Department of Family Medicine, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi, Taiwan.
Community Nursing Room, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi, Taiwan.
Sci Rep. 2024 Jun 10;14(1):13270. doi: 10.1038/s41598-024-64311-1.
Smoking has multiple negative effects on health; therefore, the Taiwanese government provides smoking cessation clinics to smokers. This study aimed to explore the trajectory of smoking cessation after smokers received treatment and the variables related to different trajectories. A retrospective longitudinal study was conducted, in which 735 adult smokers who received smoking cessation medications were recruited. The participants' demographic characteristics, chronic diseases, smoking characteristics, and cigarette dependence were collected from chart review. The amount of smoking was collected at baseline, and at 1 week, 1 month, 3 months, and 6 months after treatment. The Proc Traj procedure for group-based modeling and multinomial logistic regression were used for statistical analysis. Three trajectories were identified: early quitters (28.03%), late quitters (11.43%) and reducers (60.54%). Compared with early quitters, reducers were younger and had a higher probability of severe cigarette dependence. Compared with early quitters, late quitters had a higher number of taking smoking cessation medications. The findings revealed that approximately 60% of participants who received smoking cessation treatment could not completely quit smoking, and that age, number of medications taken, and cigarette dependence were significant predictors of different trajectories.
吸烟对健康有多种负面影响；因此，台湾政府为吸烟者提供戒烟诊所。本研究旨在探讨吸烟者接受治疗后的戒烟轨迹以及与不同轨迹相关的变量。本研究采用回顾性纵向研究设计，招募了 735 名接受戒烟药物治疗的成年吸烟者。通过病历回顾收集参与者的人口统计学特征、慢性病、吸烟特征和吸烟依赖情况。在治疗前、治疗后 1 周、1 个月、3 个月和 6 个月收集吸烟量。采用基于群体的建模和多项逻辑回归的 Proc Traj 程序进行统计分析。确定了三种轨迹：早期戒烟者（28.03%）、晚期戒烟者（11.43%）和减量者（60.54%）。与早期戒烟者相比，减量者年龄较小，且严重吸烟依赖的可能性更高。与早期戒烟者相比，晚期戒烟者服用戒烟药物的数量更多。研究结果表明，接受戒烟治疗的参与者中，约 60%的人无法完全戒烟，年龄、服用药物的数量和吸烟依赖是不同轨迹的显著预测因素。
