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- 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
- 27,751 View
- 476 Download
- 25 Web of Science
- 28 Crossref
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Abstract
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AbstractOBJECTIVES
This study aimed to identify relapse patterns in smokers who participated in an inpatient treatment program and to investigate factors related to relapse.METHODSThe 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.RESULTSParticipants’ 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).CONCLUSIONSHigh-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. -
SummaryKorean 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
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- A Study on Tracking by Using Random Coefficient Model.
- Hyung Gon Kang, Byung Soo Kim, Chung Mo Nam
- Korean J Epidemiol. 1997;19(1):58-66.
- 50,999 View
- 24 Download
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Abstract
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AbstractThere are many epidemiologic studies to find the tracking phenomenon. In repeated measurement data, a population is said to have tracking phenomenon with respect to particular chracteristic if, for each individual, the relative rank of observed value maintained over time. Understanding tracking phenomena in epidemiologic study is quite important. If the risk factors of chronic disease have tracking phenomenon, early detection of these risk factors can lead to the possibility of early treatment. In this study, we defined tracking as relative maintenance and proposed new measure of tracking by using random coefficient model. We compared our measure with McMahan's using simulation study. And we applied ours to real data. We may conclude that our new measure of tracking is adequate in explaining and dectecting the tracking phenomenon.
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