Department of Prevention and Security of Care, Sahloul University Hospital, Sousse, Tunisia.
University of Sousse, Faculty of Medicine of Sousse, Sousse, Tunisia.
Asian Pac J Cancer Prev. 2024 May 1;25(5):1615-1621. doi: 10.31557/APJCP.2024.25.5.1615.
Since 2009, the unit of smoking cessation at Sahloul University Hospital - Tunisia was founded. In this context, the objective of our study was to determine the factors associated with smoking cessation in Tunisian smokers.
It was a descriptive prospective study over five-years-period 2015-2020. We included all patients who willingly came to the anti-smoking consultation of the Sahloul University hospital Sousse Tunisia. Data were collected during the consultation of all patients. We proceeded to a univariate and then multivariable analysis to identify the predictive factors of smoking cessation.
Over 5 years, we included 450 patients, mainly males (91.3%). The average age of the consultants was 46 ±15.58 years. The average age of the first cigarette among our patients was 16.83± 4.34 years. The likelihood of smoking cessation was higher among males (p=0.004, OR=9.708), patients attending minimum 3 anti-smoking consultations (p<10-3, OR=5.714), patients benefiting from nicotine replacement therapy (p=0.034, OR=2.123), with high motivation score for smoking cessation (p=0.001, OR=1.980) and with an advanced age of the first cigarette (p<10-3, OR=1.096). However, the likelihood of smoking cessation was lower among coffee and alcohol consumers (p=0.002, OR=0.252) and smokers with less than 5 years smoking habit (p=0.011, OR=0.069).
Although the decision to stop smoking is a personal one, it requires medical and psychological support as highlighted by our findings. Our study showed that assiduity and medical assistance for tobacco cessation increase smokers' chances of quitting.
自 2009 年以来，突尼斯萨赫勒大学医院成立了戒烟单位。在这种情况下，我们研究的目的是确定与突尼斯吸烟者戒烟相关的因素。
这是一项为期五年（2015 年至 2020 年）的描述性前瞻性研究。我们纳入了所有自愿前往突尼斯苏塞萨赫勒大学医院戒烟咨询的患者。数据在所有患者咨询期间收集。我们进行了单变量和多变量分析，以确定戒烟的预测因素。
在 5 年期间，我们纳入了 450 名患者，主要是男性（91.3％）。顾问的平均年龄为 46 ± 15.58 岁。我们患者的第一支香烟的平均年龄为 16.83 ± 4.34 岁。男性戒烟的可能性更高（p=0.004，OR=9.708），至少参加 3 次戒烟咨询的患者（p<10-3，OR=5.714），接受尼古丁替代治疗的患者（p=0.034，OR=2.123），戒烟动机评分高的患者（p=0.001，OR=1.980），第一支香烟年龄较大的患者（p<10-3，OR=1.096）。然而，咖啡和酒精消费者（p=0.002，OR=0.252）和吸烟习惯少于 5 年的吸烟者（p=0.011，OR=0.069）戒烟的可能性较低。
尽管戒烟是个人决定，但正如我们的研究结果所强调的那样，它需要医疗和心理支持。我们的研究表明，戒烟的坚持和医疗援助增加了吸烟者戒烟的机会。
