外,还将尝试利用包含吸烟变量的正在进行的全国人口调查,将目标社区的吸烟率变化与具有类似特征的其他社区进行比较。

讨论

我们将研究集中分发邮寄尼古丁贴片是否会导致目标社区吸烟率的可衡量降低。如果证明这一点,这将为有针对性的人群层面公共卫生干预措施的有效个体层面分配提供支持。

临床试验注册

NCT04534231。

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引用本文的文献

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Concentrated Distribution of Nicotine Patches to a Town With High Smoking Rates-Any Evidence of Large Impacts on Tobacco Cessation?向吸烟率高的城镇集中分发尼古丁贴片——对戒烟有重大影响的证据?
Nicotine Tob Res. 2023 Apr 6;25(5):1060-1061. doi: 10.1093/ntr/ntac244.

本文引用的文献

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Nicotine replacement therapy versus control for smoking cessation.尼古丁替代疗法与对照用于戒烟
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Effect of Mailing Nicotine Patches on Tobacco Cessation Among Adult Smokers: A Randomized Clinical Trial.邮寄尼古丁贴片对成年吸烟者戒烟效果的随机临床试验。
JAMA Intern Med. 2016 Feb;176(2):184-90. doi: 10.1001/jamainternmed.2015.7792.
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Nicotine replacement therapy for smoking cessation.用于戒烟的尼古丁替代疗法。
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