Cent Eur J Public Health 2024, 32(4):256-262 | DOI: 10.21101/cejph.a8295

Factors affecting smoking cessation success in individuals who applied to a smoking cessation centre

Türkan Günay1, Nur Acar2, Duygu Lüleci3, Fatma Seven4, Nurcan ªentürk Durukan5, Hakan Baydur6, Oğuz Kilinç7, ªafak Taner8
1 Department of Public Health, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey
2 Dr. Ersin Arslan Training and Research Hospital, Gaziantep, Turkey
3 Uzunmehmet Chest and Occupational Diseases Hospital, Zonguldak, Turkey
4 Department of Public Health, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey
5 Izmir Provincial Health Directorate, Izmir, Turkey
6 Department of Social Work, Faculty of Health Sciences, Manisa Celal Bayar University, Manisa, Turkey
7 Department of Chest Diseases, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey
8 Department of Public Health, Faculty of Medicine, Ege University, Izmir, Turkey

Objectives: This study aims to assess the frequency of smoking cessation and to identify the factors affecting smoking cessation success among individuals seeking assistance at a smoking cessation centre.

Methods: This cross-sectional study included 1,570 individuals who applied to the smoking cessation centre in Izmir, Turkey, between 2009 and 2018, and completed three follow-ups. Data were obtained from the centre's records. Factors affecting smoking cessation success were analysed using logistic regression in multivariate analysis.

Results: The median age to start smoking was 19 (17-22), and the median number of cigarettes consumed per day was 20 (20-30). Among the participants, 59.9% exhibited a high/very high level of nicotine dependence, and 79.6% had attempted to quit smoking previously. The median number of patient follow-ups was 7 (5-10). Of the patients, 34.0% successfully quit smoking for one year. According to the multivariate analysis results, smoking cessation success increased with being married by 2.26 times (95% CI: 1.51-3.38, p < 0.001), the absence of other smokers in the household by 1.38 times (95% CI: 1.01-1.88, p = 0.04), having a low level of nicotine dependence by 1.75 times (95% CI: 1.23-2.48, p = 0.002), and more patient follow-ups by 1.61 times (95% CI: 1.52-1.72, p < 0.001).

Conclusions: Smoking cessation success is increased by the support and follow-up provided by healthcare professionals, the absence of other smokers in the household, and a low level of nicotine dependency.

Keywords: smoking cessation, cigarette smoking, nicotine dependence, treatment

Received: May 24, 2024; Revised: October 11, 2024; Accepted: October 11, 2024; Published: December 30, 2024  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Günay T, Acar N, Lüleci D, Seven F, Durukan Nª, Baydur H, et al.. Factors affecting smoking cessation success in individuals who applied to a smoking cessation centre. Cent Eur J Public Health. 2024;32(4):256-262. doi: 10.21101/cejph.a8295. PubMed PMID: 39903596.
Download citation

References

  1. World Health Organization. WHO report on the global tobacco epidemic, 2019. Geneva: WHO; 2019.
  2. World Health Organization. World health statistics 2020: monitoring health for the SDGs, sustainable development goals. Geneva: WHO; 2020.
  3. Ergüder T; Turkish Ministry of Health, General Directorate of Primary Health Services. [The WHO framework convention on tobacco control]. Ankara: Klasmat Matbaacilik; 2008. Turkish.
  4. Global Adult Tobacco Survey. Comparison fact sheet: Turkey 2008 & 2012 [Internet]. WHO; 2013 [cited 2024 Oct 11]. Available from: https://extranet.who.int/ncdsmicrodata/index.php/catalog/841/download/5857.
  5. Global Adult Tobacco Survey. Fact sheet, Turkey 2016 [Internet]. WHO; 2019 [cited 2024 Oct 11]. Available from: https://extranet.who.int/ncdsmicrodata/index.php/catalog/872/download/6190.
  6. Krist AH, Davidson KW, Mangione CM, Barry MJ, Cabana M, Caughey AB, et al. Interventions for tobacco smoking cessation in adults, including pregnant persons: US preventive services task force recommendation statement. JAMA. 2021;325(3):265-79. Go to original source... Go to PubMed...
  7. Uysal MA, Kadakal F, Karºidağ Ç, Bayram NG, Uysal Ö, Yilmaz V. Fagerstrom test for nicotine dependence: reliability in a Turkish sample and factor analysis. Tuberk Toraks. 2004;52(2):115-21.
  8. Yazici MK, Demir B, Tanriverdi N, Karaaǧaoǧlu E, Yolaç P. [Hamilton anxiety rating scale: interrater reliability and validity study]. Turk Psikiyatri Derg. 1998;9(2):114-7. Turkish.
  9. World Health Organization. Tobacco [Internet]. Geneva: WHO [cited 2024 Oct 11]. Available from: https://www.who.int/health-topics/tobacco.
  10. Esen AD, Soylem Y, Arica S, Belgin G, Gonultas N. Factors affecting success and abstinence within a smoking cessation clinic: a one-year follow-up study in Turkey. Tob Prev Cessat. 2020;6:71. doi: 10.18332/tpc/130471. Go to original source... Go to PubMed...
  11. Arslan Y, Ocal N, Çagin A, Dogan D, Tasci C. The success of smoking cessation treatments: the Gulhane experience. Addicta Turk J Addict. 2021;8(1):8-15. Go to original source...
  12. Yaºar Z, Kar Kurt Ö, Talay F, Kargi A. One-year follow-up results of smoking cessation outpatient clinic: factors affecting the cessation of smoking. Eurasian J Pulmonol. 2014;16(2):99-104. Go to original source...
  13. Holm M, Schiöler L, Andersson E, Forsberg B, Gislason T, Janson C, et al. Predictors of smoking cessation: a longitudinal study in a large cohort of smokers. Respir Med. 2017;132:164-9. Go to original source... Go to PubMed...
  14. Huang WH, Hsu HY, Chang BCC, Chang FC. Factors correlated with success rate of outpatient smoking cessation services in Taiwan. Int J Environ Res Public Health. 2018;15(6):1218. doi: 10.3390/ijerph15061218. Go to original source... Go to PubMed...
  15. Wang R, Jiang Y, Yao C, Zhu M, Zhao Q, Huang L, et al. Prevalence of tobacco related chronic diseases and its role in smoking cessation among smokers in a rural area of Shanghai, China: a cross sectional study. BMC Public Health. 2019;19(1):753. doi: 10.1186/s12889-019-7110-9. Go to original source... Go to PubMed...
  16. Sağlam L. Investigation of the results of a smoking cessation clinic and the factors associated with success. Turk J Med Sci. 2012;42(3):515-22.
  17. Van den Brand FA, Nagtzaam P, Nagelhout GE, Winkens B, van Schayck CP. The association of peer smoking behavior and social support with quit success in employees who participated in a smoking cessation intervention at the workplace. Int J Environ Res Public Health. 2019;16(16):2831. doi: 10.3390/ijerph16162831. Go to original source... Go to PubMed...
  18. West R, Evins AE, Benowitz NL, Russ C, McRae T, Lawrence D, et al. Factors associated with the efficacy of smoking cessation treatments and predictors of smoking abstinence in EAGLES. Addiction. 2018;113(8):1507-16. Go to original source... Go to PubMed...