Skip Navigation
Skip to contents

Epidemiol Health : Epidemiology and Health

OPEN ACCESS
SEARCH
Search

Author index

Page Path
HOME > Browse articles > Author index
Search
Myungwha Jang 1 Article
Patterns and predictors of smoking relapse among inpatient smoking intervention participants: a 1-year follow-up study in Korea
Seung Eun Lee, Chul-Woung Kim, Hyo-Bin Im, Myungwha Jang
Epidemiol Health. 2021;43:e2021043.   Published online June 9, 2021
DOI: https://doi.org/10.4178/epih.e2021043
  • 12,248 View
  • 426 Download
  • 12 Web of Science
  • 12 Crossref
AbstractAbstract AbstractSummary PDF
Abstract
OBJECTIVES
This study aimed to identify relapse patterns in smokers who participated in an inpatient treatment program and to investigate factors related to relapse.
METHODS
The participants comprised 463 smokers who participated in an inpatient treatment operated by the Daejeon Tobacco Control Center from 2015 to 2018. Participants received high-intensity smoking cessation intervention for 5 consecutive days, including pharmacotherapy and behavioral support, and continued with follow-up for 1 year to determine whether they maintained smoking cessation after discharge from inpatient treatment. Kaplan-Meier and Cox proportional hazard models were used in the analysis.
RESULTS
Participants’ relapse rate within 1 year was 72.8%, and 59.8% of participants smoked again within 6 months after participation. A higher number of counseling sessions was significantly associated with a lower risk of relapse (hazard ratio [HR], 0.23; 95% confidence interval [CI], 0.17 to 0.32 for ≥9 vs. ≤5 counseling sessions). Conversely, higher relapse rates were significantly associated with the use of nicotine replacement therapy (NRT) (HR, 1.91; 95% CI, 1.43 to 2.55 for use vs. no use), and higher levels of baseline expired carbon monoxide (CO) (HR, 1.58; 95% CI, 1.21 to 2.06 for expired CO concentrations of 10-19 ppm vs. expired CO concentrations <10 ppm).
CONCLUSIONS
High-intensity smoking cessation interventions in hospital settings can be effective for smoking cessation in smokers with high nicotine dependence. In addition, the results suggest that for quitters to maintain long-term abstinence, they should receive regular follow-up counseling for 1 year after completing a high-intensity smoking cessation intervention.
Summary
Korean summary
• 한국은 국가금연정책의 일환으로 중증고도흡연자를 위해 고강도의 입원형 금연 중재 프로그램을 운영하고 있다. • 고강도 금연 중재를 받은 후 첫 6개월은 재흡연이 가장 빈번히 일어나는 시기였다. • 장기 금연을 유지하기 위해서는 고강도 금연 중재 후에도 1년간 지속적인 추후 상담이 이루어져야 한다.
Key Message
• South Korea operates a high-intensity inpatient treatment program for heavy smokers. • Relapse typically occurred in the first 6 months after completing the intervention. • Continuous 1 year follow-up counseling is important for long-term abstinence.

Citations

Citations to this article as recorded by  
  • Experiences with smoking habits and the need for cessation among habitual smokers in Japan: a qualitative study based on semi-structured interviews
    Kae Shiratani, Junko Shimasawa, Mayumi Mizutani
    BMC Primary Care.2024;[Epub]     CrossRef
  • Neurobiology of Stress-Induced Nicotine Relapse
    Xinyu Wang, Yun Chen, Jing Dong, Jing Ge, Xiaoliu Liu, Jianfeng Liu
    International Journal of Molecular Sciences.2024; 25(3): 1482.     CrossRef
  • Tobacco control in Qatar from 2002 to 2022: 20 years of progress and challenges
    Mohamed Ghaith Al-Kuwari, Abdulhmeed Ahmad Al-Khenji, Wadha Ahmad Al-Baker, Mohamed Osman Bala
    Journal of Public Health Research.2024;[Epub]     CrossRef
  • The Impact of Military Tobacco Control Policy: A Systematic Review
    Muhamad Arham Bin Hashim, Khairul Fikri Bin Sebri, Muhammad Faiz Bin Mohd Hanim, Diyana Shereen Binti Anwar, Nawwal Alwani Binti Mohd Radzi, Ahmad Farhan Bin Ahmad Fuad, Budi Aslinie Binti Md Sabri
    Military Medicine.2024;[Epub]     CrossRef
  • Applicability of machine learning algorithm to predict the therapeutic intervention success in Brazilian smokers
    Miyoko Massago, Mamoru Massago, Pedro Henrique Iora, Sanderland José Tavares Gurgel, Celso Ivam Conegero, Idalina Diair Regla Carolino, Maria Muzanila Mushi, Giane Aparecida Chaves Forato, João Vitor Perez de Souza, Thiago Augusto Hernandes Rocha, Samile
    PLOS ONE.2024; 19(3): e0295970.     CrossRef
  • How a 5-Day Stay in the Tobacco-Free Environment of the Stoptober House Supports Individuals to Quit Smoking: A Mixed Methods Pilot Study
    Floor A. Van den Brand, Thomas Martinelli, Charlotte I. de Haan-Bouma, Gert-Jan Meerkerk, Bjorn Winkens, Gera E. Nagelhout
    European Addiction Research.2024; 30(2): 103.     CrossRef
  • Development of a Risk Score to Predict Short-term Smoking Relapse Following an Inpatient Smoking Cessation Intervention
    Hwang Sik Shin, Yoon Hyung Park, Sung Soo Lee, Yong Jin Cho, Jun Tack Kwon, Youngs Chang, Mee-Ri Lee, Young Hwangbo
    Asia Pacific Journal of Public Health.2024; 36(4): 329.     CrossRef
  • Attitudes and influencing factors associated with smoking cessation: An online cross-sectional survey in China
    Jian-Hua Wang, Yu-Feng Yang, Shi-Lei Zhao, Hai-Tao Liu, Lei Xiao, Li Sun, Xi Wu, Dong-Chao Yuan, Li-Yao Ma, Bao-Zhao Ju, Jian-Ping Liu
    Tobacco Induced Diseases.2023; 21(June): 1.     CrossRef
  • Residential Treatment Exclusively for Tobacco Use Disorder: A Narrative Review
    Symen Kornelis Spoelstra, Robert C. van de Graaf, Arie Dijkstra
    Journal of Addiction Medicine.2023;[Epub]     CrossRef
  • The smoking and vaping model, A user-friendly model for examining the country-specific impact of nicotine VAPING product use: application to Germany
    Luz María Sánchez-Romero, Alex C. Liber, Yameng Li, Zhe Yuan, Jamie Tam, Nargiz Travis, Jihyoun Jeon, Mona Issabakhsh, Rafael Meza, David T. Levy
    BMC Public Health.2023;[Epub]     CrossRef
  • Factors Related to Smoking Relapse Within Six-Months of Smoking Cessation Among Inpatients
    Ji Eun Bae, Chul-Woung Kim, Seung Eun Lee, Myungwha Jang
    Research in Community and Public Health Nursing.2023; 34: 307.     CrossRef
  • Factors associated with long-term smoking relapse in those who succeeded in smoking cessation using regional smoking cessation programs
    Seung Hun Lee, Yu Hyeon Yi, Young In Lee, Hyo Young Lee, Kyoung-Min Lim
    Medicine.2022; 101(31): e29595.     CrossRef

Epidemiol Health : Epidemiology and Health
TOP