Yang Po-Hsun, Chien Yuan-Shan, Luh Dih-Ling
The Department of Public Health, Chung Shan Medical University, 402 No.110, Section 1, Jianguo North Road, Taichung City, Taiwan.
The Department of General Affairs, Taichung Tzu Chi Hospital, Taichung, Taiwan.
Arch Public Health. 2024 Dec 24;82(1):241. doi: 10.1186/s13690-024-01452-9.
The purpose of this study was to evaluate repeated participation in hospital smoking cessation services and its related factors and to explore the correlation between the frequency of participation and its effectiveness in smoking cessation. This study uniquely follows participants over a seven-year period after the removal of financial barriers, with a maximum charge of TWD 200 (USD 6.4) for cessation medications in Taiwan.
A secondary analysis of data from a regional teaching hospital in Central Taiwan was conducted, utilizing the database of the Smoking Cessation Therapy Management Center of Health Promotion Administration and the hospital's documentation from 2013 to 2019. Successful smoking cessation was defined as a non-smoking status at the six-month follow-up stages. Repeat participation was identified through the hospital's smoking cessation logs. Logistic and Cox regression analyses were conducted to meet the study objectives, with all statistical procedures performed on SAS version 9.4.
In this study, 19.16% of the smoking cessation service users participated repeatedly over a period of seven years. After adjusting for the observation time, the Cox regression analysis showed that those who experienced the side effects of smoking cessation, long-term smokers, and those with a history of disease were more likely to participate again (HR:1.39;1.17;2.60). However, those who smoked heavily, drank alcohol, and failed to quit smoking after previous participation were significantly less likely to participate again (HR:0.59,0.55,0.70;0.89;0.66). Finally, this study found no significant correlation between the frequency of repeated participation and the effectiveness of the last smoking cessation service.
A certain proportion of smokers repeatedly participate in the same hospital's smoking cessation program, which does not diminish its effectiveness. It is implied that relaxing the limit on the quantity of smoking cessation services subsidies will contribute to overall tobacco harm control efforts.
本研究旨在评估重复参与医院戒烟服务及其相关因素，并探讨参与频率与其戒烟效果之间的相关性。本研究在消除经济障碍后，对参与者进行了为期七年的跟踪，台湾的戒烟药物最高收费为新台币200元（6.4美元）。
对台湾中部一家区域教学医院的数据进行二次分析，利用健康促进管理局戒烟治疗管理中心的数据库以及该医院2013年至2019年的文档。成功戒烟定义为在六个月随访阶段处于非吸烟状态。通过医院的戒烟记录识别重复参与情况。进行逻辑回归和Cox回归分析以实现研究目标，所有统计程序均在SAS 9.4版上执行。
在本研究中，19.16%的戒烟服务使用者在七年内重复参与。在调整观察时间后，Cox回归分析表明，经历戒烟副作用的人、长期吸烟者和有疾病史的人更有可能再次参与（风险比：1.39；1.17；2.60）。然而，重度吸烟者、饮酒者以及之前参与后未戒烟的人再次参与的可能性显著降低（风险比：0.59,0.55,0.70；0.89；0.66）。最后，本研究发现重复参与频率与最后一次戒烟服务的效果之间没有显著相关性。
一定比例的吸烟者会重复参与同一家医院的戒烟项目，这并不降低其效果。这意味着放宽戒烟服务补贴数量限制将有助于整体烟草危害控制工作。
