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High risk strategy in smoking cessation is feasible on a population-based level. The Inter99 study

Authors :
Pisinger, Charlotta
Glümer, Charlotte
Toft, Ulla
von Huth Smith, Lisa
Aadahl, Mette
Borch-Johnsen, Knut
Jørgensen, Torben
Source :
Preventive Medicine. Jun2008, Vol. 46 Issue 6, p579-584. 6p.
Publication Year :
2008

Abstract

Abstract: Introduction: A high risk strategy is one of more strategies in public health. Smoking remains the most important contributor to the burden of disease in developed countries. Methods: A population-based multi-factorial intervention study, Inter99 (1999–2006), Copenhagen, Denmark, using a high risk strategy. All 2408 daily smokers were repeatedly offered individual face-to-face lifestyle counselling. Smokers in the high-intensity group were offered participation in smoking cessation groups. We measured point abstinence at 1, 3 and 5-year follow-up and compared with a control group, using adjusted intention-to treat analyses. Results: Compared with the control group it was twice as likely to be self-reported abstinent at 5-year follow-up in the high-intensity intervention group (OR: 2.19; 95%CI: 1.7–2.8; p <0.001). The effect of the intervention was significant, even when comparing validated abstinence in the intervention groups with self-reported abstinence in the control group (OR: 1.38; 95%CI: 1.1–1.8; p =0.014). Male gender, vocational training, higher age at onset of smoking, high knowledge of harm of smoking and lower tobacco consumption predicted abstinence. Conclusion: A high risk strategy showed a significant effect on smoking in the long term. Proactive recruitment, face-to-face setting, repeated offer of assistance to quit and a multi-factorial approach may explain the success of the intervention. [Copyright &y& Elsevier]

Subjects

Subjects :
*SMOKING cessation
*SMOKING

Details

Language :
English
ISSN :
00917435
Volume :
46
Issue :
6
Database :
Academic Search Index
Journal :
Preventive Medicine
Publication Type :
Academic Journal
Accession number :
32648210
Full Text :
https://doi.org/10.1016/j.ypmed.2008.02.026